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A DC9-30 was dispatched in non compliance with the right engine oil filler cap not secured. Resulted in loss of engine oil.
| Attributes | |
| ACN | 548634 |
| Time | |
| Date | 200205 |
| Day | Fri |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Environment | |
| Light | Daylight |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | DC-9 30 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : airframe technician : fcc technician : powerplant |
| Experience | maintenance avionics : 26 maintenance technician : 21 |
| ASRS Report | 548634 |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : far non adherence : company policies other anomaly other |
| Independent Detector | aircraft equipment other aircraft equipment : oil press/quan guage |
| Resolutory Action | flight crew : landed in emergency condition flight crew : diverted to another airport |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : schedule pressure contributing factor : tooling performance deficiency : testing performance deficiency : logbook entry performance deficiency : installation |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Aircraft |
| Primary Problem | Maintenance Human Performance |
Narrative:
Normal 2A service of JT8 on DC9. Right engine oil service cap has chain on it. Cap hangs directly in front of technician and is fairly long. This causes technician to move it out of way. Cap is not colored! Blends in with engine. Also servicing carts do not allow technician to be at oil servicing port -- must pump at cart and hose is up at port which is approximately 8-10 ft away and can cause over-servicing. Should: 1) remove or shorten chain, 2) color oil cap, 3) servicing cart must allow technician to be at point of service. Right engine on DC9 does not allow for visual of cap without proper work stand -- with or without lower cowl open.
Original NASA ASRS Text
Title: A DC9-30 WAS DISPATCHED IN NON COMPLIANCE WITH THE R ENG OIL FILLER CAP NOT SECURED. RESULTED IN LOSS OF ENG OIL.
Narrative: NORMAL 2A SVC OF JT8 ON DC9. R ENG OIL SVC CAP HAS CHAIN ON IT. CAP HANGS DIRECTLY IN FRONT OF TECHNICIAN AND IS FAIRLY LONG. THIS CAUSES TECHNICIAN TO MOVE IT OUT OF WAY. CAP IS NOT COLORED! BLENDS IN WITH ENG. ALSO SVCING CARTS DO NOT ALLOW TECHNICIAN TO BE AT OIL SVCING PORT -- MUST PUMP AT CART AND HOSE IS UP AT PORT WHICH IS APPROX 8-10 FT AWAY AND CAN CAUSE OVER-SVCING. SHOULD: 1) REMOVE OR SHORTEN CHAIN, 2) COLOR OIL CAP, 3) SVCING CART MUST ALLOW TECHNICIAN TO BE AT POINT OF SVC. R ENG ON DC9 DOES NOT ALLOW FOR VISUAL OF CAP WITHOUT PROPER WORK STAND -- WITH OR WITHOUT LOWER COWL OPEN.
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.