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EMB145 flight crew reports improper signoff for galley door warning failure; with both an MEL number and an operations check ok entered in the log.
| Attributes | |
| ACN | 748639 |
| Time | |
| Date | 200706 |
| Local Time Of Day | 1801 To 2400 |
| 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 | EMB ERJ 145 ER&LR |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : preflight |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Experience | flight time last 90 days : 140 flight time type : 2500 |
| ASRS Report | 748639 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Experience | flight time last 90 days : 190 flight time type : 400 |
| ASRS Report | 748638 |
| Events | |
| Anomaly | maintenance problem : improper documentation non adherence : far |
| Independent Detector | other flight crewa |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other |
| Factors | |
| Maintenance | performance deficiency : logbook entry performance deficiency : non compliance with legal requirements |
| Supplementary | |
| Problem Areas | Flight Crew Human Performance Maintenance Human Performance |
| Primary Problem | Maintenance Human Performance |
Narrative:
We had been running late that day and were trying to play catch-up. We swapped planes in ZZZ for our flight to sdf. On the release; it had an MEL listed for the galley door indication. The MEL was still open in the deferral log. I then checked the logbook page where it had been deferred. In the first corrective action box; maintenance had deferred the galley cabin door indication; placarded the mfd with a sticker; which I related to all other signs leading to a correct deferral. We then checked the MEL for the pilot's action and followed our instructions for the MEL. However; the 2ND corrective action box had an 'operations check good' on the galley door which I did not see. I wasn't used to seeing a deferral signoff and an 'operations check good' on the same logbook page. When we landed in sdf; I noticed that there was no longer an MEL listed on the release. I called dispatch and they told me the MEL was cleared in ZZZ before we had taken off. It was not properly signed off and I did not catch it. I should have read all the corrective action blocks entirely. The maintenance guy who attempted to clear the MEL was new and didn't finish the paperwork correctly. Maybe we should use 2 different logbook pages; one for actually deferring the item; and another one for actually fixing the problem. It seems odd to defer the equipment and then operations check it good 1 box down on the same page.
Original NASA ASRS Text
Title: EMB145 FLT CREW REPORTS IMPROPER SIGNOFF FOR GALLEY DOOR WARNING FAILURE; WITH BOTH AN MEL NUMBER AND AN OPS CHECK OK ENTERED IN THE LOG.
Narrative: WE HAD BEEN RUNNING LATE THAT DAY AND WERE TRYING TO PLAY CATCH-UP. WE SWAPPED PLANES IN ZZZ FOR OUR FLT TO SDF. ON THE RELEASE; IT HAD AN MEL LISTED FOR THE GALLEY DOOR INDICATION. THE MEL WAS STILL OPEN IN THE DEFERRAL LOG. I THEN CHKED THE LOGBOOK PAGE WHERE IT HAD BEEN DEFERRED. IN THE FIRST CORRECTIVE ACTION BOX; MAINT HAD DEFERRED THE GALLEY CABIN DOOR INDICATION; PLACARDED THE MFD WITH A STICKER; WHICH I RELATED TO ALL OTHER SIGNS LEADING TO A CORRECT DEFERRAL. WE THEN CHKED THE MEL FOR THE PLT'S ACTION AND FOLLOWED OUR INSTRUCTIONS FOR THE MEL. HOWEVER; THE 2ND CORRECTIVE ACTION BOX HAD AN 'OPS CHK GOOD' ON THE GALLEY DOOR WHICH I DID NOT SEE. I WASN'T USED TO SEEING A DEFERRAL SIGNOFF AND AN 'OPS CHK GOOD' ON THE SAME LOGBOOK PAGE. WHEN WE LANDED IN SDF; I NOTICED THAT THERE WAS NO LONGER AN MEL LISTED ON THE RELEASE. I CALLED DISPATCH AND THEY TOLD ME THE MEL WAS CLRED IN ZZZ BEFORE WE HAD TAKEN OFF. IT WAS NOT PROPERLY SIGNED OFF AND I DID NOT CATCH IT. I SHOULD HAVE READ ALL THE CORRECTIVE ACTION BLOCKS ENTIRELY. THE MAINT GUY WHO ATTEMPTED TO CLR THE MEL WAS NEW AND DIDN'T FINISH THE PAPERWORK CORRECTLY. MAYBE WE SHOULD USE 2 DIFFERENT LOGBOOK PAGES; ONE FOR ACTUALLY DEFERRING THE ITEM; AND ANOTHER ONE FOR ACTUALLY FIXING THE PROB. IT SEEMS ODD TO DEFER THE EQUIP AND THEN OPS CHK IT GOOD 1 BOX DOWN ON THE SAME PAGE.
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.