<< >> NASA ASRS Report 626754, July 2004

An MD11 crew is informed after the fact that they flew with a missing cargo net lock because it was not correctly documented according to company procedures.

Attributes
ACN	626754
Time
Date	200407
Day	Thu
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	MD-11
Operating Under FAR Part	Part 121
Flight Phase	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 : 46.6 flight time total : 8000 flight time type : 710
ASRS Report	626754
Person 2
Affiliation	company : air carrier
Function	flight crew : first officer
Events
Anomaly	aircraft equipment problem : less severe maintenance problem : improper documentation non adherence : published procedure
Independent Detector	other other : 3
Resolutory Action	none taken : detected after the fact
Consequence	other
Supplementary
Problem Areas	Flight Crew Human Performance Maintenance Human Performance Aircraft
Primary Problem	Maintenance Human Performance

Narrative:

A cargo net lock was missing and had been deferred by maintenance via an open items list allowing flight to continue for unknown number of legs. This is an first officer crew duty (as per our flight manual) to preflight. Contributing to this event was the fact that maintenance had left 2 airworthiness release documents (ard functions as maintenance log book) at aircraft along with one open write-up, requiring significant coordination with maintenance prior to preflight. The aircraft also had many other deferred items including APU, causing high heat in cockpit for preflight. I was informed that this occurred by our flight safety department after the fact.

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Original NASA ASRS Text

Title: AN MD11 CREW IS INFORMED AFTER THE FACT THAT THEY FLEW WITH A MISSING CARGO NET LOCK BECAUSE IT WAS NOT CORRECTLY DOCUMENTED ACCORDING TO COMPANY PROCS.

Narrative: A CARGO NET LOCK WAS MISSING AND HAD BEEN DEFERRED BY MAINT VIA AN OPEN ITEMS LIST ALLOWING FLT TO CONTINUE FOR UNKNOWN NUMBER OF LEGS. THIS IS AN FO CREW DUTY (AS PER OUR FLT MANUAL) TO PREFLT. CONTRIBUTING TO THIS EVENT WAS THE FACT THAT MAINT HAD LEFT 2 AIRWORTHINESS RELEASE DOCUMENTS (ARD FUNCTIONS AS MAINT LOG BOOK) AT ACFT ALONG WITH ONE OPEN WRITE-UP, REQUIRING SIGNIFICANT COORD WITH MAINT PRIOR TO PREFLT. THE ACFT ALSO HAD MANY OTHER DEFERRED ITEMS INCLUDING APU, CAUSING HIGH HEAT IN COCKPIT FOR PREFLT. I WAS INFORMED THAT THIS OCCURRED BY OUR FLT SAFETY DEPT AFTER THE FACT.

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.