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|
Attributes | |
ACN | 574577 |
Time | |
Date | 200302 |
Day | Wed |
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 | B737-300 |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : takeoff ground : takeoff roll ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : airframe |
ASRS Report | 574577 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
Independent Detector | aircraft equipment other aircraft equipment : cabin pressure indicator other flight crewa other flight crewb |
Resolutory Action | flight crew : landed as precaution flight crew : diverted to another airport |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure contributing factor : lighting performance deficiency : inspection performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Flight Crew Human Performance Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
I had an overnight check on aircraft X with an APU MEL. I opened the east & east door to reset the overspd on the MW80 module and thought I closed it on the way out. The aircraft would not pressurize after takeoff and returned to ZZZ. It was discovered that the east & east door was open, but the master caution would not recall the door light. The miscellaneous switching module was found malfunctioning, so the cockpit master caution door light did not illuminate. I fell out of my routine of shutting the door on reset problems.
Original NASA ASRS Text
Title: A B737-300 RETURNED TO THE FIELD DUE TO UNABLE TO PRESSURIZE THE CABIN. FOUND ELECTRONICS AND ELECTRICAL COMPARTMENT DOOR OPEN. NO DOOR WARNING.
Narrative: I HAD AN OVERNIGHT CHK ON ACFT X WITH AN APU MEL. I OPENED THE E & E DOOR TO RESET THE OVERSPD ON THE MW80 MODULE AND THOUGHT I CLOSED IT ON THE WAY OUT. THE ACFT WOULD NOT PRESSURIZE AFTER TKOF AND RETURNED TO ZZZ. IT WAS DISCOVERED THAT THE E & E DOOR WAS OPEN, BUT THE MASTER CAUTION WOULD NOT RECALL THE DOOR LIGHT. THE MISC SWITCHING MODULE WAS FOUND MALFUNCTIONING, SO THE COCKPIT MASTER CAUTION DOOR LIGHT DID NOT ILLUMINATE. I FELL OUT OF MY ROUTINE OF SHUTTING THE DOOR ON RESET PROBS.
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.