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|
Attributes | |
ACN | 585119 |
Time | |
Date | 200306 |
Day | Fri |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : den.airport |
State Reference | CO |
Altitude | agl single value : 0 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : pct.tracon |
Operator | common carrier : air carrier |
Make Model Name | B737-400 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : taxi ground : takeoff roll ground : preflight ground : parked ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
ASRS Report | 585119 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance maintenance problem : non compliance with mel non adherence : far non adherence : published procedure other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : smoke detector other flight crewa other flight crewb other other : 3 |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure contributing factor : non availability of parts performance deficiency : logbook entry performance deficiency : non compliance with legal requirements performance deficiency : repair |
Supplementary | |
Problem Areas | Company Aircraft |
Primary Problem | Company |
Narrative:
I was just notified from maintenance control that they were investigating an MEL from a flight I was on some 12 days ago. He told me they would self-disclose, and wanted more information. This is what I told him. On the copilot's initial cockpit check the smoke detector test checked correctly, however 10 seconds later we got a warning for smoke in the aft cargo and a bottle discharge light. He went to check the aft pit and I left to call maintenance control. He reported that the middle light in the aft pit had illuminated. We told the ground handlers to not load the aft pit. A mechanic came a half hour later to troubleshoot. Initially the test worked. As he was about to sign off the logbook we received the same warnings as earlier. He checked the aft pit with the same results. We checked the MEL book. He pulled the canon plug on the smoke detector and reattached it. Again, it worked for a short period. He then went through the procedure in the MEL book to troubleshoot the bottle discharge light. As he was finishing the paperwork, we received an amended release for the smoke detector inoperative. Then as we shut the door to push back, we received an MEL for the bottle discharge, wrongly assuming that this was correct since he had followed a procedure in the MEL book. Unfortunately, this only applies to the 737-700, -900, and three of the -400's.
Original NASA ASRS Text
Title: B737-400 CREW HAD AN INTERMITTENT MALFUNCTIONING CARGO COMPARTMENT SMOKE DETECTOR MEL'ED INOP BY A CONTRACT MAINT PROVIDER IN NON COMPLIANCE WITH THE MEL.
Narrative: I WAS JUST NOTIFIED FROM MAINT CTL THAT THEY WERE INVESTIGATING AN MEL FROM A FLT I WAS ON SOME 12 DAYS AGO. HE TOLD ME THEY WOULD SELF-DISCLOSE, AND WANTED MORE INFO. THIS IS WHAT I TOLD HIM. ON THE COPLT'S INITIAL COCKPIT CHK THE SMOKE DETECTOR TEST CHKED CORRECTLY, HOWEVER 10 SECONDS LATER WE GOT A WARNING FOR SMOKE IN THE AFT CARGO AND A BOTTLE DISCHARGE LIGHT. HE WENT TO CHK THE AFT PIT AND I LEFT TO CALL MAINT CTL. HE RPTED THAT THE MIDDLE LIGHT IN THE AFT PIT HAD ILLUMINATED. WE TOLD THE GND HANDLERS TO NOT LOAD THE AFT PIT. A MECH CAME A HALF HR LATER TO TROUBLESHOOT. INITIALLY THE TEST WORKED. AS HE WAS ABOUT TO SIGN OFF THE LOGBOOK WE RECEIVED THE SAME WARNINGS AS EARLIER. HE CHKED THE AFT PIT WITH THE SAME RESULTS. WE CHKED THE MEL BOOK. HE PULLED THE CANON PLUG ON THE SMOKE DETECTOR AND REATTACHED IT. AGAIN, IT WORKED FOR A SHORT PERIOD. HE THEN WENT THROUGH THE PROC IN THE MEL BOOK TO TROUBLESHOOT THE BOTTLE DISCHARGE LIGHT. AS HE WAS FINISHING THE PAPERWORK, WE RECEIVED AN AMENDED RELEASE FOR THE SMOKE DETECTOR INOP. THEN AS WE SHUT THE DOOR TO PUSH BACK, WE RECEIVED AN MEL FOR THE BOTTLE DISCHARGE, WRONGLY ASSUMING THAT THIS WAS CORRECT SINCE HE HAD FOLLOWED A PROC IN THE MEL BOOK. UNFORTUNATELY, THIS ONLY APPLIES TO THE 737-700, -900, AND THREE OF THE -400'S.
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.