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|
Attributes | |
ACN | 745806 |
Time | |
Date | 200707 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | MD-80 Series (DC-9-80) Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
ASRS Report | 745806 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
ASRS Report | 745807 |
Events | |
Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : far non adherence : published procedure |
Independent Detector | aircraft equipment other aircraft equipment : oxygen bottle handle leaking other flight crewa |
Resolutory Action | other |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : unqualified personnel performance deficiency : non compliance with legal requirements performance deficiency : fault isolation |
Supplementary | |
Problem Areas | Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Narrative:
Upon rotating the crew oxygen valve; I noticed that the valve leaked at several points throughout the rotation toward full open. It could be manipulated to not leak in the full open position. When arriving at the gate the contract maintenance mechanic worked the valve and said it wasn't leaking in the full open position and began signing off the logbook. I went in and tested the valve again and found the same scenario with the leaks. The mechanic said several times; it's leaking because it's not in the full open position. He found this acceptable but finally said he would replace the bottle anyway. The new bottle didn't leak in any position and we were on our way. If the bottle had begun to leak after push; we possibly would have found ourselves without oxygen at altitude. This could have created an avoidable emergency situation. Not completing a 15 min fix in this scenario is frightening and unbelievable I can't believe it even happened; replace contract maintenance with air carrier maintenance issue.
Original NASA ASRS Text
Title: AN MD80 ACFT FLIGHT CREW REPORTS THAT A CONTRACT MAINT PROVIDER TRIED TO CONVINCE CREW A LEAKING CREW OXYGEN BOTTLE VALVE HANDLE WAS OK FOR CONTINUED SERVICE.
Narrative: UPON ROTATING THE CREW OXYGEN VALVE; I NOTICED THAT THE VALVE LEAKED AT SEVERAL POINTS THROUGHOUT THE ROTATION TOWARD FULL OPEN. IT COULD BE MANIPULATED TO NOT LEAK IN THE FULL OPEN POS. WHEN ARRIVING AT THE GATE THE CONTRACT MAINT MECH WORKED THE VALVE AND SAID IT WASN'T LEAKING IN THE FULL OPEN POS AND BEGAN SIGNING OFF THE LOGBOOK. I WENT IN AND TESTED THE VALVE AGAIN AND FOUND THE SAME SCENARIO WITH THE LEAKS. THE MECH SAID SEVERAL TIMES; IT'S LEAKING BECAUSE IT'S NOT IN THE FULL OPEN POS. HE FOUND THIS ACCEPTABLE BUT FINALLY SAID HE WOULD REPLACE THE BOTTLE ANYWAY. THE NEW BOTTLE DIDN'T LEAK IN ANY POS AND WE WERE ON OUR WAY. IF THE BOTTLE HAD BEGUN TO LEAK AFTER PUSH; WE POSSIBLY WOULD HAVE FOUND OURSELVES WITHOUT OXYGEN AT ALT. THIS COULD HAVE CREATED AN AVOIDABLE EMER SITUATION. NOT COMPLETING A 15 MIN FIX IN THIS SCENARIO IS FRIGHTENING AND UNBELIEVABLE I CAN'T BELIEVE IT EVEN HAPPENED; REPLACE CONTRACT MAINT WITH ACR MAINT ISSUE.
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.