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B737 captain failed to note previous MEL cdl item not on release, inoperative light bulb in entryway. Was distraction helping passenger agent load carry-ONS.
| Attributes | |
| ACN | 358490 |
| Time | |
| Date | 199701 |
| Day | Thu |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : bna |
| State Reference | TN |
| Altitude | agl bound lower : 0 agl bound upper : 0 |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | tower : fmn |
| Operator | common carrier : air carrier |
| Make Model Name | B737 Undifferentiated or Other Model |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : preflight ground : parked |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| Experience | flight time last 90 days : 270 flight time total : 11000 flight time type : 270 |
| ASRS Report | 358490 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : instrument pilot : commercial |
| Events | |
| Anomaly | aircraft equipment problem : less severe non adherence : published procedure non adherence : far |
| Independent Detector | other flight crewa |
| Resolutory Action | none taken : detected after the fact |
| Consequence | Other |
| Supplementary | |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
Simply omitted an MEL/cdl item on release. Item had been on release on previous flight. I inadvertently looked at old release to check MEL/cdl status. (Item was light bulb inoperative in entryway.) new release format has much information on it. It will take some getting used to. Preflight rushed by procurement of crew meals and pilots aiding operations agent in carrying overload carry-ONS down to baggage bins. Discovered after leveloff. Additional causal factors: 3 different aircraft in 2 days -- each with different MEL/cdl status. Human factors: mountain standard crew 2 time zones east, XA00 body clock get up. 4 hours into day with little food. Quick turn emphasis due to late arrival (ATC vectoring delays). Corrective actions? Pay closer attention to that item on release.
Original NASA ASRS Text
Title: B737 CAPT FAILED TO NOTE PREVIOUS MEL CDL ITEM NOT ON RELEASE, INOP LIGHT BULB IN ENTRYWAY. WAS DISTR HELPING PAX AGENT LOAD CARRY-ONS.
Narrative: SIMPLY OMITTED AN MEL/CDL ITEM ON RELEASE. ITEM HAD BEEN ON RELEASE ON PREVIOUS FLT. I INADVERTENTLY LOOKED AT OLD RELEASE TO CHK MEL/CDL STATUS. (ITEM WAS LIGHT BULB INOP IN ENTRYWAY.) NEW RELEASE FORMAT HAS MUCH INFO ON IT. IT WILL TAKE SOME GETTING USED TO. PREFLT RUSHED BY PROCUREMENT OF CREW MEALS AND PLTS AIDING OPS AGENT IN CARRYING OVERLOAD CARRY-ONS DOWN TO BAGGAGE BINS. DISCOVERED AFTER LEVELOFF. ADDITIONAL CAUSAL FACTORS: 3 DIFFERENT ACFT IN 2 DAYS -- EACH WITH DIFFERENT MEL/CDL STATUS. HUMAN FACTORS: MOUNTAIN STANDARD CREW 2 TIME ZONES E, XA00 BODY CLOCK GET UP. 4 HRS INTO DAY WITH LITTLE FOOD. QUICK TURN EMPHASIS DUE TO LATE ARR (ATC VECTORING DELAYS). CORRECTIVE ACTIONS? PAY CLOSER ATTN TO THAT ITEM ON RELEASE.
Data retrieved from NASA's ASRS site as of July 2007 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.