37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 574208 |
Time | |
Date | 200302 |
Day | Mon |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : bgr.airport |
State Reference | ME |
Altitude | agl single value : 0 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : bos.tower |
Operator | other |
Make Model Name | BAe 125 Series 800 |
Operating Under FAR Part | Part 91 |
Flight Phase | ground : maintenance ground : parked |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | flight crew : first officer |
Qualification | pilot : private pilot : cfi pilot : atp |
Experience | flight time last 90 days : 40 flight time total : 4000 flight time type : 1000 |
ASRS Report | 574208 |
Person 2 | |
Affiliation | government : faa |
Function | flight crew : captain oversight : pic |
Qualification | pilot : commercial pilot : atp |
Experience | flight time last 90 days : 100 flight time total : 5500 |
ASRS Report | 574209 |
Events | |
Anomaly | aircraft equipment problem : less severe maintenance problem : improper documentation maintenance problem : non compliance with mel non adherence : company policies 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 : manuals performance deficiency : non compliance with legal requirements performance deficiency : logbook entry |
Supplementary | |
Problem Areas | Maintenance Human Performance Flight Crew Human Performance FAA Company Chart Or Publication Aircraft |
Primary Problem | Chart Or Publication |
Narrative:
We had a fuel boost pump failure during a flight to bangor international, me. After landing, we reported the problem to our dispatch office. We also had an a&P mechanic with us on the aircraft. We followed the MEL section of our flight manual for an inoperative fuel boost pump. All operator (pilot) actions were taken for the subsequent flight from bangor to okc. The a&P signed off the aircraft forms with the MEL relief. After the flight, we found that section ii of our operations manual (limitations) says that takeoff with 1 fuel tank boost pump inoperative requires a 'special flight permit.' as far as we know, we did not have a special flight permit, only MEL relief. The MEL section does not direct you to this section. Neither our dispatch, our mechanic nor system maintenance personnel caught this error. Supplemental information from acn 574209: I assumed all the procedures were complete. Later I found out that the mechanic did not sign off the operations procedure in the 'corrective action block' either. All operation procedures were completed, just not signed off in aircraft forms. Neither our dispatch, our mechanic or system maintenance personnel caught this error. No safety of flight items were violated.
Original NASA ASRS Text
Title: H25B FLT DISPATCHED WITHOUT REQUIRED SPECIAL FLT PERMIT. LOGBOOK IMPROPERLY COMPLETED.
Narrative: WE HAD A FUEL BOOST PUMP FAILURE DURING A FLT TO BANGOR INTL, ME. AFTER LNDG, WE RPTED THE PROB TO OUR DISPATCH OFFICE. WE ALSO HAD AN A&P MECH WITH US ON THE ACFT. WE FOLLOWED THE MEL SECTION OF OUR FLT MANUAL FOR AN INOP FUEL BOOST PUMP. ALL OPERATOR (PLT) ACTIONS WERE TAKEN FOR THE SUBSEQUENT FLT FROM BANGOR TO OKC. THE A&P SIGNED OFF THE ACFT FORMS WITH THE MEL RELIEF. AFTER THE FLT, WE FOUND THAT SECTION II OF OUR OPS MANUAL (LIMITATIONS) SAYS THAT TKOF WITH 1 FUEL TANK BOOST PUMP INOP REQUIRES A 'SPECIAL FLT PERMIT.' AS FAR AS WE KNOW, WE DID NOT HAVE A SPECIAL FLT PERMIT, ONLY MEL RELIEF. THE MEL SECTION DOES NOT DIRECT YOU TO THIS SECTION. NEITHER OUR DISPATCH, OUR MECH NOR SYS MAINT PERSONNEL CAUGHT THIS ERROR. SUPPLEMENTAL INFO FROM ACN 574209: I ASSUMED ALL THE PROCS WERE COMPLETE. LATER I FOUND OUT THAT THE MECH DID NOT SIGN OFF THE OPS PROC IN THE 'CORRECTIVE ACTION BLOCK' EITHER. ALL OP PROCS WERE COMPLETED, JUST NOT SIGNED OFF IN ACFT FORMS. NEITHER OUR DISPATCH, OUR MECH OR SYS MAINT PERSONNEL CAUGHT THIS ERROR. NO SAFETY OF FLT ITEMS WERE VIOLATED.
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.