37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 639296 |
Time | |
Date | 200411 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : zzz1.airport |
State Reference | US |
Altitude | msl single value : 35000 |
Environment | |
Flight Conditions | VMC |
Light | Dawn |
Aircraft 1 | |
Controlling Facilities | artcc : zzz2.artcc |
Operator | general aviation : corporate |
Make Model Name | Falcon 10C |
Operating Under FAR Part | Part 91 |
Flight Phase | cruise : level |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 175 flight time total : 4900 flight time type : 990 |
ASRS Report | 639296 |
Person 2 | |
Affiliation | company : corporate |
Function | flight crew : first officer |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
Independent Detector | aircraft equipment other aircraft equipment : t/r warning light and horn other flight crewa other flight crewb |
Resolutory Action | controller : issued new clearance flight crew : diverted to another airport flight crew : declared emergency |
Consequence | other |
Factors | |
Maintenance | performance deficiency : inspection performance deficiency : testing performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Chart Or Publication Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
Departure airport was 1.5 visibility in 1300 ft RVR. Destination airport was reporting 3500 ft sct 10 miles visibility. Approximately 25 min into flight at cruise FL350 the right thrust reverser 'trans' annunciator illuminated with the corresponding horn. Immediate action of the crew was activation of the 'emergency stow' switch. Crew then followed the appropriate emergency checklist and made a precautionary landing at ZZZ1. A safe landing was made with no incident. On the post flight inspection performed by the crew determined that the right hand thrust reverser did in fact become unlatched. A company mechanic was dispatched to inspect and repair the faulty thrust reverser. On inspection by the mechanic, it was determined that a mounting screw for the latching solenoid was not tightened properly. The aircraft was in maintenance the prior day. During that time the thrust reverser system was worked on. The thrust reversers were bolted shut for the return flight back to ZZZ1. A ferry permit was obtained for that flight. The ferry flight was made uneventfully back to ZZZ1. Callback conversation with reporter revealed the following information: the reporter stated the warning system has an amber light when the thrust reverser is unlatched and transiting accompanied by a warning horn. When in full reverse a green light is illuminated. The reporter indicated they received the amber light with the warning horn sounding and immediately hit the restow switch which operated. Post flight inspection indicated the reverser was unlatched. When the company technician arrived and inspected the thrust reverser, it was found that the latching solenoid mounting bolts were not tightened. The airplane was in maintenance the day before the flight and the thrust reverser was worked. Reverser was locked in the forward thrust position and maintenance ferried aircraft to home base.
Original NASA ASRS Text
Title: A FALCON 10 IN CRUISE AT FL350 DECLARED AN EMER AND DIVERTED DUE TO R THRUST REVERSER TRANSITING WARNING LIGHT ON AND WARNING HORN SOUNDING. CREW IMMEDIATELY ACTIVATED EMER STOW.
Narrative: DEPARTURE ARPT WAS 1.5 VIS IN 1300 FT RVR. DEST ARPT WAS RPTING 3500 FT SCT 10 MILES VIS. APPROX 25 MIN INTO FLT AT CRUISE FL350 THE R THRUST REVERSER 'TRANS' ANNUNCIATOR ILLUMINATED WITH THE CORRESPONDING HORN. IMMEDIATE ACTION OF THE CREW WAS ACTIVATION OF THE 'EMER STOW' SWITCH. CREW THEN FOLLOWED THE APPROPRIATE EMER CHKLIST AND MADE A PRECAUTIONARY LNDG AT ZZZ1. A SAFE LNDG WAS MADE WITH NO INCIDENT. ON THE POST FLT INSPECTION PERFORMED BY THE CREW DETERMINED THAT THE R HAND THRUST REVERSER DID IN FACT BECOME UNLATCHED. A COMPANY MECHANIC WAS DISPATCHED TO INSPECT AND REPAIR THE FAULTY THRUST REVERSER. ON INSPECTION BY THE MECHANIC, IT WAS DETERMINED THAT A MOUNTING SCREW FOR THE LATCHING SOLENOID WAS NOT TIGHTENED PROPERLY. THE ACFT WAS IN MAINT THE PRIOR DAY. DURING THAT TIME THE THRUST REVERSER SYSTEM WAS WORKED ON. THE THRUST REVERSERS WERE BOLTED SHUT FOR THE RETURN FLT BACK TO ZZZ1. A FERRY PERMIT WAS OBTAINED FOR THAT FLT. THE FERRY FLT WAS MADE UNEVENTFULLY BACK TO ZZZ1. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE RPTR STATED THE WARNING SYSTEM HAS AN AMBER LIGHT WHEN THE THRUST REVERSER IS UNLATCHED AND TRANSITING ACCOMPANIED BY A WARNING HORN. WHEN IN FULL REVERSE A GREEN LIGHT IS ILLUMINATED. THE RPTR INDICATED THEY RECEIVED THE AMBER LIGHT WITH THE WARNING HORN SOUNDING AND IMMEDIATELY HIT THE RESTOW SWITCH WHICH OPERATED. POST FLT INSPECTION INDICATED THE REVERSER WAS UNLATCHED. WHEN THE COMPANY TECHNICIAN ARRIVED AND INSPECTED THE THRUST REVERSER, IT WAS FOUND THAT THE LATCHING SOLENOID MOUNTING BOLTS WERE NOT TIGHTENED. THE AIRPLANE WAS IN MAINT THE DAY BEFORE THE FLT AND THE THRUST REVERSER WAS WORKED. REVERSER WAS LOCKED IN THE FORWARD THRUST POSITION AND MAINT FERRIED ACFT TO HOME BASE.
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.