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|
Attributes | |
ACN | 227456 |
Time | |
Date | 199211 |
Day | Fri |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : eghi |
State Reference | FO |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Flight Conditions | IMC |
Light | Dusk |
Aircraft 1 | |
Controlling Facilities | tower : agc |
Operator | general aviation : corporate |
Make Model Name | Medium Transport |
Navigation In Use | Other |
Flight Phase | landing other |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : first officer |
Qualification | pilot : atp pilot : cfi |
Experience | flight time last 90 days : 150 flight time total : 5300 flight time type : 300 |
ASRS Report | 227456 |
Person 2 | |
Affiliation | Other |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : far other anomaly other other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | none taken : insufficient time |
Consequence | other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation other |
Narrative:
Landing was from an ILS 20, eghi, ceiling 700 ft, visibility 3 mi, rain. Windshear at 400 ft AGL, 10 KTS. Approach flown near vref due to relatively short (5600 ft) runway. Power reduced to idle thrust, at vref, approximately 1000 ft short of threshold. Landing firm to avoid hydroplaning. Attempted to actuate reverse thrust. Annunciator lights showed no 'deploy' lights. Began maximum braking effort that continued to end of runway. Restowed and reattempted reverse thrust. #1 and #4 'arm' only #2 and #3 'unlock' only. Aircraft commander (in right seat) pulled full reverse thrust on #2 and #3 in contravention of established procedures. This action (without deploy lights) will generate forward thrust. I restowed reversers and reattempted. Again, PIC (right seat) overrode and attempted reverse without deploy lights. I again reassumed control and stowed levers, secured all 4 engines to minimize FOD and prepared for overshoot. Aircraft departed by 200 ft. Factors: WX -- rain 'heavy' according to witnesses, reported by tower as 'light.' windshear -- possible tailwind on touchdown if microburst present, witnesses reported apparent aircraft acceleration after touchdown. Mechanical -- improper/incomplete sequencing of thrust reversers. Human -- PIC, not flying, attempted, twice, to assume control of reverse levers in contravention of accepted practices/procedures. Attempted full reverse (twice), also improper. Operator -- PIC, not flying, failed to inform sic (PF) of maintenance status of aircraft. It was found to be out of compliance with approved aircraft inspection program (aaip) and had no maintenance in past yr. PIC had been aware of this for entire trip. Sic was a 'standby' pilot, unaware of status of aircraft.
Original NASA ASRS Text
Title: CORP ACFT UNABLE TO ACTIVATE THRUST REVERSERS RUNS OFF END OF RWY.
Narrative: LNDG WAS FROM AN ILS 20, EGHI, CEILING 700 FT, VISIBILITY 3 MI, RAIN. WINDSHEAR AT 400 FT AGL, 10 KTS. APCH FLOWN NEAR VREF DUE TO RELATIVELY SHORT (5600 FT) RWY. PWR REDUCED TO IDLE THRUST, AT VREF, APPROX 1000 FT SHORT OF THRESHOLD. LNDG FIRM TO AVOID HYDROPLANING. ATTEMPTED TO ACTUATE REVERSE THRUST. ANNUNCIATOR LIGHTS SHOWED NO 'DEPLOY' LIGHTS. BEGAN MAX BRAKING EFFORT THAT CONTINUED TO END OF RWY. RESTOWED AND REATTEMPTED REVERSE THRUST. #1 AND #4 'ARM' ONLY #2 AND #3 'UNLOCK' ONLY. ACFT COMMANDER (IN R SEAT) PULLED FULL REVERSE THRUST ON #2 AND #3 IN CONTRAVENTION OF ESTABLISHED PROCS. THIS ACTION (WITHOUT DEPLOY LIGHTS) WILL GENERATE FORWARD THRUST. I RESTOWED REVERSERS AND REATTEMPTED. AGAIN, PIC (R SEAT) OVERRODE AND ATTEMPTED REVERSE WITHOUT DEPLOY LIGHTS. I AGAIN REASSUMED CTL AND STOWED LEVERS, SECURED ALL 4 ENGS TO MINIMIZE FOD AND PREPARED FOR OVERSHOOT. ACFT DEPARTED BY 200 FT. FACTORS: WX -- RAIN 'HVY' ACCORDING TO WITNESSES, RPTED BY TWR AS 'LIGHT.' WINDSHEAR -- POSSIBLE TAILWIND ON TOUCHDOWN IF MICROBURST PRESENT, WITNESSES RPTED APPARENT ACFT ACCELERATION AFTER TOUCHDOWN. MECHANICAL -- IMPROPER/INCOMPLETE SEQUENCING OF THRUST REVERSERS. HUMAN -- PIC, NOT FLYING, ATTEMPTED, TWICE, TO ASSUME CTL OF REVERSE LEVERS IN CONTRAVENTION OF ACCEPTED PRACTICES/PROCS. ATTEMPTED FULL REVERSE (TWICE), ALSO IMPROPER. OPERATOR -- PIC, NOT FLYING, FAILED TO INFORM SIC (PF) OF MAINT STATUS OF ACFT. IT WAS FOUND TO BE OUT OF COMPLIANCE WITH APPROVED ACFT INSPECTION PROGRAM (AAIP) AND HAD NO MAINT IN PAST YR. PIC HAD BEEN AWARE OF THIS FOR ENTIRE TRIP. SIC WAS A 'STANDBY' PLT, UNAWARE OF STATUS OF ACFT.
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.