37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 633315 |
Time | |
Date | 200408 |
Day | Mon |
Place | |
Locale Reference | airport : zzv.airport |
State Reference | US |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-800 |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : takeoff ground : maintenance ground : parked ground : taxi ground : takeoff roll |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Qualification | technician : powerplant technician : inspection authority technician : fcc technician : airframe |
Experience | maintenance avionics : 10 maintenance technician : 25 |
ASRS Report | 633315 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | aircraft equipment problem : less severe maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : company policies non adherence : far non adherence : published procedure |
Independent Detector | aircraft equipment other aircraft equipment : # 1 eng oil quantity other flight crewa other flight crewb other other : 1 |
Resolutory Action | none taken : anomaly accepted other |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : logbook entry performance deficiency : testing performance deficiency : repair performance deficiency : scheduled maintenance performance deficiency : inspection performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Flight Crew Human Performance Aircraft |
Primary Problem | Flight Crew Human Performance |
Narrative:
Captain X came into mia with a logbook entry of needing left engine oil service, indicates 11 quarts. When I arrived at the aircraft, I noted fuel coming from the right engine drain mast and investigated. The fuel leak was within maintenance manual limits and was already on a technician watch. It was at this time that I informed captain and first officer of the good news. It was already past the minimum time limit on servicing engine oil by then. I informed captain and first officer that the left engine would have to be run and then the oil svced as per air carrier's maintenance manual. Captain told me to 'just put a few quarts in so we can leave on time.' I again informed him that I would follow the maintenance manual procedure and run the left engine first. I returned to the gate with the oil servicing tools and the aircraft was nowhere to be seen. My supervisor called the tower to have the aircraft returned for service. Captain refused, informed us that he had taken care of the open logbook entry and that he was going on flight. Captain put this in the logbook, 'information to maintenance, left engine oil quantity indicated 13 quarts. Maintenance unavailable to service oil without a departure delay. Captain elected to depart without extra service, suggested above.' upon captain's and first officer's return on flight xy to mia now with 2 open logbook entries, captain added a third item, 'information to maintenance, #1 engine oil indicates 11 quarts at cruise.' no kidding, it was below maintenance manual limits when he left.
Original NASA ASRS Text
Title: B737-800 CAPT REFUSED TO ALLOW PROPER OIL SVC FOR THE #1 ENG.
Narrative: CAPT X CAME INTO MIA WITH A LOGBOOK ENTRY OF NEEDING L ENG OIL SVC, INDICATES 11 QUARTS. WHEN I ARRIVED AT THE ACFT, I NOTED FUEL COMING FROM THE R ENG DRAIN MAST AND INVESTIGATED. THE FUEL LEAK WAS WITHIN MAINT MANUAL LIMITS AND WAS ALREADY ON A TECHNICIAN WATCH. IT WAS AT THIS TIME THAT I INFORMED CAPT AND FO OF THE GOOD NEWS. IT WAS ALREADY PAST THE MINIMUM TIME LIMIT ON SVCING ENG OIL BY THEN. I INFORMED CAPT AND FO THAT THE L ENG WOULD HAVE TO BE RUN AND THEN THE OIL SVCED AS PER ACR'S MAINT MANUAL. CAPT TOLD ME TO 'JUST PUT A FEW QUARTS IN SO WE CAN LEAVE ON TIME.' I AGAIN INFORMED HIM THAT I WOULD FOLLOW THE MAINT MANUAL PROC AND RUN THE L ENG FIRST. I RETURNED TO THE GATE WITH THE OIL SVCING TOOLS AND THE ACFT WAS NOWHERE TO BE SEEN. MY SUPVR CALLED THE TWR TO HAVE THE ACFT RETURNED FOR SVC. CAPT REFUSED, INFORMED US THAT HE HAD TAKEN CARE OF THE OPEN LOGBOOK ENTRY AND THAT HE WAS GOING ON FLT. CAPT PUT THIS IN THE LOGBOOK, 'INFO TO MAINT, L ENG OIL QUANTITY INDICATED 13 QUARTS. MAINT UNAVAILABLE TO SVC OIL WITHOUT A DEP DELAY. CAPT ELECTED TO DEPART WITHOUT EXTRA SVC, SUGGESTED ABOVE.' UPON CAPT'S AND FO'S RETURN ON FLT XY TO MIA NOW WITH 2 OPEN LOGBOOK ENTRIES, CAPT ADDED A THIRD ITEM, 'INFO TO MAINT, #1 ENG OIL INDICATES 11 QUARTS AT CRUISE.' NO KIDDING, IT WAS BELOW MAINT MANUAL LIMITS WHEN HE LEFT.
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.