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|
Attributes | |
ACN | 626605 |
Time | |
Date | 200408 |
Day | Sat |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : lax.airport |
State Reference | CA |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | A320 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : parked ground : preflight |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Experience | flight time last 90 days : 280 flight time total : 8000 flight time type : 1600 |
ASRS Report | 626605 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | maintenance problem : non compliance with mel non adherence : far non adherence : company policies |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | none taken : detected after the fact |
Consequence | other Other |
Factors | |
Maintenance | performance deficiency : inspection performance deficiency : logbook entry performance deficiency : non compliance with legal requirements performance deficiency : training |
Supplementary | |
Problem Areas | Maintenance Human Performance Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
This incident indicates either a misunderstanding of procedures or inattention to detail. Upon doing the preflight inspection, we noticed the emergency medical kit (emk) in the cockpit had red seals on it. There was no deferral on the current mrd, but the log history stated there was a discrepancy a week earlier that the emk seal was broken, and kit used. It further states that the action taken, on the same day, was to replace the eemk (the one in the cabin), despite the fact that the emk was the one used. The aircraft flew 27 flts since that day until our flight, a week later, apparently with red seals on the emk. It appears no first officer noticed the red seals on the kit -- or did not think to note the discrepancy. As well, it appears that maintenance did not correctly close out the discrepancy. We did note the discrepancy and called maintenance. They initially were going to replace the emk, but maintenance then told us the 'wrong kit was ordered,' so they would instead defer it. We got the new mrd and MEL, and continued on our flight. As an aside, maintenance did not put a deferral sticker near the emk as specified in the MEL. We did so after we reviewed the mrd and MEL and saw it was not done. The aircraft was apparently physically legal (the eemk was complete), but was not legal with the paperwork for 27 flts over 8 days.
Original NASA ASRS Text
Title: AN A320 FO RPTED THAT THE EMER MEDICAL KIT, LOCATED ON THE FLT DECK, WAS NOT REPLACED FOR MORE THAN A WK AFTER IT HAD BEEN OPENED, DUE TO CONFUSION WITH WHICH KIT WAS REQUIRED.
Narrative: THIS INCIDENT INDICATES EITHER A MISUNDERSTANDING OF PROCS OR INATTENTION TO DETAIL. UPON DOING THE PREFLT INSPECTION, WE NOTICED THE EMER MEDICAL KIT (EMK) IN THE COCKPIT HAD RED SEALS ON IT. THERE WAS NO DEFERRAL ON THE CURRENT MRD, BUT THE LOG HISTORY STATED THERE WAS A DISCREPANCY A WK EARLIER THAT THE EMK SEAL WAS BROKEN, AND KIT USED. IT FURTHER STATES THAT THE ACTION TAKEN, ON THE SAME DAY, WAS TO REPLACE THE EEMK (THE ONE IN THE CABIN), DESPITE THE FACT THAT THE EMK WAS THE ONE USED. THE ACFT FLEW 27 FLTS SINCE THAT DAY UNTIL OUR FLT, A WK LATER, APPARENTLY WITH RED SEALS ON THE EMK. IT APPEARS NO FO NOTICED THE RED SEALS ON THE KIT -- OR DID NOT THINK TO NOTE THE DISCREPANCY. AS WELL, IT APPEARS THAT MAINT DID NOT CORRECTLY CLOSE OUT THE DISCREPANCY. WE DID NOTE THE DISCREPANCY AND CALLED MAINT. THEY INITIALLY WERE GOING TO REPLACE THE EMK, BUT MAINT THEN TOLD US THE 'WRONG KIT WAS ORDERED,' SO THEY WOULD INSTEAD DEFER IT. WE GOT THE NEW MRD AND MEL, AND CONTINUED ON OUR FLT. AS AN ASIDE, MAINT DID NOT PUT A DEFERRAL STICKER NEAR THE EMK AS SPECIFIED IN THE MEL. WE DID SO AFTER WE REVIEWED THE MRD AND MEL AND SAW IT WAS NOT DONE. THE ACFT WAS APPARENTLY PHYSICALLY LEGAL (THE EEMK WAS COMPLETE), BUT WAS NOT LEGAL WITH THE PAPERWORK FOR 27 FLTS OVER 8 DAYS.
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.