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Attributes | |
ACN | 592175 |
Time | |
Date | 200308 |
Day | Sat |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Environment | |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : parked ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Qualification | technician : powerplant technician : fcc technician : airframe |
Experience | maintenance avionics : 15 maintenance technician : 15 |
ASRS Report | 592175 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : non compliance with mel non adherence : published procedure non adherence : far |
Independent Detector | other other : 969 |
Consequence | other |
Factors | |
Maintenance | contributing factor : manuals performance deficiency : training performance deficiency : installation performance deficiency : non compliance with legal requirements performance deficiency : logbook entry |
Supplementary | |
Problem Areas | Chart Or Publication Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
Aircraft arrived at ZZZ. The flight crew made a logbook entry stating 'captain's course window on autoflt panel does not set course correctly. In-flight course numbers occasionally jump.' after troubleshooting, I determined the panel was defective. The panel was not in stock at the station so the item had to be deferred. In then went to the mechanical dispatch manual, MEL section, index, for chapter 22. From the index I found 'MCP window, course 22-00-16C page 104.' turning to page 104, I read the MEL, determined it did not require dispatch approval. The page 104 column heading stated: MCP windows (EFIS-300), 22-00-16C course. I mistakenly applied this MEL (22-00-16C) T this item which is meant for a B737-300 only, and completed the paperwork, dispatching the aircraft with the item deferred under this MEL. This was caused by my inattn to the detail of the MEL wording. This was complicated as well by the inter-mixing of -200 and -300 MEL's into 1 book. Also, I feel that the headings used for differentiating aircraft types and applicability should be more clearly defined. A change request has been generated to technical pubs to change the headings from '-200' or '-300 only' to '-300 only.' this will eliminate the ambiguity of the 'EFIS-300' heading and prevent further events like this in the future.
Original NASA ASRS Text
Title: A B737-200 WAS DISPATCHED IN NON COMPLIANCE WITH THE CAPT'S COURSE SELECT READOUT ON THE AUTOPLT CTL PANEL INOP DEFERRED PER THE MEL. MEL REF USED WAS B737-300 EFIS SYS PROC.
Narrative: ACFT ARRIVED AT ZZZ. THE FLT CREW MADE A LOGBOOK ENTRY STATING 'CAPT'S COURSE WINDOW ON AUTOFLT PANEL DOES NOT SET COURSE CORRECTLY. INFLT COURSE NUMBERS OCCASIONALLY JUMP.' AFTER TROUBLESHOOTING, I DETERMINED THE PANEL WAS DEFECTIVE. THE PANEL WAS NOT IN STOCK AT THE STATION SO THE ITEM HAD TO BE DEFERRED. IN THEN WENT TO THE MECHANICAL DISPATCH MANUAL, MEL SECTION, INDEX, FOR CHAPTER 22. FROM THE INDEX I FOUND 'MCP WINDOW, COURSE 22-00-16C PAGE 104.' TURNING TO PAGE 104, I READ THE MEL, DETERMINED IT DID NOT REQUIRE DISPATCH APPROVAL. THE PAGE 104 COLUMN HDG STATED: MCP WINDOWS (EFIS-300), 22-00-16C COURSE. I MISTAKENLY APPLIED THIS MEL (22-00-16C) T THIS ITEM WHICH IS MEANT FOR A B737-300 ONLY, AND COMPLETED THE PAPERWORK, DISPATCHING THE ACFT WITH THE ITEM DEFERRED UNDER THIS MEL. THIS WAS CAUSED BY MY INATTN TO THE DETAIL OF THE MEL WORDING. THIS WAS COMPLICATED AS WELL BY THE INTER-MIXING OF -200 AND -300 MEL'S INTO 1 BOOK. ALSO, I FEEL THAT THE HDGS USED FOR DIFFERENTIATING ACFT TYPES AND APPLICABILITY SHOULD BE MORE CLRLY DEFINED. A CHANGE REQUEST HAS BEEN GENERATED TO TECHNICAL PUBS TO CHANGE THE HDGS FROM '-200' OR '-300 ONLY' TO '-300 ONLY.' THIS WILL ELIMINATE THE AMBIGUITY OF THE 'EFIS-300' HDG AND PREVENT FURTHER EVENTS LIKE THIS IN THE FUTURE.
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.