37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 1742635 |
Time | |
Date | 202005 |
Local Time Of Day | 1801-2400 |
Place | |
Locale Reference | ZZZ.Airport |
State Reference | US |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Make Model Name | B757-200 |
Flight Phase | Final Approach |
Route In Use | Visual Approach |
Flight Plan | IFR |
Component | |
Aircraft Component | Fuel Crossfeed |
Person 1 | |
Function | Pilot Not Flying Captain |
Qualification | Flight Crew Multiengine Flight Crew Air Transport Pilot (ATP) Flight Crew Instrument |
Experience | Flight Crew Total 39000 |
Person 2 | |
Function | Pilot Flying |
Qualification | Flight Crew Multiengine Flight Crew Instrument Flight Crew Air Transport Pilot (ATP) |
Experience | Flight Crew Total 12500 |
Events | |
Anomaly | Aircraft Equipment Problem Critical Deviation - Procedural Published Material / Policy Inflight Event / Encounter Fuel Issue |
Narrative:
When the first officer and I board the aircraft in ZZZ; the fuel cross valve was in the open position. Neither the first officer (first officer) or myself noticed this. We departed on schedule for our leg to ZZZ1; with the cross feed still open. The fuel config enunciation illuminated several times; and we glanced at the fuel panel but again; I did not see the x feed valve position. As the first officer called for flaps 25 on approach to ZZZ1; I noticed my yoke was highly biased toward a left wing down command. I finally saw the fuel imbalance at that time; and noticed the crossfeed open. By then; we were approximately 1;000 ft. AGL and deemed it not advisable to be changing fuel switch positions at that time. The left wing indicated 2200 pounds; the right 11;600 pounds. At 500 ft. AGL; the low fuel initiation illuminated. After shut down at the gateway; we discussed how such an event could possibly have happened; and what we would do to preclude such an event in the future. Each time the fuel config light illuminated; I glanced up at the fuel panel. But I believe expectation bias took over; and I never noticed the fuel imbalance itself and the crossfeed valve open. I realize the dire consequences of not being vigilant in the situation; and I take full responsibility. In the future; when I observe a fuel config light; I will not simply 'look at the fuel panel;' but will analyze what information the system is try to tell me. I also realize I should've written this up in the maintenance log; as we clearly exceeded aom limitations.
Original NASA ASRS Text
Title: Air Carrier flight crew reported inadvertently leaving a fuel crossfeed valve open; resulting in a fuel imbalance.
Narrative: When the First Officer and I board the aircraft in ZZZ; the fuel cross valve was in the open position. Neither the FO (First Officer) or myself noticed this. We departed on schedule for our leg to ZZZ1; with the cross feed still open. The fuel config enunciation illuminated several times; AND we glanced at the fuel panel but again; I did not see the x feed valve position. As the FO called for flaps 25 on approach to ZZZ1; I noticed my yoke was highly biased toward a left wing down command. I finally saw the fuel imbalance at that time; and noticed the crossfeed open. By then; we were approximately 1;000 ft. AGL and deemed it not advisable to be changing fuel switch positions at that time. The left wing indicated 2200 pounds; the right 11;600 pounds. At 500 ft. AGL; the LOW FUEL initiation illuminated. After shut down at the gateway; we discussed how such an event could possibly HAVE happened; and what we would do to preclude such an event in the future. Each time the fuel config light illuminated; I glanced up at the fuel panel. But I believe expectation bias took over; and I never noticed the fuel imbalance itself and the crossfeed valve open. I realize the dire consequences of not being vigilant in the situation; and I take full responsibility. In the future; when I observe a fuel config light; I will not simply 'look at the fuel panel;' but will analyze what information the system is try to tell me. I also realize I should've written this up in the maintenance log; as we clearly exceeded AOM limitations.
Data retrieved from NASA's ASRS site 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.