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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 501108 |
| Time | |
| Date | 200102 |
| Day | Tue |
| Local Time Of Day | 1801 To 2400 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Environment | |
| Light | Night |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | L-1011 Tri-Star All Series |
| Operating Under FAR Part | Part 121 |
| Navigation In Use | other |
| Flight Phase | cruise : level |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | oversight : supervisor |
| Qualification | technician : powerplant technician : airframe |
| Experience | maintenance supervisor : 28 |
| ASRS Report | 501108 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | maintenance : technician |
| Qualification | technician : powerplant technician : airframe |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : non compliance with mel non adherence : far non adherence : published procedure |
| Independent Detector | other flight crewa other flight crewb other other : person 5 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other |
| Factors | |
| Maintenance | contributing factor : manuals contributing factor : schedule pressure performance deficiency : non compliance with legal requirements performance deficiency : logbook entry |
| Supplementary | |
| Problem Areas | Aircraft Maintenance Human Performance Chart Or Publication |
| Primary Problem | Maintenance Human Performance |
Narrative:
Air carrier airlines ship xyz had the #3 high pressure valve on maintenance carryover per MEL 36-11-01. The restr remark in the computer showed the #2 high pressure valve was inoperative. Air carrier flight XXX called on the radio wanting to put the #3 pack valve on maintenance carryover per MEL 21-21-01A. This is a flight crew placard item. I gave them a contract number per our procedures. The crew called back after airborne and advised me this MEL was not legal as the #3 high pressure valve was on maintenance carryover also. MEL 21-21-01A requires the high pressure valve, isolation valve and xbleed valve be operative for the respective pack valve. I read the write-up for the high pressure valve and it was for #3 engine, not #2 as it was restr. I am stopping this aircraft in ZZZ to have this pack repaired before further flight. This was not intentional, but caused by a typographical error.
Original NASA ASRS Text
Title: AN L1011 WAS DISPATCHED IN NON COMPLIANCE WITH THE #3 ENG HIGH PRESSURE BLEED VALVE DEFERRED AS INOP PER THE MEL LIST, BUT ENTERED IN THE ACFT RECORDS AS #2 HIGH PRESSURE BLEED VALVE.
Narrative: ACR AIRLINES SHIP XYZ HAD THE #3 HIGH PRESSURE VALVE ON MAINT CARRYOVER PER MEL 36-11-01. THE RESTR REMARK IN THE COMPUTER SHOWED THE #2 HIGH PRESSURE VALVE WAS INOP. ACR FLT XXX CALLED ON THE RADIO WANTING TO PUT THE #3 PACK VALVE ON MAINT CARRYOVER PER MEL 21-21-01A. THIS IS A FLC PLACARD ITEM. I GAVE THEM A CONTRACT NUMBER PER OUR PROCS. THE CREW CALLED BACK AFTER AIRBORNE AND ADVISED ME THIS MEL WAS NOT LEGAL AS THE #3 HIGH PRESSURE VALVE WAS ON MAINT CARRYOVER ALSO. MEL 21-21-01A REQUIRES THE HIGH PRESSURE VALVE, ISOLATION VALVE AND XBLEED VALVE BE OPERATIVE FOR THE RESPECTIVE PACK VALVE. I READ THE WRITE-UP FOR THE HIGH PRESSURE VALVE AND IT WAS FOR #3 ENG, NOT #2 AS IT WAS RESTR. I AM STOPPING THIS ACFT IN ZZZ TO HAVE THIS PACK REPAIRED BEFORE FURTHER FLT. THIS WAS NOT INTENTIONAL, BUT CAUSED BY A TYPOGRAPHICAL ERROR.
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.