37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 605085 |
Time | |
Date | 200401 |
Day | Tue |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B767-300 and 300 ER |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : parked |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 240 flight time total : 16000 flight time type : 2000 |
ASRS Report | 605085 |
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 : 220 flight time total : 6000 flight time type : 600 |
ASRS Report | 605084 |
Events | |
Anomaly | aircraft equipment problem : less severe cabin event other maintenance problem : improper documentation maintenance problem : non compliance with mel non adherence : far non adherence : published procedure |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : non compliance with legal requirements performance deficiency : repair performance deficiency : logbook entry |
Supplementary | |
Problem Areas | Maintenance Human Performance Flight Crew Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
We were flying flight ZZZ to ZZZ1. We met the inbound crew and discussed the 2 maintenance items they had written up. After preflting the aircraft, we called maintenance to ensure they were working on the 2 items. A mechanic came up to the cockpit and asked if we had entered the maintenance write-ups. We informed him that they were from the inbound flight and not us. We also showed him both write-ups because we wanted to make sure there was no confusion with a similar previous deferral. The forward lavatory was deferred inoperative, but the write-up was for the aft lavatory. We were very clear on this issue. The other write-up was a chronic issue and consumed most of the mechanic's time. Just prior to push, I watched 2 mechanics leave the airplane without coming to the cockpit, so I then conferred with a flight attendant to confirm the aft lavatory was now working. We were finally ready to push over 3 hours late when we received our WX document over ACARS. It showed that they had worked on the chronic write-up, but did not show that they had worked on the aft lavatory. We decided to hold the push and resolve the issue with line maintenance over the radio. After discussing the issue with maintenance, we decided to read verbatim the write-up to them, to make sure there was no confusion whatsoever. We read this write-up verbatim at least twice. Maintenance verified that this item had been fixed and we were good to go, so we pushed. We delayed engine start for a considerable time after pushback when we realized the mechanic had not pulled the tags from the logbook. We then tried in vain to get a hold of someone in maintenance (it was very late). We then opened our manual to see if there was any guidance there. We read the section about administrative errors and felt comfortable continuing since we felt the maintenance issue was addressed and corrected. After we were airborne, we called maintenance just to make sure the paperwork was correct. He told us that nothing had been put into the computer and that we should confer with maintenance upon arrival in ZZZ1. Even though we thoroughly discussed this write-up with the mechanic in ZZZ, he said he would take care of it, our reading of the write-up verbatim to him at least twice, and the ensuing assurance that this item had been fixed and we were good to go, the mechanic in ZZZ1 informed us that it was possible that this was still an open item.
Original NASA ASRS Text
Title: A B767-300 WAS DISPATCHED IN NON COMPLIANCE WITH 2 OPEN AND UNANSWERED LOG RPTS.
Narrative: WE WERE FLYING FLT ZZZ TO ZZZ1. WE MET THE INBOUND CREW AND DISCUSSED THE 2 MAINT ITEMS THEY HAD WRITTEN UP. AFTER PREFLTING THE ACFT, WE CALLED MAINT TO ENSURE THEY WERE WORKING ON THE 2 ITEMS. A MECH CAME UP TO THE COCKPIT AND ASKED IF WE HAD ENTERED THE MAINT WRITE-UPS. WE INFORMED HIM THAT THEY WERE FROM THE INBOUND FLT AND NOT US. WE ALSO SHOWED HIM BOTH WRITE-UPS BECAUSE WE WANTED TO MAKE SURE THERE WAS NO CONFUSION WITH A SIMILAR PREVIOUS DEFERRAL. THE FORWARD LAVATORY WAS DEFERRED INOP, BUT THE WRITE-UP WAS FOR THE AFT LAVATORY. WE WERE VERY CLR ON THIS ISSUE. THE OTHER WRITE-UP WAS A CHRONIC ISSUE AND CONSUMED MOST OF THE MECH'S TIME. JUST PRIOR TO PUSH, I WATCHED 2 MECHS LEAVE THE AIRPLANE WITHOUT COMING TO THE COCKPIT, SO I THEN CONFERRED WITH A FLT ATTENDANT TO CONFIRM THE AFT LAVATORY WAS NOW WORKING. WE WERE FINALLY READY TO PUSH OVER 3 HRS LATE WHEN WE RECEIVED OUR WX DOCUMENT OVER ACARS. IT SHOWED THAT THEY HAD WORKED ON THE CHRONIC WRITE-UP, BUT DID NOT SHOW THAT THEY HAD WORKED ON THE AFT LAVATORY. WE DECIDED TO HOLD THE PUSH AND RESOLVE THE ISSUE WITH LINE MAINT OVER THE RADIO. AFTER DISCUSSING THE ISSUE WITH MAINT, WE DECIDED TO READ VERBATIM THE WRITE-UP TO THEM, TO MAKE SURE THERE WAS NO CONFUSION WHATSOEVER. WE READ THIS WRITE-UP VERBATIM AT LEAST TWICE. MAINT VERIFIED THAT THIS ITEM HAD BEEN FIXED AND WE WERE GOOD TO GO, SO WE PUSHED. WE DELAYED ENG START FOR A CONSIDERABLE TIME AFTER PUSHBACK WHEN WE REALIZED THE MECH HAD NOT PULLED THE TAGS FROM THE LOGBOOK. WE THEN TRIED IN VAIN TO GET A HOLD OF SOMEONE IN MAINT (IT WAS VERY LATE). WE THEN OPENED OUR MANUAL TO SEE IF THERE WAS ANY GUIDANCE THERE. WE READ THE SECTION ABOUT ADMINISTRATIVE ERRORS AND FELT COMFORTABLE CONTINUING SINCE WE FELT THE MAINT ISSUE WAS ADDRESSED AND CORRECTED. AFTER WE WERE AIRBORNE, WE CALLED MAINT JUST TO MAKE SURE THE PAPERWORK WAS CORRECT. HE TOLD US THAT NOTHING HAD BEEN PUT INTO THE COMPUTER AND THAT WE SHOULD CONFER WITH MAINT UPON ARR IN ZZZ1. EVEN THOUGH WE THOROUGHLY DISCUSSED THIS WRITE-UP WITH THE MECH IN ZZZ, HE SAID HE WOULD TAKE CARE OF IT, OUR READING OF THE WRITE-UP VERBATIM TO HIM AT LEAST TWICE, AND THE ENSUING ASSURANCE THAT THIS ITEM HAD BEEN FIXED AND WE WERE GOOD TO GO, THE MECH IN ZZZ1 INFORMED US THAT IT WAS POSSIBLE THAT THIS WAS STILL AN OPEN ITEM.
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.