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A B737-200 was dispatched in non compliance with #1 thrust reverser inoperative per the MEL but not entered in logbook or on maintenance release.
| Attributes | |
| ACN | 608300 |
| Time | |
| Date | 200402 |
| Day | Wed |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | B737-200 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground other : lndg roll |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : instrument pilot : multi engine pilot : commercial |
| Experience | flight time last 90 days : 210 flight time total : 13800 flight time type : 6000 |
| ASRS Report | 608300 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| Experience | flight time last 90 days : 200 flight time total : 11000 flight time type : 7500 |
| ASRS Report | 607935 |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : non compliance with mel non adherence : far non adherence : published procedure |
| Independent Detector | aircraft equipment other aircraft equipment : #1 thrust rev position ind other flight crewa other flight crewb |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other other |
| Factors | |
| Maintenance | contributing factor : schedule pressure performance deficiency : logbook entry performance deficiency : non compliance with legal requirements |
| Supplementary | |
| Problem Areas | Flight Crew Human Performance Chart Or Publication Aircraft Maintenance Human Performance |
| Primary Problem | Maintenance Human Performance |
Narrative:
Did not discover that the #1 thrust reverser was wired closed until landing rollout in ZZZ1 on runway 17R. Upon initiating cockpit preflight, I noticed the maintenance note in the logbook and white sticker on center forward panel. Considered it to be an item maintenance was tracking and continued with preflight. It was still dark and I did not notice that the thrust reverser lever was wired closed. Even in daylight, it is hard to see from the first officer's seat. It was the captain's leg and the landing in ZZZ1 was uneventful. Upon reaching the gate and parking the aircraft, maintenance control was notified, as well as dispatch. A contract mechanic was called out to correct the logbook. Items that led to this oversight: 1) the original write-up was not left in the logbook. 2) the release gave no mention of the discrepancy. 3) having a clear understanding of the maintenance note. 4) improperly annotated stickers. 5) preflight of the center pedestal. Possible recommendation: create a step in the preflight that would have one of the pilots check that the thrust reverser levers are free.
Original NASA ASRS Text
Title: A B737-200 WAS DISPATCHED IN NON COMPLIANCE WITH #1 THRUST REVERSER INOP PER THE MEL BUT NOT ENTERED IN LOGBOOK OR ON MAINT RELEASE.
Narrative: DID NOT DISCOVER THAT THE #1 THRUST REVERSER WAS WIRED CLOSED UNTIL LNDG ROLLOUT IN ZZZ1 ON RWY 17R. UPON INITIATING COCKPIT PREFLT, I NOTICED THE MAINT NOTE IN THE LOGBOOK AND WHITE STICKER ON CTR FORWARD PANEL. CONSIDERED IT TO BE AN ITEM MAINT WAS TRACKING AND CONTINUED WITH PREFLT. IT WAS STILL DARK AND I DID NOT NOTICE THAT THE THRUST REVERSER LEVER WAS WIRED CLOSED. EVEN IN DAYLIGHT, IT IS HARD TO SEE FROM THE FO'S SEAT. IT WAS THE CAPT'S LEG AND THE LNDG IN ZZZ1 WAS UNEVENTFUL. UPON REACHING THE GATE AND PARKING THE ACFT, MAINT CTL WAS NOTIFIED, AS WELL AS DISPATCH. A CONTRACT MECH WAS CALLED OUT TO CORRECT THE LOGBOOK. ITEMS THAT LED TO THIS OVERSIGHT: 1) THE ORIGINAL WRITE-UP WAS NOT LEFT IN THE LOGBOOK. 2) THE RELEASE GAVE NO MENTION OF THE DISCREPANCY. 3) HAVING A CLR UNDERSTANDING OF THE MAINT NOTE. 4) IMPROPERLY ANNOTATED STICKERS. 5) PREFLT OF THE CTR PEDESTAL. POSSIBLE RECOMMENDATION: CREATE A STEP IN THE PREFLT THAT WOULD HAVE ONE OF THE PLTS CHK THAT THE THRUST REVERSER LEVERS ARE FREE.
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.