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A fokker 100 captain reports inadequate logbook review and placarding by maintenance prior to deferral of critical system.
| Attributes | |
| ACN | 513328 |
| Time | |
| Date | 200106 |
| Day | Fri |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Aircraft 1 | |
| Controlling Facilities | artcc : zma.artcc |
| Operator | common carrier : air carrier |
| Make Model Name | Fokker 100 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : parked |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| ASRS Report | 513328 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation non adherence : far non adherence : published procedure |
| Independent Detector | other flight crewa |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : manuals contributing factor : schedule pressure performance deficiency : logbook entry performance deficiency : non compliance with legal requirements |
| Supplementary | |
| Problem Areas | Chart Or Publication Aircraft Maintenance Human Performance |
| Primary Problem | Maintenance Human Performance |
| Situations | |
| Publication | MINIMUM EQUIPMENT LIST |
Narrative:
Arrived at aircraft, reviewed logbook, found APU placarded inoperative per 49-xx. After review of MEL and logbook, found recent history on idg #1. It had been placarded inoperative with removal of placard just 1 day earlier. Note M under 49-xx states for a maintenance placard that a review of recent history of the idg's must be accomplished. Maintenance and the maintenance computer failed to catch the recent history of a problem and the placard was placed on the aircraft jun/xa/01. Called YYY technician and brought it too their attention and he decided aircraft must come OTS. I concurred with that determination and another aircraft was used for the flight. Found another improper placard the week prior and this seems to be a systemic problem. The computer should not be allowing this to happen and an explanation or excuse is not acceptable. Seems that there is only 1 level of protection with this system and nowhere in aviation is one layer of protection found to be acceptable. FAA has stated an intent to punish crew members that miss improper placards while the systemic problem goes unaddressed. This does not seem to me to be acceptable or effective in correcting the problem to me.
Original NASA ASRS Text
Title: A FOKKER 100 CAPT RPTS INADEQUATE LOGBOOK REVIEW AND PLACARDING BY MAINT PRIOR TO DEFERRAL OF CRITICAL SYS.
Narrative: ARRIVED AT ACFT, REVIEWED LOGBOOK, FOUND APU PLACARDED INOP PER 49-XX. AFTER REVIEW OF MEL AND LOGBOOK, FOUND RECENT HISTORY ON IDG #1. IT HAD BEEN PLACARDED INOP WITH REMOVAL OF PLACARD JUST 1 DAY EARLIER. NOTE M UNDER 49-XX STATES FOR A MAINT PLACARD THAT A REVIEW OF RECENT HISTORY OF THE IDG'S MUST BE ACCOMPLISHED. MAINT AND THE MAINT COMPUTER FAILED TO CATCH THE RECENT HISTORY OF A PROB AND THE PLACARD WAS PLACED ON THE ACFT JUN/XA/01. CALLED YYY TECHNICIAN AND BROUGHT IT TOO THEIR ATTN AND HE DECIDED ACFT MUST COME OTS. I CONCURRED WITH THAT DETERMINATION AND ANOTHER ACFT WAS USED FOR THE FLT. FOUND ANOTHER IMPROPER PLACARD THE WK PRIOR AND THIS SEEMS TO BE A SYSTEMIC PROB. THE COMPUTER SHOULD NOT BE ALLOWING THIS TO HAPPEN AND AN EXPLANATION OR EXCUSE IS NOT ACCEPTABLE. SEEMS THAT THERE IS ONLY 1 LEVEL OF PROTECTION WITH THIS SYS AND NOWHERE IN AVIATION IS ONE LAYER OF PROTECTION FOUND TO BE ACCEPTABLE. FAA HAS STATED AN INTENT TO PUNISH CREW MEMBERS THAT MISS IMPROPER PLACARDS WHILE THE SYSTEMIC PROB GOES UNADDRESSED. THIS DOES NOT SEEM TO ME TO BE ACCEPTABLE OR EFFECTIVE IN CORRECTING THE PROB TO ME.
Data retrieved from NASA's ASRS site as of July 2007 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.