37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 193636 |
Time | |
Date | 199111 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : alb |
State Reference | NY |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Large Transport, Low Wing, 3 Turbojet Eng |
Flight Phase | ground other : taxi |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 160 flight time total : 11000 flight time type : 7000 |
ASRS Report | 193636 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 225 flight time total : 10000 flight time type : 1500 |
ASRS Report | 193885 |
Events | |
Anomaly | non adherence : published procedure 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 | other |
Narrative:
During initial taxi from gate, heard cockpit door knock of 2 plus 1. Authorized knock was 2 only. Made sudden stop to determine problem, feared possible hijacker attempting cockpit entry. Hijack security procedures and sterile cockpit procedures need further emphasis with in-flight department. Supplemental information from acn 193885: apparently the flight attendant found her seatbelt caught in the cockpit door. 2 flight attendants were knocked off their ft and suffered minor injuries. The problem arises because of a conflict between SOP and reality. During 'critical phases of flight' including taxi, the cockpit is 'sterile' and flight attendants are not supposed to contact the flight crew. In reality, they frequently do for matters similar to a seatbelt caught in the door. Here, the captain assumed an emergency was in progress and stopped the aircraft suddenly, resulting in injuries. Supplemental information from acn 193998: during taxi out from the gate at albany a knock on the cockpit door prompted the so to crack the door open. The flight attendant sitting at the door needed her seatbelt that was caught in the door. The captain immediately stopped the aircraft as the cockpit door was closing. The parking brake was set and the captain turned to determine the reason for opening the door. The flight attendant that knocked told us the first flight attendant had fallen during the stop. The captain asked the first flight attendant to come into the cockpit and she said she had fallen and another flight attendant in the aft cabin had fallen. They said they were okay and the flight continued to the destination. En route the 2 flight attendants requested to go to medical upon reaching O'hare. A flight service representative met the aircraft and the flight attendants deplaned at the end of the flight.
Original NASA ASRS Text
Title: ACR FLC STOPS TAXIING ACFT ABRUPTLY WHEN KNOCK ON DOOR NOT PROPER CODE.
Narrative: DURING INITIAL TAXI FROM GATE, HEARD COCKPIT DOOR KNOCK OF 2 PLUS 1. AUTHORIZED KNOCK WAS 2 ONLY. MADE SUDDEN STOP TO DETERMINE PROBLEM, FEARED POSSIBLE HIJACKER ATTEMPTING COCKPIT ENTRY. HIJACK SECURITY PROCS AND STERILE COCKPIT PROCS NEED FURTHER EMPHASIS WITH INFLT DEPT. SUPPLEMENTAL INFO FROM ACN 193885: APPARENTLY THE FLT ATTENDANT FOUND HER SEATBELT CAUGHT IN THE COCKPIT DOOR. 2 FLT ATTENDANTS WERE KNOCKED OFF THEIR FT AND SUFFERED MINOR INJURIES. THE PROBLEM ARISES BECAUSE OF A CONFLICT BTWN SOP AND REALITY. DURING 'CRITICAL PHASES OF FLT' INCLUDING TAXI, THE COCKPIT IS 'STERILE' AND FLT ATTENDANTS ARE NOT SUPPOSED TO CONTACT THE FLC. IN REALITY, THEY FREQUENTLY DO FOR MATTERS SIMILAR TO A SEATBELT CAUGHT IN THE DOOR. HERE, THE CAPT ASSUMED AN EMER WAS IN PROGRESS AND STOPPED THE ACFT SUDDENLY, RESULTING IN INJURIES. SUPPLEMENTAL INFO FROM ACN 193998: DURING TAXI OUT FROM THE GATE AT ALBANY A KNOCK ON THE COCKPIT DOOR PROMPTED THE SO TO CRACK THE DOOR OPEN. THE FLT ATTENDANT SITTING AT THE DOOR NEEDED HER SEATBELT THAT WAS CAUGHT IN THE DOOR. THE CAPT IMMEDIATELY STOPPED THE ACFT AS THE COCKPIT DOOR WAS CLOSING. THE PARKING BRAKE WAS SET AND THE CAPT TURNED TO DETERMINE THE REASON FOR OPENING THE DOOR. THE FLT ATTENDANT THAT KNOCKED TOLD US THE FIRST FLT ATTENDANT HAD FALLEN DURING THE STOP. THE CAPT ASKED THE FIRST FLT ATTENDANT TO COME INTO THE COCKPIT AND SHE SAID SHE HAD FALLEN AND ANOTHER FLT ATTENDANT IN THE AFT CABIN HAD FALLEN. THEY SAID THEY WERE OKAY AND THE FLT CONTINUED TO THE DEST. ENRTE THE 2 FLT ATTENDANTS REQUESTED TO GO TO MEDICAL UPON REACHING O'HARE. A FLT SVC REPRESENTATIVE MET THE ACFT AND THE FLT ATTENDANTS DEPLANED AT THE END OF THE FLT.
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.