37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 653930 |
Time | |
Date | 200504 |
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 | general aviation : corporate |
Make Model Name | Super King Air 350 |
Operating Under FAR Part | Part 91 |
Flight Phase | ground : parked |
Flight Plan | IFR |
Person 1 | |
Affiliation | other |
Function | flight crew : captain oversight : pic |
Qualification | pilot : multi engine pilot : cfi pilot : atp |
Experience | flight time last 90 days : 112 flight time total : 14100 flight time type : 418 |
ASRS Report | 653930 |
Person 2 | |
Affiliation | company : corporate |
Function | oversight : coordinator |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation non adherence : far non adherence : published procedure |
Independent Detector | aircraft equipment other aircraft equipment : logbook other other : 2 |
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 : inspection performance deficiency : scheduled maintenance performance deficiency : logbook entry |
Supplementary | |
Problem Areas | Flight Crew Human Performance Chart Or Publication Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
I am a contract pilot for a part 91 flight department that operates a king air 350. The department has a chief maintenance officer who is responsible for overseeing; managing; tracking and scheduling all maintenance done on this aircraft. The chief maintenance officer updates and signs off an aircraft status sheet each day stating that the aircraft is airworthy and not due for inspection. This is the sheet that the pilots check before a flight and confirm the aircraft is legal. On apr/thu/05; I flew the aircraft on a routine trip. On apr/fri/05 I was informed by the chief maintenance officer that the aircraft was out of date on a routine inspection. There were no incidents; but the aircraft was not legal for flight. The chief maintenance officer has been removed of all duties and the chief pilot will track; manage; and schedule all maintenance for our aircraft. This will remove trust as a factor when verifying the aircraft's status which will ensure that the aircraft is not flown past inspection in the future. There were several contributing factors to this event. 1) misinterp of the maintenance phase program by the chief maintenance officer and pilots. 2) breakdown of communication between chief maintenance officer and pilots. 3) pressure to schedule the aircraft inspections as close to the 200 hour time for maximum benefit. 4) pilot's failure to personally check inspection dates and requirements. 5) use of an inaccurate time sheet to verify inspection times. 6) chief maintenance officer inaccurately tracking and recording inspection times. 7) aircraft not on manufacturer's recommended inspection tracking program. 8) logbooks not easily accessible to pilots.
Original NASA ASRS Text
Title: A BE350 CAPT RPTS OPERATING AN AIRPLANE THAT HAD EXCEEDED THE REQUIRED MAINT CHK TIME. ACFT STATUS RPT INDICATED NO CHKS WERE DUE.
Narrative: I AM A CONTRACT PLT FOR A PART 91 FLT DEPT THAT OPERATES A KING AIR 350. THE DEPT HAS A CHIEF MAINT OFFICER WHO IS RESPONSIBLE FOR OVERSEEING; MANAGING; TRACKING AND SCHEDULING ALL MAINT DONE ON THIS ACFT. THE CHIEF MAINT OFFICER UPDATES AND SIGNS OFF AN ACFT STATUS SHEET EACH DAY STATING THAT THE ACFT IS AIRWORTHY AND NOT DUE FOR INSPECTION. THIS IS THE SHEET THAT THE PLTS CHK BEFORE A FLT AND CONFIRM THE ACFT IS LEGAL. ON APR/THU/05; I FLEW THE ACFT ON A ROUTINE TRIP. ON APR/FRI/05 I WAS INFORMED BY THE CHIEF MAINT OFFICER THAT THE ACFT WAS OUT OF DATE ON A ROUTINE INSPECTION. THERE WERE NO INCIDENTS; BUT THE ACFT WAS NOT LEGAL FOR FLT. THE CHIEF MAINT OFFICER HAS BEEN REMOVED OF ALL DUTIES AND THE CHIEF PLT WILL TRACK; MANAGE; AND SCHEDULE ALL MAINT FOR OUR ACFT. THIS WILL REMOVE TRUST AS A FACTOR WHEN VERIFYING THE ACFT'S STATUS WHICH WILL ENSURE THAT THE ACFT IS NOT FLOWN PAST INSPECTION IN THE FUTURE. THERE WERE SEVERAL CONTRIBUTING FACTORS TO THIS EVENT. 1) MISINTERP OF THE MAINT PHASE PROGRAM BY THE CHIEF MAINT OFFICER AND PLTS. 2) BREAKDOWN OF COM BTWN CHIEF MAINT OFFICER AND PLTS. 3) PRESSURE TO SCHEDULE THE ACFT INSPECTIONS AS CLOSE TO THE 200 HR TIME FOR MAX BENEFIT. 4) PLT'S FAILURE TO PERSONALLY CHK INSPECTION DATES AND REQUIREMENTS. 5) USE OF AN INACCURATE TIME SHEET TO VERIFY INSPECTION TIMES. 6) CHIEF MAINT OFFICER INACCURATELY TRACKING AND RECORDING INSPECTION TIMES. 7) ACFT NOT ON MANUFACTURER'S RECOMMENDED INSPECTION TRACKING PROGRAM. 8) LOGBOOKS NOT EASILY ACCESSIBLE TO PLTS.
Data retrieved from NASA's ASRS site as of January 2009 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.