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A DC9 flight crew fails to notice an open item that had not been signed off in an unnoticed page in the logbook prior to takeoff at mem, tn.
| Attributes | |
| ACN | 478760 |
| Time | |
| Date | 200007 |
| Day | Wed |
| Local Time Of Day | 1801 To 2400 |
| Place | |
| Locale Reference | airport : mem.airport |
| State Reference | TN |
| Altitude | agl single value : 0 |
| Environment | |
| Flight Conditions | VMC |
| Light | Night |
| Aircraft 1 | |
| Controlling Facilities | tower : dtw.tower |
| Operator | common carrier : air carrier |
| Make Model Name | DC-9 Undifferentiated or Other Model |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : preflight ground : taxi ground : takeoff roll |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : atp |
| Experience | flight time last 90 days : 180 flight time total : 10000 flight time type : 2000 |
| ASRS Report | 478760 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain |
| Qualification | pilot : atp |
| Experience | flight time last 90 days : 180 flight time total : 12000 flight time type : 6000 |
| ASRS Report | 478761 |
| Events | |
| Anomaly | aircraft equipment problem : less severe maintenance problem : improper documentation non adherence : company policies non adherence : far non adherence : published procedure |
| Independent Detector | other flight crewa |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Company Flight Crew Human Performance Aircraft |
| Primary Problem | Maintenance Human Performance |
Narrative:
Situation happened at mem. Arrived at aircraft, checked logbook with captain. Noted what captain thought was most recent page with discrepancy and sign off. Flew aircraft from mem-iah. When captain completed logbook at iah, he discovered an open write-up underneath cardboard divider that was under what he thought was the last page. Supplemental information from acn 478761: at gate in iah, filling out times in logbook, went to next unused page, found this page to have an open discrepancy which had been written up in memphis. The discrepancy was fixed, but never signed off, and the page it was written on buried under the cardboard underlay. Squared paperwork with maintenance.
Original NASA ASRS Text
Title: A DC9 FLC FAILS TO NOTICE AN OPEN ITEM THAT HAD NOT BEEN SIGNED OFF IN AN UNNOTICED PAGE IN THE LOGBOOK PRIOR TO TKOF AT MEM, TN.
Narrative: SIT HAPPENED AT MEM. ARRIVED AT ACFT, CHKED LOGBOOK WITH CAPT. NOTED WHAT CAPT THOUGHT WAS MOST RECENT PAGE WITH DISCREPANCY AND SIGN OFF. FLEW ACFT FROM MEM-IAH. WHEN CAPT COMPLETED LOGBOOK AT IAH, HE DISCOVERED AN OPEN WRITE-UP UNDERNEATH CARDBOARD DIVIDER THAT WAS UNDER WHAT HE THOUGHT WAS THE LAST PAGE. SUPPLEMENTAL INFO FROM ACN 478761: AT GATE IN IAH, FILLING OUT TIMES IN LOGBOOK, WENT TO NEXT UNUSED PAGE, FOUND THIS PAGE TO HAVE AN OPEN DISCREPANCY WHICH HAD BEEN WRITTEN UP IN MEMPHIS. THE DISCREPANCY WAS FIXED, BUT NEVER SIGNED OFF, AND THE PAGE IT WAS WRITTEN ON BURIED UNDER THE CARDBOARD UNDERLAY. SQUARED PAPERWORK WITH MAINT.
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.