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|
Attributes | |
ACN | 586570 |
Time | |
Date | 200307 |
Day | Thu |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : psp.airport |
State Reference | CA |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-400 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : pushback ground : preflight ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : multi engine pilot : instrument |
ASRS Report | 586570 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | aircraft equipment problem : less severe maintenance problem : non compliance with mel maintenance problem : improper maintenance non adherence : far non adherence : published procedure non adherence : company policies other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : fuel totalizer other flight crewa other flight crewb |
Resolutory Action | none taken : detected after the fact other |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Maintenance Human Performance Company Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
Day (jul/thu/03) began with a delay leaving psp, due to delay in arriving aircraft. Upon reaching sfo, learned that we had been swapped into an aircraft with a mechanical of unknown nature. Crowd control was a distinct factor in the mind of all crew members, because the waiting passenger had received very little information regarding the flight and were becoming agitated. From originally scheduled departure, the delay finally reached 5 hours before we were able to departure. Aircraft X had experienced a #1 thrust reverser failure, which was replaced by local maintenance, and also had an outstanding MEL for an inoperative #2 fuel gauge. Because we had flown the previous day, and had been the crew that observed the inclusion of the MEL, we noted that it was included on the release and concentrated on the thrust reverser gripe. Approximately over eugene, the captain noticed that the the fuel summation unit (which had been disconnected the previous day during our flight), was functioning. Inspection of the logbook revealed that the original gripe had been signed off and the fuel gauge subsequently written up oa second time at yvr earlier jul/thu/03. Upon issuance of the second MEL, the summation unit had failed to be disconnected by contract maintenance at yvr. We notified maintenance via ACARS and noted the discrepancy in the logbook.
Original NASA ASRS Text
Title: B737-400 MECH DID NOT DEACTIVATE THE FUEL TOTALIZER SUMMATION UNIT IN ACCORDANCE WITH THE MEL.
Narrative: DAY (JUL/THU/03) BEGAN WITH A DELAY LEAVING PSP, DUE TO DELAY IN ARRIVING ACFT. UPON REACHING SFO, LEARNED THAT WE HAD BEEN SWAPPED INTO AN ACFT WITH A MECHANICAL OF UNKNOWN NATURE. CROWD CTL WAS A DISTINCT FACTOR IN THE MIND OF ALL CREW MEMBERS, BECAUSE THE WAITING PAX HAD RECEIVED VERY LITTLE INFO REGARDING THE FLT AND WERE BECOMING AGITATED. FROM ORIGINALLY SCHEDULED DEP, THE DELAY FINALLY REACHED 5 HRS BEFORE WE WERE ABLE TO DEP. ACFT X HAD EXPERIENCED A #1 THRUST REVERSER FAILURE, WHICH WAS REPLACED BY LOCAL MAINT, AND ALSO HAD AN OUTSTANDING MEL FOR AN INOPERATIVE #2 FUEL GAUGE. BECAUSE WE HAD FLOWN THE PREVIOUS DAY, AND HAD BEEN THE CREW THAT OBSERVED THE INCLUSION OF THE MEL, WE NOTED THAT IT WAS INCLUDED ON THE RELEASE AND CONCENTRATED ON THE THRUST REVERSER GRIPE. APPROX OVER EUGENE, THE CAPT NOTICED THAT THE THE FUEL SUMMATION UNIT (WHICH HAD BEEN DISCONNECTED THE PREVIOUS DAY DURING OUR FLT), WAS FUNCTIONING. INSPECTION OF THE LOGBOOK REVEALED THAT THE ORIGINAL GRIPE HAD BEEN SIGNED OFF AND THE FUEL GAUGE SUBSEQUENTLY WRITTEN UP OA SECOND TIME AT YVR EARLIER JUL/THU/03. UPON ISSUANCE OF THE SECOND MEL, THE SUMMATION UNIT HAD FAILED TO BE DISCONNECTED BY CONTRACT MAINT AT YVR. WE NOTIFIED MAINT VIA ACARS AND NOTED THE DISCREPANCY IN THE LOGBOOK.
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.