37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 549231 |
Time | |
Date | 200205 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : prc.airport |
State Reference | AZ |
Altitude | msl single value : 33000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zab.artcc |
Operator | common carrier : air carrier |
Make Model Name | DC-10 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise : level |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 85 flight time total : 11000 flight time type : 3500 |
ASRS Report | 549231 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | aircraft equipment problem : less severe maintenance problem : non compliance with mel non adherence : published procedure non adherence : far |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : repair performance deficiency : non compliance with legal requirements performance deficiency : logbook entry |
Supplementary | |
Problem Areas | Flight Crew Human Performance Company Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
En route, the so discovered MEL entry from a previous flight that had not been closed or deferred. It had apparently been overlooked by maintenance, as well. -- It was stuck to another page, in the wrong location in the logbook, and the pages were not in the proper sequence. The problem wasn't serious, so we continued on to our destination. I suggest we simplify maintenance paperwork -- fewer items to review during the extreme' crunch line' prior to pushback might have permitted the captain or so to have discovered the entry. As it stands now, we're required to review a multiple page, single spaced printed document (maintenance release document) which also includes an MEL summary (quite long lately), then dig through a traditional 3-RING notebook logbook, looking for 'last min' write-ups and, now, random 'lost' pages -- too much, under too much time pressure. This could've been a very different story, if the write-up had been of a more critical nature!
Original NASA ASRS Text
Title: DC10- CREW FOUND AN MEL ITEM WHICH WAS INCORRECTLY LISTED AND WAS NOT CLRED.
Narrative: ENRTE, THE SO DISCOVERED MEL ENTRY FROM A PREVIOUS FLT THAT HAD NOT BEEN CLOSED OR DEFERRED. IT HAD APPARENTLY BEEN OVERLOOKED BY MAINT, AS WELL. -- IT WAS STUCK TO ANOTHER PAGE, IN THE WRONG LOCATION IN THE LOGBOOK, AND THE PAGES WERE NOT IN THE PROPER SEQUENCE. THE PROB WASN'T SERIOUS, SO WE CONTINUED ON TO OUR DEST. I SUGGEST WE SIMPLIFY MAINT PAPERWORK -- FEWER ITEMS TO REVIEW DURING THE EXTREME' CRUNCH LINE' PRIOR TO PUSHBACK MIGHT HAVE PERMITTED THE CAPT OR SO TO HAVE DISCOVERED THE ENTRY. AS IT STANDS NOW, WE'RE REQUIRED TO REVIEW A MULTIPLE PAGE, SINGLE SPACED PRINTED DOCUMENT (MAINT RELEASE DOCUMENT) WHICH ALSO INCLUDES AN MEL SUMMARY (QUITE LONG LATELY), THEN DIG THROUGH A TRADITIONAL 3-RING NOTEBOOK LOGBOOK, LOOKING FOR 'LAST MIN' WRITE-UPS AND, NOW, RANDOM 'LOST' PAGES -- TOO MUCH, UNDER TOO MUCH TIME PRESSURE. THIS COULD'VE BEEN A VERY DIFFERENT STORY, IF THE WRITE-UP HAD BEEN OF A MORE CRITICAL NATURE!
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.