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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 436135 |
| Time | |
| Date | 199905 |
| Day | Mon |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Environment | |
| Light | Daylight |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | B727-200 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance ground : parked |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : airframe technician : powerplant |
| Experience | maintenance technician : 15 |
| ASRS Report | 436135 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : lead technician |
| Qualification | technician : airframe technician : powerplant |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance non adherence : published procedure non adherence : far |
| Independent Detector | aircraft equipment other aircraft equipment : oil quantity indicator |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other |
| Factors | |
| Maintenance | contributing factor : schedule pressure performance deficiency : scheduled maintenance performance deficiency : non compliance with legal requirements |
| Supplementary | |
| Problem Areas | Maintenance Human Performance |
| Primary Problem | Maintenance Human Performance |
Narrative:
I was servicing all 3 engines and svced #1 last as it was the last one shut down. I was thinking about returning the oxygen cart that was needed for servicing the aircraft. Because I was distraction by that thought, I forgot to secure the oil cap because the door on the cowl was down. I thought I had capped the tank and secured the door. 6 mins later, the next aircraft came in to gate. Approximately 15 mins later, I went to service all engines on that aircraft. I then saw the oil cap and contacted lead who contacted maintenance control.
Original NASA ASRS Text
Title: A B727-200 WAS DISPATCHED IN NON COMPLIANCE WITH #1 ENG OIL TANK CAP NOT INSTALLED.
Narrative: I WAS SVCING ALL 3 ENGS AND SVCED #1 LAST AS IT WAS THE LAST ONE SHUT DOWN. I WAS THINKING ABOUT RETURNING THE OXYGEN CART THAT WAS NEEDED FOR SVCING THE ACFT. BECAUSE I WAS DISTR BY THAT THOUGHT, I FORGOT TO SECURE THE OIL CAP BECAUSE THE DOOR ON THE COWL WAS DOWN. I THOUGHT I HAD CAPPED THE TANK AND SECURED THE DOOR. 6 MINS LATER, THE NEXT ACFT CAME IN TO GATE. APPROX 15 MINS LATER, I WENT TO SVC ALL ENGS ON THAT ACFT. I THEN SAW THE OIL CAP AND CONTACTED LEAD WHO CONTACTED MAINT CTL.
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.