 |
37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
An A319 crew reported to maintenance control that #2 engine had an egt exceedence on takeoff. Maintenance controller failed to enter work item for required engine inspection.
| Attributes | |
| ACN | 665121 |
| Time | |
| Date | 200507 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | A319 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | cruise : level |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | other other : inspector technician : airframe technician : powerplant |
| Experience | maintenance technician : 4 |
| ASRS Report | 665121 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation non adherence : far non adherence : published procedure |
| Independent Detector | aircraft equipment other aircraft equipment : #2 eng egt indicator other flight crewa other flight crewb |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other Other |
| Factors | |
| Maintenance | performance deficiency : inspection performance deficiency : non compliance with legal requirements performance deficiency : logbook entry |
| Supplementary | |
| Problem Areas | Flight Crew Human Performance Aircraft Chart Or Publication Maintenance Human Performance |
| Primary Problem | Maintenance Human Performance |
Narrative:
On jul/tue/05; XA00; flight X contacted me via ACARS and informed me they had an egt exceedence on takeoff out of ZZZ1. They had reached a temperature of 641 degrees C for 20 seconds. I informed them at this temperature minimal inspections would be required before the next flight. I told them I would enter ACARS log for them; but neglected to do so. The next day; I received a phone call informing me at home that no maintenance action was performed. The same flight crew that flew the aircraft inbound the night before with the egt exceedence was now taking the same aircraft outbound out of ZZZ2. They noticed no action was taken before pushback and called air carrier maintenance engine control. The aircraft took a delay for 41 mins while egt inspection was accomplished. My inaction led to the delay. The only possible contributing factors are heavy workload and fatigue.
Original NASA ASRS Text
Title: AN A319 CREW RPTED TO MAINT CTL THAT #2 ENG HAD AN EGT EXCEEDENCE ON TKOF. MAINT CTLR FAILED TO ENTER WORK ITEM FOR REQUIRED ENG INSPECTION.
Narrative: ON JUL/TUE/05; XA00; FLT X CONTACTED ME VIA ACARS AND INFORMED ME THEY HAD AN EGT EXCEEDENCE ON TKOF OUT OF ZZZ1. THEY HAD REACHED A TEMP OF 641 DEGS C FOR 20 SECONDS. I INFORMED THEM AT THIS TEMP MINIMAL INSPECTIONS WOULD BE REQUIRED BEFORE THE NEXT FLT. I TOLD THEM I WOULD ENTER ACARS LOG FOR THEM; BUT NEGLECTED TO DO SO. THE NEXT DAY; I RECEIVED A PHONE CALL INFORMING ME AT HOME THAT NO MAINT ACTION WAS PERFORMED. THE SAME FLT CREW THAT FLEW THE ACFT INBOUND THE NIGHT BEFORE WITH THE EGT EXCEEDENCE WAS NOW TAKING THE SAME ACFT OUTBOUND OUT OF ZZZ2. THEY NOTICED NO ACTION WAS TAKEN BEFORE PUSHBACK AND CALLED ACR MAINT ENG CTL. THE ACFT TOOK A DELAY FOR 41 MINS WHILE EGT INSPECTION WAS ACCOMPLISHED. MY INACTION LED TO THE DELAY. THE ONLY POSSIBLE CONTRIBUTING FACTORS ARE HVY WORKLOAD AND FATIGUE.
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.