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An EMB145 was dispatched with the fuel filter bypass light deferred inoperative per the MEL. Required inspections prior to dispatch not made.
| Attributes | |
| ACN | 670007 |
| Time | |
| Date | 200508 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Altitude | agl single value : 0 |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | EMB ERJ 145 ER&LR |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : maintenance ground : takeoff roll |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | oversight : coordinator |
| ASRS Report | 670007 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | other personnel other |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : non compliance with mel non adherence : published procedure non adherence : far |
| Independent Detector | 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 : inspection performance deficiency : non compliance with legal requirements performance deficiency : logbook entry |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Flight Crew Human Performance Aircraft Chart Or Publication |
| Primary Problem | Maintenance Human Performance |
Narrative:
A line maintenance coordinator called for 2 MEL's; one of which was 73-5 'engine fuel filter bypass light.' a repetitive maintenance inspection is required prior to each departure as per the MEL. It was very busy for everyone at the time and when I requested the log page number for the deferred item that we issue along with this MEL for tracking purposes; the coordinator said he would call back with all information. When he called back I was busy with something else and the deferred item window was shrunk down and was masked up pending the requested information for the deferred item.. We completed the issuance of the MEL's and being 'out of sight; out of mind' plus my memory wasn't triggered by the log page number I was expecting. This was just one of the contributing factors that caused me to forget to issue the tracking deferred item. I returned the aircraft to service and it flew to ZZZ1 and back without having the inspection performed. I did facsimile the inspection criteria; but the material was inadvertently discarded by someone. I was notified by maintenance that the crew had informed them of the mishap. I had ZZZ perform the inspection and issued the tracking.
Original NASA ASRS Text
Title: AN EMB145 WAS DISPATCHED WITH THE FUEL FILTER BYPASS LIGHT DEFERRED INOP PER THE MEL. REQUIRED INSPECTIONS PRIOR TO DISPATCH NOT MADE.
Narrative: A LINE MAINT COORDINATOR CALLED FOR 2 MEL'S; ONE OF WHICH WAS 73-5 'ENG FUEL FILTER BYPASS LIGHT.' A REPETITIVE MAINT INSPECTION IS REQUIRED PRIOR TO EACH DEP AS PER THE MEL. IT WAS VERY BUSY FOR EVERYONE AT THE TIME AND WHEN I REQUESTED THE LOG PAGE NUMBER FOR THE DEFERRED ITEM THAT WE ISSUE ALONG WITH THIS MEL FOR TRACKING PURPOSES; THE COORDINATOR SAID HE WOULD CALL BACK WITH ALL INFO. WHEN HE CALLED BACK I WAS BUSY WITH SOMETHING ELSE AND THE DEFERRED ITEM WINDOW WAS SHRUNK DOWN AND WAS MASKED UP PENDING THE REQUESTED INFO FOR THE DEFERRED ITEM.. WE COMPLETED THE ISSUANCE OF THE MEL'S AND BEING 'OUT OF SIGHT; OUT OF MIND' PLUS MY MEMORY WASN'T TRIGGERED BY THE LOG PAGE NUMBER I WAS EXPECTING. THIS WAS JUST ONE OF THE CONTRIBUTING FACTORS THAT CAUSED ME TO FORGET TO ISSUE THE TRACKING DEFERRED ITEM. I RETURNED THE ACFT TO SVC AND IT FLEW TO ZZZ1 AND BACK WITHOUT HAVING THE INSPECTION PERFORMED. I DID FAX THE INSPECTION CRITERIA; BUT THE MATERIAL WAS INADVERTENTLY DISCARDED BY SOMEONE. I WAS NOTIFIED BY MAINT THAT THE CREW HAD INFORMED THEM OF THE MISHAP. I HAD ZZZ PERFORM THE INSPECTION AND ISSUED THE TRACKING.
Data retrieved from NASA's ASRS site as of January 2009 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.