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|
Attributes | |
ACN | 735864 |
Time | |
Date | 200703 |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | A319 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Person 1 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
ASRS Report | 735864 |
Person 2 | |
Affiliation | company : air carrier |
Function | maintenance : technician |
Events | |
Anomaly | maintenance problem : non compliance with mel maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : far non adherence : published procedure |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : non compliance with legal requirements performance deficiency : logbook entry |
Supplementary | |
Problem Areas | Maintenance Human Performance Company |
Primary Problem | Company |
Narrative:
This aircraft was at the hangar and there was a major push to get the aircraft to the gate. The supervisor even had another crew take the aircraft to the gate before the log was done; so there was definitely pressure to get the paperwork done. As a result of the pressure; the mechanic failed to check to see about reactivating the valve and maintenance control didn't remind him of it when he called in to clear the MEL. While accomplishing several different tasks; we inadvertently missed the required special procedures of an MEL. Basically he cleared an MEL on the #1 hp valve; but failed to reactivate the valve. For some reason; it checked fine in ZZZ but at engine start in ZZZ2; the crew got an ECAM notice 'air engine 1 hp valve fault.' ZZZ2 found the valve still locked closed. They reactivated the valve; operations checked ok; airplane departed with no problem. The mechanic became aware of the problem when he came to work the next night by his supervisor; who wanted a statement. Hp valve was reactivated and aircraft returned to service. Take time out to think my actions; despite the rush for aircraft on time departure.
Original NASA ASRS Text
Title: AN AIRBUS A319 ACFT MEL SPECIAL PROCEDURE TO RE-ACTIVATE THE #1 ENG HP VALVE WAS NOT ACCOMPLISHED WHEN MEL ITEM CLEARED. ACFT RELEASED FOR SVC.
Narrative: THIS ACFT WAS AT THE HANGAR AND THERE WAS A MAJOR PUSH TO GET THE ACFT TO THE GATE. THE SUPVR EVEN HAD ANOTHER CREW TAKE THE ACFT TO THE GATE BEFORE THE LOG WAS DONE; SO THERE WAS DEFINITELY PRESSURE TO GET THE PAPERWORK DONE. AS A RESULT OF THE PRESSURE; THE MECH FAILED TO CHK TO SEE ABOUT REACTIVATING THE VALVE AND MAINT CTL DIDN'T REMIND HIM OF IT WHEN HE CALLED IN TO CLR THE MEL. WHILE ACCOMPLISHING SEVERAL DIFFERENT TASKS; WE INADVERTENTLY MISSED THE REQUIRED SPECIAL PROCS OF AN MEL. BASICALLY HE CLRED AN MEL ON THE #1 HP VALVE; BUT FAILED TO REACTIVATE THE VALVE. FOR SOME REASON; IT CHKED FINE IN ZZZ BUT AT ENG START IN ZZZ2; THE CREW GOT AN ECAM NOTICE 'AIR ENG 1 HP VALVE FAULT.' ZZZ2 FOUND THE VALVE STILL LOCKED CLOSED. THEY REACTIVATED THE VALVE; OPS CHKED OK; AIRPLANE DEPARTED WITH NO PROB. THE MECH BECAME AWARE OF THE PROB WHEN HE CAME TO WORK THE NEXT NIGHT BY HIS SUPVR; WHO WANTED A STATEMENT. HP VALVE WAS REACTIVATED AND ACFT RETURNED TO SVC. TAKE TIME OUT TO THINK MY ACTIONS; DESPITE THE RUSH FOR ACFT ON TIME DEP.
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.