 |
37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
A bell 407 was operated in non compliance for 43 hours over the fuel filter time change limit. Caused by poor record keeping and computer entry error.
| Attributes | |
| ACN | 536346 |
| Time | |
| Date | 200201 |
| Day | Thu |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | tower : zzz.tower |
| Make Model Name | Jet/Long Ranger |
| Flight Phase | cruise : level |
| Person 1 | |
| Affiliation | company : air taxi |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : multi engine pilot : instrument pilot : commercial |
| Experience | flight time last 90 days : 100 flight time total : 5000 flight time type : 175 |
| ASRS Report | 536346 |
| Person 2 | |
| Affiliation | company : corporate |
| Function | flight crew : first officer |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
| Independent Detector | other other : person 3 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other |
| Factors | |
| Maintenance | contributing factor : schedule pressure performance deficiency : unqualified personnel performance deficiency : scheduled maintenance performance deficiency : inspection performance deficiency : logbook entry performance deficiency : non compliance with legal requirements |
| Supplementary | |
| Problem Areas | Flight Crew Human Performance Company Chart Or Publication Aircraft Maintenance Human Performance |
| Primary Problem | Maintenance Human Performance |
Narrative:
My operation was a part 135 operating for a contract. Somehow, I and other pilots and 3 a&P mechanics missed the fuel filter replacement schedule on the computer printout sheet for our aircraft replacement. The incident was on a replacement aircraft which was assigned to our base. The fuel filter was scheduled to be replaced at 900 hours which was first overflown at the xa base. When we received the aircraft, we all looked at the paperwork and could not find anything coming due. We continued to fly the aircraft and it was found in january that the fuel filter was overflown. The fuel filter was replaced and aircraft was placed back in service. The computer sheets are being revised to make them more easily read. My involvement in this incident was approximately 12 days.
Original NASA ASRS Text
Title: A BELL 407 WAS OPERATED IN NON COMPLIANCE FOR 43 HRS OVER THE FUEL FILTER TIME CHANGE LIMIT. CAUSED BY POOR RECORD KEEPING AND COMPUTER ENTRY ERROR.
Narrative: MY OP WAS A PART 135 OPERATING FOR A CONTRACT. SOMEHOW, I AND OTHER PLTS AND 3 A&P MECHS MISSED THE FUEL FILTER REPLACEMENT SCHEDULE ON THE COMPUTER PRINTOUT SHEET FOR OUR ACFT REPLACEMENT. THE INCIDENT WAS ON A REPLACEMENT ACFT WHICH WAS ASSIGNED TO OUR BASE. THE FUEL FILTER WAS SCHEDULED TO BE REPLACED AT 900 HRS WHICH WAS FIRST OVERFLOWN AT THE XA BASE. WHEN WE RECEIVED THE ACFT, WE ALL LOOKED AT THE PAPERWORK AND COULD NOT FIND ANYTHING COMING DUE. WE CONTINUED TO FLY THE ACFT AND IT WAS FOUND IN JANUARY THAT THE FUEL FILTER WAS OVERFLOWN. THE FUEL FILTER WAS REPLACED AND ACFT WAS PLACED BACK IN SVC. THE COMPUTER SHEETS ARE BEING REVISED TO MAKE THEM MORE EASILY READ. MY INVOLVEMENT IN THIS INCIDENT WAS APPROX 12 DAYS.
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.