37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 666498 |
Time | |
Date | 200507 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B757 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
ASRS Report | 666498 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : far |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | none taken : detected after the fact |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : repair performance deficiency : non compliance with legal requirements performance deficiency : logbook entry performance deficiency : testing |
Supplementary | |
Problem Areas | Environmental Factor Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
I voluntarily tried to reset the l-hand prsvo even though I forgot to take my inspection mirror. Because of number of times that I had done it with mirror; I was confident that it worked because the engine started. The aircraft took off without pneumatic bleed; which means that I accidentally overturned the reset point to lockout position.
Original NASA ASRS Text
Title: A B757-200 TECHNICIAN ATTEMPTED TO RESET THE L BLEED CTL VALVE BUT INADVERTENTLY LOCKED THE VALVE CLOSED. DISCOVERED AFTER TKOF.
Narrative: I VOLUNTARILY TRIED TO RESET THE L-HAND PRSVO EVEN THOUGH I FORGOT TO TAKE MY INSPECTION MIRROR. BECAUSE OF NUMBER OF TIMES THAT I HAD DONE IT WITH MIRROR; I WAS CONFIDENT THAT IT WORKED BECAUSE THE ENG STARTED. THE ACFT TOOK OFF WITHOUT PNEUMATIC BLEED; WHICH MEANS THAT I ACCIDENTALLY OVERTURNED THE RESET POINT TO LOCKOUT POS.
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.