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A B737-300 was dispatched in non compliance with #1 engine exhaust gas temperature limit exceedence check not completed.
| Attributes | |
| ACN | 530718 |
| Time | |
| Date | 200110 |
| Day | Mon |
| Local Time Of Day | 1201 To 1800 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | B737-300 |
| Flight Phase | ground : maintenance |
| Person 1 | |
| Affiliation | other |
| Qualification | technician : airframe technician : powerplant |
| ASRS Report | 530718 |
| Person 2 | |
| Affiliation | other |
| Function | other personnel other |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation non adherence : company policies non adherence : far non adherence : published procedure |
| Independent Detector | aircraft equipment other aircraft equipment : exhaust gas temp ind #1 other other : person 2 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : manuals contributing factor : work cards performance deficiency : testing |
| Supplementary | |
| Problem Areas | Chart Or Publication Company Aircraft |
Narrative:
Aircraft X on oct/mon/01. #1 engine experience an overtemp condition. I contacted maintenance control. They faxed the maintenance manual reference. I inspected the engine per 72-00-00-6. However, believing that the situation fell under X conditions, the power assurance test was missed. Another contributing factor: the maintenance manual figure 611 sheets 1 and 2 were hard to read. (See attached sheets) this oversight was unintentional and non malicious.
Original NASA ASRS Text
Title: A B737-300 WAS DISPATCHED IN NON COMPLIANCE WITH #1 ENG EXHAUST GAS TEMP LIMIT EXCEEDENCE CHK NOT COMPLETED.
Narrative: ACFT X ON OCT/MON/01. #1 ENG EXPERIENCE AN OVERTEMP CONDITION. I CONTACTED MAINT CTL. THEY FAXED THE MAINT MANUAL REF. I INSPECTED THE ENG PER 72-00-00-6. HOWEVER, BELIEVING THAT THE SIT FELL UNDER X CONDITIONS, THE PWR ASSURANCE TEST WAS MISSED. ANOTHER CONTRIBUTING FACTOR: THE MAINT MANUAL FIGURE 611 SHEETS 1 AND 2 WERE HARD TO READ. (SEE ATTACHED SHEETS) THIS OVERSIGHT WAS UNINTENTIONAL AND NON MALICIOUS.
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.