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An MD80 aircraft dispatcher reports of multiple flights flown with a deferred fuel system quantity gauge; without the first MEL requirement provisos to add and placard a second MEL.
| Attributes | |
| ACN | 751527 |
| Time | |
| Date | 200708 |
| 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-80 Series (DC-9-80) Undifferentiated or Other Model |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : preflight ground : takeoff roll |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | other personnel |
| ASRS Report | 751527 |
| Events | |
| Anomaly | aircraft equipment problem : less severe maintenance problem : improper documentation maintenance problem : improper maintenance maintenance problem : non compliance with mel non adherence : far non adherence : published procedure |
| Independent Detector | other other : 1 |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other |
| Factors | |
| Maintenance | contributing factor : manuals contributing factor : briefing performance deficiency : logbook entry performance deficiency : non compliance with legal requirements |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Aircraft Chart Or Publication |
| Primary Problem | Maintenance Human Performance |
Narrative:
I was informed that one of my flts was released with MEL 28-X; but it did not have MEL 28-Y attached. Provisos of first MEL states that second MEL will also be placarded. I look at the MEL book for each MEL; but missed this particular provisos for adding the additional MEL. I will be more vigilant in reading mels. Callback conversation with reporter revealed the following information: reporter stated maintenance apparently did not see the requirement under the first MEL provisos to add an additional MEL and placard prior to aircraft release. Because this additional MEL was not input into their maintenance release data base; the aircraft flew many flights with multiple layers of groups; including mechanics; flight crews and dispatchers; missing the requirement for a second MEL procedure.
Original NASA ASRS Text
Title: AN MD80 ACFT DISPATCHER REPORTS OF MULTIPLE FLIGHTS FLOWN WITH A DEFERRED FUEL SYSTEM QUANTITY GAUGE; WITHOUT THE FIRST MEL REQUIREMENT PROVISOS TO ADD AND PLACARD A SECOND MEL.
Narrative: I WAS INFORMED THAT ONE OF MY FLTS WAS RELEASED WITH MEL 28-X; BUT IT DID NOT HAVE MEL 28-Y ATTACHED. PROVISOS OF FIRST MEL STATES THAT SECOND MEL WILL ALSO BE PLACARDED. I LOOK AT THE MEL BOOK FOR EACH MEL; BUT MISSED THIS PARTICULAR PROVISOS FOR ADDING THE ADDITIONAL MEL. I WILL BE MORE VIGILANT IN READING MELS. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: REPORTER STATED MAINT APPARENTLY DID NOT SEE THE REQUIREMENT UNDER THE FIRST MEL PROVISOS TO ADD AN ADDITIONAL MEL AND PLACARD PRIOR TO ACFT RELEASE. BECAUSE THIS ADDITIONAL MEL WAS NOT INPUT INTO THEIR MAINT RELEASE DATA BASE; THE ACFT FLEW MANY FLIGHTS WITH MULTIPLE LAYERS OF GROUPS; INCLUDING MECHANICS; FLIGHT CREWS AND DISPATCHERS; MISSING THE REQUIREMENT FOR A SECOND MEL PROCEDURE.
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.