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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 505180 |
| Time | |
| Date | 200103 |
| Day | Thu |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : egun.airport |
| State Reference | FO |
| Altitude | agl single value : 0 |
| Environment | |
| Light | Daylight |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | L-1011 Tri-Star All Series |
| 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 : 200 flight time total : 13000 flight time type : 600 |
| ASRS Report | 505180 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : instrument pilot : multi engine pilot : commercial |
| Events | |
| Anomaly | aircraft equipment problem : less severe non adherence : company policies non adherence : far non adherence : published procedure other anomaly other |
| Independent Detector | other flight crewa |
| Resolutory Action | none taken : detected after the fact |
| Supplementary | |
| Problem Areas | Flight Crew Human Performance Aircraft |
| Primary Problem | Flight Crew Human Performance |
Narrative:
Our aircraft had an MEL on the turbine cooling air overheat system. The MEL requires a check and logbook entry before every flight. I saw the flight engineer do the check and we discussed the logbook entry. Unfortunately, I didn't watch him make the logbook entry and he forgot. I caught it on my postflt logbook check. I guess the reasonable reliance theory failed -- even though there was no safety issue, we still took off illegally. There was no time pressure, just carelessness. I guess I'll just have to hover over the flight engineer more, or possibly stick post-it notes on the checklist.
Original NASA ASRS Text
Title: L1011 SO DID NOT ENTER AN INSPECTION ITEM IN THE ACFT LOG AS REQUIRED BY THE MEL.
Narrative: OUR ACFT HAD AN MEL ON THE TURBINE COOLING AIR OVERHEAT SYS. THE MEL REQUIRES A CHK AND LOGBOOK ENTRY BEFORE EVERY FLT. I SAW THE FE DO THE CHK AND WE DISCUSSED THE LOGBOOK ENTRY. UNFORTUNATELY, I DIDN'T WATCH HIM MAKE THE LOGBOOK ENTRY AND HE FORGOT. I CAUGHT IT ON MY POSTFLT LOGBOOK CHK. I GUESS THE REASONABLE RELIANCE THEORY FAILED -- EVEN THOUGH THERE WAS NO SAFETY ISSUE, WE STILL TOOK OFF ILLEGALLY. THERE WAS NO TIME PRESSURE, JUST CARELESSNESS. I GUESS I'LL JUST HAVE TO HOVER OVER THE FE MORE, OR POSSIBLY STICK POST-IT NOTES ON THE CHKLIST.
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.