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A B757-200 was dispatched in non compliance with the left engine oil service cap not secured. Service door and cap missing on arrival.
| Attributes | |
| ACN | 601918 |
| Time | |
| Date | 200311 |
| Day | Mon |
| Local Time Of Day | 1801 To 2400 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | B757-200 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance ground : preflight |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| ASRS Report | 601918 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : far |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other other |
| Factors | |
| Maintenance | contributing factor : work cards contributing factor : schedule pressure performance deficiency : non compliance with legal requirements performance deficiency : installation performance deficiency : inspection performance deficiency : logbook entry |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Chart Or Publication Aircraft |
| Primary Problem | Maintenance Human Performance |
Narrative:
I was called out by the flight crew to service the l-hand engine oil on aircraft X, flight X to ZZZ1 on nov/mon/03. The oil service door is located on the inboard side of the l-hand engine and is poorly lighted. It was noisy with the APU and air conditioning packs running. Time of departure was 30 mins from the time I received the phone call. I loaded up a case of oil and proceeded to the aircraft. I added 10 pints of oil to the l-hand engine and I thought it was unusually high, so I decided to look for any visual signs of leaks under the cowl on the cowl and at inlet and exhaust. I was still concerned with the high amount of consumption so I thought I would check the oil added history in the logbook. The thought of the oil consumption must have distraction me from capping the oil tank and closing the service door.
Original NASA ASRS Text
Title: A B757-200 WAS DISPATCHED IN NON COMPLIANCE WITH THE L ENG OIL SVC CAP NOT SECURED. SVC DOOR AND CAP MISSING ON ARR.
Narrative: I WAS CALLED OUT BY THE FLT CREW TO SVC THE L-HAND ENG OIL ON ACFT X, FLT X TO ZZZ1 ON NOV/MON/03. THE OIL SVC DOOR IS LOCATED ON THE INBOARD SIDE OF THE L-HAND ENG AND IS POORLY LIGHTED. IT WAS NOISY WITH THE APU AND AIR CONDITIONING PACKS RUNNING. TIME OF DEP WAS 30 MINS FROM THE TIME I RECEIVED THE PHONE CALL. I LOADED UP A CASE OF OIL AND PROCEEDED TO THE ACFT. I ADDED 10 PINTS OF OIL TO THE L-HAND ENG AND I THOUGHT IT WAS UNUSUALLY HIGH, SO I DECIDED TO LOOK FOR ANY VISUAL SIGNS OF LEAKS UNDER THE COWL ON THE COWL AND AT INLET AND EXHAUST. I WAS STILL CONCERNED WITH THE HIGH AMOUNT OF CONSUMPTION SO I THOUGHT I WOULD CHK THE OIL ADDED HISTORY IN THE LOGBOOK. THE THOUGHT OF THE OIL CONSUMPTION MUST HAVE DISTR ME FROM CAPPING THE OIL TANK AND CLOSING THE SVC DOOR.
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.