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Attributes | |
ACN | 550854 |
Time | |
Date | 200206 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Environment | |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : zzz.tower |
Operator | common carrier : air carrier |
Make Model Name | B727 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : initial |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
Experience | maintenance technician : 13.5 |
ASRS Report | 550854 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : non compliance with mel non adherence : far non adherence : published procedure |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | flight crew : declared emergency flight crew : diverted to another airport |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : logbook entry performance deficiency : testing performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Maintenance Human Performance Flight Crew Human Performance Aircraft Chart Or Publication |
Primary Problem | Maintenance Human Performance |
Situations | |
Publication | MEL |
Narrative:
Pilot pointed out valve that was inoperative. Pilot said valve was #3 engine fuel xfeed (valve was really #1 engine xfeed valve). Mechanic took pilot's word and safetied and disconnected valve, which was #1 valve. Mechanic did not ask for paperwork or doublechk with maintenance controller on correct valve. Maintenance controller did not doublechk mechanic on knowing location of correct valve. Mechanic signed off logbook with MEL per 28-00-07. Upon climb out, pilot noticed 1200 pound fuel imbal. Declared in-flight emergency. Landed with no incident. Found mechanic safetied wrong valve open.
Original NASA ASRS Text
Title: A B727 WAS DISPATCHED IN NON COMPLIANCE WITH THE WRONG FUEL XFEED VALVE RENDERED INOP PER THE MEL.
Narrative: PLT POINTED OUT VALVE THAT WAS INOP. PLT SAID VALVE WAS #3 ENG FUEL XFEED (VALVE WAS REALLY #1 ENG XFEED VALVE). MECH TOOK PLT'S WORD AND SAFETIED AND DISCONNECTED VALVE, WHICH WAS #1 VALVE. MECH DID NOT ASK FOR PAPERWORK OR DOUBLECHK WITH MAINT CTLR ON CORRECT VALVE. MAINT CTLR DID NOT DOUBLECHK MECH ON KNOWING LOCATION OF CORRECT VALVE. MECH SIGNED OFF LOGBOOK WITH MEL PER 28-00-07. UPON CLBOUT, PLT NOTICED 1200 LB FUEL IMBAL. DECLARED INFLT EMER. LANDED WITH NO INCIDENT. FOUND MECH SAFETIED WRONG VALVE 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.