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|
Attributes | |
ACN | 671956 |
Time | |
Date | 200509 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-700 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : takeoff roll ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
ASRS Report | 671956 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : lead technician |
ASRS Report | 671957 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : non compliance with mel maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : far |
Independent Detector | aircraft equipment other aircraft equipment : l eng bleed warning other flight crewa |
Resolutory Action | none taken : detected after the fact |
Factors | |
Maintenance | contributing factor : schedule pressure contributing factor : manuals performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Weather Chart Or Publication Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Situations | |
Publication | MEL |
Narrative:
Plane came in with #1 cowl anti-ice valve inoperative. It was decided to place it on MEL. The #1 high stage valve should have been locked closed as the cowl anti-ice valve was locked open. After he was airborne; he called us to tell us the left duct pressure was zero. At this point I realized I locked out the pr/sov instead of the high stage valve. Factors involved were being rushed; under pressure (self imposed). I failed to confirm I was working on the right valve.
Original NASA ASRS Text
Title: A B737-700 WAS DISPATCHED WITH THE #1 ENG NOSE COWL ANTI-ICE VALVE OPEN PER MEL SPECIAL PROCS. TECH FAILED TO LOCK HIGH STAGE VALVE CLOSED; RENDERING THE PRESSURE REGULATOR AND SHUTOFF VALVE CLOSED.
Narrative: PLANE CAME IN WITH #1 COWL ANTI-ICE VALVE INOP. IT WAS DECIDED TO PLACE IT ON MEL. THE #1 HIGH STAGE VALVE SHOULD HAVE BEEN LOCKED CLOSED AS THE COWL ANTI-ICE VALVE WAS LOCKED OPEN. AFTER HE WAS AIRBORNE; HE CALLED US TO TELL US THE L DUCT PRESSURE WAS ZERO. AT THIS POINT I REALIZED I LOCKED OUT THE PR/SOV INSTEAD OF THE HIGH STAGE VALVE. FACTORS INVOLVED WERE BEING RUSHED; UNDER PRESSURE (SELF IMPOSED). I FAILED TO CONFIRM I WAS WORKING ON THE RIGHT VALVE.
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.