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A B737-400 was dispatched in non compliance with a deferred item entered in the logbook but the maintenance release was not amended to show the deferred item.
| Attributes | |
| ACN | 452714 |
| Time | |
| Date | 199910 |
| Day | Wed |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | B737-400 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : parked ground : preflight ground : maintenance |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp pilot : commercial |
| Experience | flight time last 90 days : 130 flight time total : 12000 flight time type : 2000 |
| ASRS Report | 452714 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : cfi pilot : atp |
| Experience | flight time last 90 days : 200 flight time total : 6500 flight time type : 300 |
| ASRS Report | 452382 |
| Events | |
| Anomaly | aircraft equipment problem : less severe maintenance problem : improper documentation non adherence : far non adherence : published procedure |
| Independent Detector | other flight crewa |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : schedule pressure performance deficiency : logbook entry performance deficiency : non compliance with legal requirements |
| Supplementary | |
| Problem Areas | Aircraft Flight Crew Human Performance Company |
| Situations | |
| Publication | MAINTENANCE RELEASE |
Narrative:
An MEL for the pressurization system 'rate of climb' indicator was put on the aircraft just before departure. I checked the aircraft logbook to make sure that it, the MEL, had been entered in the logbook correctly and that the preflight had been signed off, too. Then I checked for any special procedures. There were none. When we ran the checklist, one of the checks is 'papers?' both the first officer and I forgot the MEL for the pressurization system needing to be added to the flight release. This is where I should have made a note that we needed an amendment to the flight release. It is required that the flight crew and the dispatcher agree and accept amendments to the flight, in this case before the flight takes off. That did not happen.
Original NASA ASRS Text
Title: A B737-400 WAS DISPATCHED IN NON COMPLIANCE WITH A DEFERRED ITEM ENTERED IN THE LOGBOOK BUT THE MAINT RELEASE WAS NOT AMENDED TO SHOW THE DEFERRED ITEM.
Narrative: AN MEL FOR THE PRESSURIZATION SYS 'RATE OF CLB' INDICATOR WAS PUT ON THE ACFT JUST BEFORE DEP. I CHKED THE ACFT LOGBOOK TO MAKE SURE THAT IT, THE MEL, HAD BEEN ENTERED IN THE LOGBOOK CORRECTLY AND THAT THE PREFLT HAD BEEN SIGNED OFF, TOO. THEN I CHKED FOR ANY SPECIAL PROCS. THERE WERE NONE. WHEN WE RAN THE CHKLIST, ONE OF THE CHKS IS 'PAPERS?' BOTH THE FO AND I FORGOT THE MEL FOR THE PRESSURIZATION SYS NEEDING TO BE ADDED TO THE FLT RELEASE. THIS IS WHERE I SHOULD HAVE MADE A NOTE THAT WE NEEDED AN AMENDMENT TO THE FLT RELEASE. IT IS REQUIRED THAT THE FLC AND THE DISPATCHER AGREE AND ACCEPT AMENDMENTS TO THE FLT, IN THIS CASE BEFORE THE FLT TAKES OFF. THAT DID NOT HAPPEN.
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.