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|
Attributes | |
ACN | 603357 |
Time | |
Date | 200312 |
Day | Sun |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : takeoff roll |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 180 flight time total : 22000 flight time type : 17000 |
ASRS Report | 603357 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : commercial |
Experience | flight time last 90 days : 250 flight time total : 6550 flight time type : 4500 |
ASRS Report | 603561 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
Independent Detector | aircraft equipment other aircraft equipment : oil filter bypass light other flight crewa other flight crewb |
Resolutory Action | flight crew : declared emergency flight crew : diverted to another airport |
Consequence | other |
Factors | |
Maintenance | performance deficiency : fault isolation performance deficiency : inspection performance deficiency : logbook entry |
Supplementary | |
Problem Areas | Aircraft Chart Or Publication Maintenance Human Performance Flight Crew Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
On the initial start of the #1 engine of aircraft X (-200 series) the #1 oil filter bypass light illuminated as has been considered somewhat normal for the first start of the day with an outside air temperature of 10 degrees C. We let the engine idle while accomplishing the after start checklist. The light extinguished after about 2 mins. During takeoff roll, the same light re-illuminated after takeoff thrust was applied. I elected to disregard it for a few seconds to see if it would again go out, which it did -- probably at about 80 KTS or slightly below. We continued the takeoff and flew uneventfully to ZZZ1 with no other indications. Takeoff from ZZZ1 was also without any more problems with this light. On final approach into ZZZ, the light re-illuminated. Since I considered this a critical phase of flight, we continued our approach with normal confign and discussed what we would do if the engine should quit or need to be pulled back. The light again went out after a short time and the landing was made. On the ground at ZZZ I talked to maintenance duty control and discussed what had been happening. We both agreed that something was going awry with the oil filter or its filter bypass light system and felt that we could continue back to ZZZ2 with the single stop at ZZZ1. The thought was to get it back to ZZZ2 and have it checked there. On departure from ZZZ, the light again illuminated shortly after takeoff. We climbed to 1000 ft, retracted the flaps, and went through the QRH procedure for a filter bypass problem. After retarding the lever to partial power, the light extinguished. We continued the climb and began to evaluate the thoughts of proceeding to ZZZ1 or returning to ZZZ. As we climbed we had to continue reducing thrust to keep the light extinguished and at approximately 10000 ft, with the thrust lever at idle and the light illuminated continuously, we decided to return to ZZZ. The QRH procedure calls for shutting the engine down if the light stays illuminated and this is what my initial intention was. The first officer was flying the aircraft and I was doing the checklist. After starting the APU and while on a course back to ZZZ, I decided that I would prefer to operate the engine at idle until I saw some other sign of an engine problem such as high oil temperature, low oil pressure, or a vibration. My thoughts were that this might be just an indication problem and I might be shutting down a perfectly good engine. We used single engine procedures, declared an emergency, and landed uneventfully at ZZZ. In retrospect, I have learned that the problem was caused by metal in the oil filter. Because of the earlier momentary illuminations of this light I did not have confidence that it was telling the truth. It was. I am not sure if the light illuminating after engine start in ZZZ2 was caused by metal or supposedly 'cold oil.' the same with illumination during the early takeoff roll at ZZZ2. The altering of the QRH procedure on my part was done under captain's emergency authority/authorized.
Original NASA ASRS Text
Title: A B737-300 WAS OPERATED FOR 3 LEGS WITH AN INTERMITTENT L ENG OIL FILTER BYPASS LIGHT. ON 4TH LEG, DECLARED AN EMER AND DIVERTED.
Narrative: ON THE INITIAL START OF THE #1 ENG OF ACFT X (-200 SERIES) THE #1 OIL FILTER BYPASS LIGHT ILLUMINATED AS HAS BEEN CONSIDERED SOMEWHAT NORMAL FOR THE FIRST START OF THE DAY WITH AN OUTSIDE AIR TEMP OF 10 DEGS C. WE LET THE ENG IDLE WHILE ACCOMPLISHING THE AFTER START CHKLIST. THE LIGHT EXTINGUISHED AFTER ABOUT 2 MINS. DURING TKOF ROLL, THE SAME LIGHT RE-ILLUMINATED AFTER TKOF THRUST WAS APPLIED. I ELECTED TO DISREGARD IT FOR A FEW SECONDS TO SEE IF IT WOULD AGAIN GO OUT, WHICH IT DID -- PROBABLY AT ABOUT 80 KTS OR SLIGHTLY BELOW. WE CONTINUED THE TKOF AND FLEW UNEVENTFULLY TO ZZZ1 WITH NO OTHER INDICATIONS. TKOF FROM ZZZ1 WAS ALSO WITHOUT ANY MORE PROBS WITH THIS LIGHT. ON FINAL APCH INTO ZZZ, THE LIGHT RE-ILLUMINATED. SINCE I CONSIDERED THIS A CRITICAL PHASE OF FLT, WE CONTINUED OUR APCH WITH NORMAL CONFIGN AND DISCUSSED WHAT WE WOULD DO IF THE ENG SHOULD QUIT OR NEED TO BE PULLED BACK. THE LIGHT AGAIN WENT OUT AFTER A SHORT TIME AND THE LNDG WAS MADE. ON THE GND AT ZZZ I TALKED TO MAINT DUTY CTL AND DISCUSSED WHAT HAD BEEN HAPPENING. WE BOTH AGREED THAT SOMETHING WAS GOING AWRY WITH THE OIL FILTER OR ITS FILTER BYPASS LIGHT SYS AND FELT THAT WE COULD CONTINUE BACK TO ZZZ2 WITH THE SINGLE STOP AT ZZZ1. THE THOUGHT WAS TO GET IT BACK TO ZZZ2 AND HAVE IT CHKED THERE. ON DEP FROM ZZZ, THE LIGHT AGAIN ILLUMINATED SHORTLY AFTER TKOF. WE CLBED TO 1000 FT, RETRACTED THE FLAPS, AND WENT THROUGH THE QRH PROC FOR A FILTER BYPASS PROB. AFTER RETARDING THE LEVER TO PARTIAL PWR, THE LIGHT EXTINGUISHED. WE CONTINUED THE CLB AND BEGAN TO EVALUATE THE THOUGHTS OF PROCEEDING TO ZZZ1 OR RETURNING TO ZZZ. AS WE CLBED WE HAD TO CONTINUE REDUCING THRUST TO KEEP THE LIGHT EXTINGUISHED AND AT APPROX 10000 FT, WITH THE THRUST LEVER AT IDLE AND THE LIGHT ILLUMINATED CONTINUOUSLY, WE DECIDED TO RETURN TO ZZZ. THE QRH PROC CALLS FOR SHUTTING THE ENG DOWN IF THE LIGHT STAYS ILLUMINATED AND THIS IS WHAT MY INITIAL INTENTION WAS. THE FO WAS FLYING THE ACFT AND I WAS DOING THE CHKLIST. AFTER STARTING THE APU AND WHILE ON A COURSE BACK TO ZZZ, I DECIDED THAT I WOULD PREFER TO OPERATE THE ENG AT IDLE UNTIL I SAW SOME OTHER SIGN OF AN ENG PROB SUCH AS HIGH OIL TEMP, LOW OIL PRESSURE, OR A VIBRATION. MY THOUGHTS WERE THAT THIS MIGHT BE JUST AN INDICATION PROB AND I MIGHT BE SHUTTING DOWN A PERFECTLY GOOD ENG. WE USED SINGLE ENG PROCS, DECLARED AN EMER, AND LANDED UNEVENTFULLY AT ZZZ. IN RETROSPECT, I HAVE LEARNED THAT THE PROB WAS CAUSED BY METAL IN THE OIL FILTER. BECAUSE OF THE EARLIER MOMENTARY ILLUMINATIONS OF THIS LIGHT I DID NOT HAVE CONFIDENCE THAT IT WAS TELLING THE TRUTH. IT WAS. I AM NOT SURE IF THE LIGHT ILLUMINATING AFTER ENG START IN ZZZ2 WAS CAUSED BY METAL OR SUPPOSEDLY 'COLD OIL.' THE SAME WITH ILLUMINATION DURING THE EARLY TKOF ROLL AT ZZZ2. THE ALTERING OF THE QRH PROC ON MY PART WAS DONE UNDER CAPT'S EMER AUTH.
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.