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|
Attributes | |
ACN | 147175 |
Time | |
Date | 199005 |
Day | Mon |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : lax |
State Reference | CA |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Light Transport, Low Wing, 2 Turboprop Eng |
Flight Phase | ground : preflight ground other : taxi |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : atp pilot : instrument |
Experience | flight time last 90 days : 240 flight time total : 1080 flight time type : 280 |
ASRS Report | 147175 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | non adherence : published procedure non adherence : far other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We had already completed several legs that day and were to swap aircraft. A complete preflight inspection was done on the aircraft and all paperwork checked, the aircraft was completely legal to fly. As I entered the cockpit, I noticed there was no autobriefer installed so I would have to give the oral briefing myself. (The first time in several days since all the aircraft I had been flying the past few days had been equipped with an autobriefer, my normal 'flow' had been to begin the autobriefer during engine start and then it would be complete when called on the taxi checklist). During taxi we began the taxi checklist, when we arrived to the 'passenger brief', I called out 'complete', having been used to my previous 'flow' of pressing the autobriefer during the start. We departed. Later during the flight I remembered there was no autobriefer and then realized I did not recall giving an oral passenger brief. I had checked all the printed brief cards and safety equipment during the preflight and everything was in order, so the safety information was available to all passengers. Nevertheless, I was disappointed in myself for having forgotten the oral briefing. After this mistake and having read the ASRS callback report on 'brand X' aircraft, I more fully realize the need to be careful not to confuse one aircraft's equipment for that installed or not installed on the one being flown. Each flight is an individual flight and we must be very careful not to become complacent in our 'flow' and do it west/O thinking or realizing exactly what has been done and what needs to be done. I feel this mistake and having filed this report will emphasize in my mind to pay more attention to each item on the checklist and not to be in a hurry to merely call the item complete but to consider whether that item is complete in its entirety.
Original NASA ASRS Text
Title: AN ACR LTT FO FORGETS TO BRIEF PAX PRIOR TO FLT.
Narrative: WE HAD ALREADY COMPLETED SEVERAL LEGS THAT DAY AND WERE TO SWAP ACFT. A COMPLETE PREFLT INSPECTION WAS DONE ON THE ACFT AND ALL PAPERWORK CHKED, THE ACFT WAS COMPLETELY LEGAL TO FLY. AS I ENTERED THE COCKPIT, I NOTICED THERE WAS NO AUTOBRIEFER INSTALLED SO I WOULD HAVE TO GIVE THE ORAL BRIEFING MYSELF. (THE FIRST TIME IN SEVERAL DAYS SINCE ALL THE ACFT I HAD BEEN FLYING THE PAST FEW DAYS HAD BEEN EQUIPPED WITH AN AUTOBRIEFER, MY NORMAL 'FLOW' HAD BEEN TO BEGIN THE AUTOBRIEFER DURING ENG START AND THEN IT WOULD BE COMPLETE WHEN CALLED ON THE TAXI CHKLIST). DURING TAXI WE BEGAN THE TAXI CHKLIST, WHEN WE ARRIVED TO THE 'PAX BRIEF', I CALLED OUT 'COMPLETE', HAVING BEEN USED TO MY PREVIOUS 'FLOW' OF PRESSING THE AUTOBRIEFER DURING THE START. WE DEPARTED. LATER DURING THE FLT I REMEMBERED THERE WAS NO AUTOBRIEFER AND THEN REALIZED I DID NOT RECALL GIVING AN ORAL PAX BRIEF. I HAD CHKED ALL THE PRINTED BRIEF CARDS AND SAFETY EQUIP DURING THE PREFLT AND EVERYTHING WAS IN ORDER, SO THE SAFETY INFO WAS AVAILABLE TO ALL PAXS. NEVERTHELESS, I WAS DISAPPOINTED IN MYSELF FOR HAVING FORGOTTEN THE ORAL BRIEFING. AFTER THIS MISTAKE AND HAVING READ THE ASRS CALLBACK RPT ON 'BRAND X' ACFT, I MORE FULLY REALIZE THE NEED TO BE CAREFUL NOT TO CONFUSE ONE ACFT'S EQUIP FOR THAT INSTALLED OR NOT INSTALLED ON THE ONE BEING FLOWN. EACH FLT IS AN INDIVIDUAL FLT AND WE MUST BE VERY CAREFUL NOT TO BECOME COMPLACENT IN OUR 'FLOW' AND DO IT W/O THINKING OR REALIZING EXACTLY WHAT HAS BEEN DONE AND WHAT NEEDS TO BE DONE. I FEEL THIS MISTAKE AND HAVING FILED THIS RPT WILL EMPHASIZE IN MY MIND TO PAY MORE ATTN TO EACH ITEM ON THE CHKLIST AND NOT TO BE IN A HURRY TO MERELY CALL THE ITEM COMPLETE BUT TO CONSIDER WHETHER THAT ITEM IS COMPLETE IN ITS ENTIRETY.
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.