 |
37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
A B737-400 on takeoff roll had the captain's instrument panel slide out, caused by not being secured after maintenance.
| Attributes | |
| ACN | 559770 |
| Time | |
| Date | 200209 |
| Day | Sun |
| Local Time Of Day | 0001 To 0600 |
| 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 | B737-400 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : parked ground : maintenance |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | oversight : supervisor |
| Qualification | technician : airframe technician : powerplant |
| Experience | maintenance avionics : 12 maintenance lead technician : 4 maintenance repairman : 2 maintenance supervisor : 6 maintenance technician : 8 |
| ASRS Report | 559770 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper maintenance maintenance problem : improper documentation non adherence : published procedure non adherence : far |
| Independent Detector | other flight crewa |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : schedule pressure performance deficiency : testing performance deficiency : logbook entry performance deficiency : inspection performance deficiency : repair performance deficiency : fault isolation |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Aircraft |
| Primary Problem | Maintenance Human Performance |
Narrative:
Instrument panel was left unsecured after troubleshooting and repair of captain's pitot static system. As a result, the instrument panel fell out on the takeoff roll. Several items had an impact on my performance. Sleep deprivation/shift schedule. Distractionsecond officerther responsibilities, supervising other projects and crew, etc. Internal pressure to satisfy customer.
Original NASA ASRS Text
Title: A B737-400 ON TKOF ROLL HAD THE CAPT'S INST PANEL SLIDE OUT, CAUSED BY NOT BEING SECURED AFTER MAINT.
Narrative: INST PANEL WAS LEFT UNSECURED AFTER TROUBLESHOOTING AND REPAIR OF CAPT'S PITOT STATIC SYS. AS A RESULT, THE INST PANEL FELL OUT ON THE TKOF ROLL. SEVERAL ITEMS HAD AN IMPACT ON MY PERFORMANCE. SLEEP DEPRIVATION/SHIFT SCHEDULE. DISTRACTIONS/OTHER RESPONSIBILITIES, SUPERVISING OTHER PROJECTS AND CREW, ETC. INTERNAL PRESSURE TO SATISFY CUSTOMER.
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.