A B777-200 WAS DISPATCHED IN NONCOMPLIANCE WITH THE LEFT TRIM AIR VALVE DEFERRED INOPERATIVE CLOSED PER THE MIN EQUIP LIST; BUT THE VALVE WAS ACTUALLY LOCKED OPEN DUE TO PUBLICATION DEFICIENCY.

Date: 2001-04 · Aircraft: B777-200 · Phase: ground

Anomalies: aircraft-equipment-problem-critical|deviation-discrepancy-procedural-maintenance|deviation-discrepancy-procedural-other-unknown|deviation-discrepancy-procedural-published-material-policy|other-hot-cabin-temp

Synopsis

A B777-200 WAS DISPATCHED IN NONCOMPLIANCE WITH THE LEFT TRIM AIR VALVE DEFERRED INOPERATIVE CLOSED PER THE MIN EQUIP LIST; BUT THE VALVE WAS ACTUALLY LOCKED OPEN DUE TO PUBLICATION DEFICIENCY.

Narrative

I WORK FOR AN ACR BASED AT ZZZ INTERNATIONAL ARPT; ZZZ; U.S. I AM TRAINED TO PERFORM TRANSIT AND ETOPS-PDC MAINT ON BOEING 777 ACFT FOR ABC ON FRI; APRIL 2001. I WAS ASSIGNED TO PERFORM TRANSIT AND ETOPS-PDC MAINT ON ACFT XYZ OF ACR ABC AT GATE. THE ACFT ARRIVED AT XA48 LOCAL XB48 GMT. THE FLT DECK CREW WROTE-UP IN THE TECH LOG; THAT ON TAXI-OUT FROM XXX THEY NOTED STATUS MSG 'TRIM AIR PRSOV L' AND EICAS MSG 'TRIM AIR L'- L TRIM AIR SWITCHED OFF IAW CHKLIST! CABIN TEMP VERY DIFFICULT TO CTL; ESPECIALLY ZONE F. AFTER SVC OF BOTH ENG OIL SYSTEMS; AMT BX AND MYSELF USED THE ACFT. MAT COMPUTER TO RETRIEVE ALL PRESENT LEG FAULTS. AT THIS TIME; IT WAS NOTED THAT BOTH MESSAGES (STATUS MSG 'TRIM AIR PRSOV' AND EICAS MSG 'TRIM AIR L') OCCURRED ON TAXI-OUT FROM XXX. WE PERFORMED A GRD TEST OF THE L/H TRIM AIR SYS. THE MESSAGES EXTINGUISHED; BUT A FEW MINS LATER RE-APPEARED ON THE FMC STATUS PAGE. WE DECIDED TO DEFER INOP THE L/H TRIM AIR PRSOV VALVE; PER THE BOEING 777 MEL. THE ACFT LEFT ZZZ AS FLT ROK AT XC25 LCL. XC25 GMT. APPROX 30 MINS LATER; WHILE FLYING OVER OBX; THE FLC COMMUNICATED VIA VHF; THAT THEY HAD INDICATION THE L/H TRIM AIR PRSOV WAS IN THE OPEN POS! THEREFORE THEY HAD UNCTLED HIGH TEMPS ON THE FLT DECK AND FWD CABIN AREAS. WE CONTACTED ABC MAINTROL-THEY STATED THAT THERE WAS NO WAY YOU COULD LOCK-OPEN THIS VALVE! AFTER SOME RESEARCH OF THE MEL; TO LOCK CLOSE THE VALVE. ITEM NOTES TO TURN THE MANUAL WRENCH UNTIL THE MANUAL LOCK INDICATOR SHOWS THE VALVE IS IN THE CLOSED (CL) POS. ITEM STATES TO INSTALL THE LOCKING PLUG IN THE HOLE AND TIGHTEN. ACCOMPLISHING THIS PROC ACTUALLY LOCKS THE VALVE OPEN! BECAUSE OF THE VAGUE POS MARKINGS ON THE VALVE AND WITH THE CB'S PULLED; THE VALVE IS MECHANICALLY DRIVEN TO THE CLOSED POS; BEFORE ONE EVEN STARTS THE PROC PER MEL; TO LOCK-CLOSE THE VALVE. LATER; AFTER CONFERRING WITH SUPVR Z; WE ORDERED A TRIM AIR PRSOV FROM ACR STORES (THIS VALVE IS THE SAME ONE INSTALLED ON ABC; XYZ ACFT) TO VERIFY THE VALVE POS CONFIGURATION WE PERFORMED ON THE ABC ACFT. WE NOTED THE VALVE; WITH THE PROC WE FOLLOWED WAS PARTIALLY OPEN! WE CONTACTED FLT CTL OF THE CONDITION; AND THEY TOLD US THAT THE ACFT WAS DIVERTING TO DDD THE MAINT CTLR PATCHED US THROUGH TO ABC ENGINEERING; TO NOTIFY THEM OF OUR FINDINGS! SO; THEY COULD CORRECT THE VALVE POS! THE ACFT DUMPED 4;000 KGS OF FUEL BEFORE LNDG AT DDD. THE GND TIME AT DDD WAS 50 MINS AND ARRIVED AT XXX 3 HRS LATE! HUMAN PERFORMANCE CONSIDERATIONS--THE ACFT ARRIVED EXTREMELY LATE; DUE TO BAD WINDS N OF THE ARCTIC CIRCLE. LOCAL AND REGIONAL ABC MGMNT PUTS UNDUE PRESSURE AND STRESS ON THE ACFT MAINT STAFF; TO GET THEIR ACFT OUT ON ITS ORIGINAL DEP TIME. IT IS EXTREMELY HARD TO ADDRESS THESE TYPES OF MAINT ISSUES IN 1 1/2 HRS FROM ARR TO DEP! CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE RPTR STATED AFTER REVIEWING THE LOG RPT; THE MAINT ACCESS TERMINAL WAS CHKED AND INDICATED THE L TRIM AIR PRESSURE REGULATOR VALVE WAS FAILED IN THE OPEN POS. THE RPTR SAID THE MIN EQUIP LIST ALLOWED DEFERRAL OF THE VALVE IN THE CLOSED AND LOCKED CONDITION. THE RPTR SAID NEITHER THE MIN EQUIP LIST NOR THE MAINT MANUAL INDICATES THAT AFTER PRELIMINARY PROCS OF PULLING CIRCUIT BREAKERS AND REMOVING PNEUMATIC PRESSURE THE VALVE IS SPRING LOADED CLOSED. THE RPTR STATED THE VALVE LOCATION AGAINST THE COMPARTMENT CEILING MAKES THE POSITION OF THE VALVE ALMOST IMPOSSIBLE TO DETERMINE EVEN WITH INSPECTION MIRRORS AND THE MARKINGS ON THE VALVE ARE VAGUE. THE RPTR SAID THE LOCKING PLUG WILL FIT IN ANY VALVE POS AND IS A DEP FROM ANY KIND OF REASONING THAT A LOCK PLUG MUST ONLY FIT IN THE LOCK POS. THE RPTR STATED THE VALVE WRENCHING FIXTURE HAS NO VALVE POS INDICATION OR DIRECTIONAL ARROW TO PREVENT VALVE DAMAGE. THE RPTR STATED THE VALVE CONFIGURATION IS POORLY DESIGNED FOR MAINT.

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Source: NASA Aviation Safety Reporting System (public domain). Reports are voluntary submissions and are not verified by NASA.