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Attributes | |
ACN | 782360 |
Time | |
Date | 200804 |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : zzzz.airport |
State Reference | FO |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B767-300 and 300 ER |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : parked ground : preflight |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
ASRS Report | 782360 |
Person 2 | |
Function | flight crew : captain oversight : pic |
ASRS Report | 782540 |
Events | |
Anomaly | maintenance problem : improper maintenance non adherence : far non adherence : company policies non adherence : published procedure |
Independent Detector | other other : 4 |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Supplementary | |
Problem Areas | Maintenance Human Performance Flight Crew Human Performance Company |
Primary Problem | Ambiguous |
Narrative:
Met captain and relief pilot in operations to print and review paperwork. Captain reviewed aircraft maintenance on the computer; reviewed logbook at the aircraft and apparently missed the write-up requiring an oil verification. After our trip was over; captain received a call from the captain who picked up the aircraft. He said that the write-up was not clear; so he had maintenance look at it. Maintenance determined that an oil verification was required. Without seeing the logbook and the write-up; I can't say why we missed it; except maybe that seeing the ETOPS signoff may have provided a false sense of security that the logbook was reviewed by maintenance and the aircraft was ready to complete the ETOPS segment.
Original NASA ASRS Text
Title: B767-300 FLT CREW DISCOVERED THAT AN OIL VERIFICATION HAD BEEN REQUIRED PRIOR TO THEIR ETOPS FLT; BUT WAS NOT PERFORMED.
Narrative: MET CAPT AND RELIEF PLT IN OPS TO PRINT AND REVIEW PAPERWORK. CAPT REVIEWED ACFT MAINT ON THE COMPUTER; REVIEWED LOGBOOK AT THE ACFT AND APPARENTLY MISSED THE WRITE-UP REQUIRING AN OIL VERIFICATION. AFTER OUR TRIP WAS OVER; CAPT RECEIVED A CALL FROM THE CAPT WHO PICKED UP THE ACFT. HE SAID THAT THE WRITE-UP WAS NOT CLR; SO HE HAD MAINT LOOK AT IT. MAINT DETERMINED THAT AN OIL VERIFICATION WAS REQUIRED. WITHOUT SEEING THE LOGBOOK AND THE WRITE-UP; I CAN'T SAY WHY WE MISSED IT; EXCEPT MAYBE THAT SEEING THE ETOPS SIGNOFF MAY HAVE PROVIDED A FALSE SENSE OF SECURITY THAT THE LOGBOOK WAS REVIEWED BY MAINT AND THE ACFT WAS READY TO COMPLETE THE ETOPS SEGMENT.
Data retrieved from NASA's ASRS site as of May 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.