37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 524124 |
Time | |
Date | 200109 |
Day | Sun |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tower : sbp.tower |
Operator | common carrier : air carrier |
Make Model Name | B757-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe technician : fcc |
Experience | maintenance lead technician : 1 maintenance technician : 20 |
ASRS Report | 524124 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation non adherence : far non adherence : published procedure |
Independent Detector | aircraft equipment other aircraft equipment : start valve light other other : person 1 |
Resolutory Action | none taken : anomaly accepted |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : logbook entry performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | FAA Chart Or Publication Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
B757 was out of gate and reported #1 engine start valve light problems. 2 mechanics went out to airplane. I remained behind and called our coordination center. Coordinator and I discussed various options and looked at the parts situation. Finally, once I had the picture, I also went out. Mechanics were starting engine valve in override. The mechanic who exercised the valve informed me that it appeared to be working and closed on its own. The other mechanic reported that the pilot now had normal lights and was satisfied. No log entry had been made and they taxied off. In retrospect, I realized that I should have urged the mechanic to make a log entry regardless of the pilot. Unfortunately I was not in direct communication with the cockpit and was not aware of their mutual decision until we were driving back from the aircraft. I was then informed that the aircraft was leaving. The other mechanics did not seem concerned, but they should have been and I should have been more persuasive.
Original NASA ASRS Text
Title: A B757-200 WAS DISPATCHED IN NON COMPLIANCE WITH THE START VALVE OPEN IN OVERRIDE AND NO LOGBOOK ENTRY MADE.
Narrative: B757 WAS OUT OF GATE AND RPTED #1 ENG START VALVE LIGHT PROBS. 2 MECHS WENT OUT TO AIRPLANE. I REMAINED BEHIND AND CALLED OUR COORD CTR. COORDINATOR AND I DISCUSSED VARIOUS OPTIONS AND LOOKED AT THE PARTS SIT. FINALLY, ONCE I HAD THE PICTURE, I ALSO WENT OUT. MECHS WERE STARTING ENG VALVE IN OVERRIDE. THE MECH WHO EXERCISED THE VALVE INFORMED ME THAT IT APPEARED TO BE WORKING AND CLOSED ON ITS OWN. THE OTHER MECH RPTED THAT THE PLT NOW HAD NORMAL LIGHTS AND WAS SATISFIED. NO LOG ENTRY HAD BEEN MADE AND THEY TAXIED OFF. IN RETROSPECT, I REALIZED THAT I SHOULD HAVE URGED THE MECH TO MAKE A LOG ENTRY REGARDLESS OF THE PLT. UNFORTUNATELY I WAS NOT IN DIRECT COM WITH THE COCKPIT AND WAS NOT AWARE OF THEIR MUTUAL DECISION UNTIL WE WERE DRIVING BACK FROM THE ACFT. I WAS THEN INFORMED THAT THE ACFT WAS LEAVING. THE OTHER MECHS DID NOT SEEM CONCERNED, BUT THEY SHOULD HAVE BEEN AND I SHOULD HAVE BEEN MORE PERSUASIVE.
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.