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|
Attributes | |
ACN | 251696 |
Time | |
Date | 199309 |
Day | Tue |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : ord |
State Reference | IL |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Flight Conditions | IMC |
Light | Night |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Large Transport, Low Wing, 3 Turbojet Eng |
Flight Phase | ground : preflight |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : second officer |
Qualification | pilot : private pilot : instrument pilot : flight engineer pilot : commercial pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 3000 flight time type : 1100 |
ASRS Report | 251696 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | 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:
On preflight for flight with leg from ord to msp, I, as the so, made a mistake in the weight and balance verification before pushback. Our release fuel for this leg was 31000 pounds. The weight and balance reflected 25000 pounds and I did not catch it, nor did the 2 ramp agents who signed the weight and balance before I reviewed it, or the captain who signed it after I reviewed it. The contributing factors to this event would include: rainy and windy WX at ord, back side of the clock schedule without having slept during the day, the ramp personnel confirming 3 times that the fuel should be 31000 pounds. The ramp agent discussing an increase in the '0' fuel weight. 2 mins prior to delivering the weight and balance to me, distrs with loading crew to mop up puddles in the entry way and cockpit from the rain, an increase in payload that differed from the flight release projection, and this resulted in approximately the same takeoff gross weight (13500 pounds) which we had expected, pressure to expedite for on- time pushback. Result: our weight and balance showed a takeoff gross weight of approximately 13400 pounds instead of actual 14100 pounds. I discovered error in preparation for landing calculations at msp. I discussed it immediately with the captain. He discussed with company safety department on arrival at msp. Corrective action is, as always, pay specific attention to details. No other problems occurred on this flight. Supplemental information from acn 251687: as all 3 flight crew members and 2 ramp agents all missed the discrepancy, I can offer no definitive answer as to why. Obviously, the ultimate responsibility rests with me, and I somehow flubbed up and missed it! We had to leave lgb for ord at XA30 local, and fly all night to msp via ord. The change in flight time (day versus night) and body cycle also, I feel, contributed. Also, since we caught a similar error at lgb, I feel like the ramp agent should also be required to visually/verbally ascertain for himself the actual fuel on board before entering the amount into the computer to generate the weight and balance. Mistakes happen. This one was minor. But it is an important lesson for double-/triple-checking oneself during all phases of operations, particularly in those where fatigue, back side of the clock, and such factors are present. If not accomplished, as evidenced by this occurrence, errors can fall through the cracks, no matter how many checks and balances are applied.
Original NASA ASRS Text
Title: MISTAKE IN WT AND BAL CALCULATIONS NOT CAUGHT UNTIL AFTER TKOF.
Narrative: ON PREFLT FOR FLT WITH LEG FROM ORD TO MSP, I, AS THE SO, MADE A MISTAKE IN THE WT AND BAL VERIFICATION BEFORE PUSHBACK. OUR RELEASE FUEL FOR THIS LEG WAS 31000 LBS. THE WT AND BAL REFLECTED 25000 LBS AND I DID NOT CATCH IT, NOR DID THE 2 RAMP AGENTS WHO SIGNED THE WT AND BAL BEFORE I REVIEWED IT, OR THE CAPT WHO SIGNED IT AFTER I REVIEWED IT. THE CONTRIBUTING FACTORS TO THIS EVENT WOULD INCLUDE: RAINY AND WINDY WX AT ORD, BACK SIDE OF THE CLOCK SCHEDULE WITHOUT HAVING SLEPT DURING THE DAY, THE RAMP PERSONNEL CONFIRMING 3 TIMES THAT THE FUEL SHOULD BE 31000 LBS. THE RAMP AGENT DISCUSSING AN INCREASE IN THE '0' FUEL WT. 2 MINS PRIOR TO DELIVERING THE WT AND BAL TO ME, DISTRS WITH LOADING CREW TO MOP UP PUDDLES IN THE ENTRY WAY AND COCKPIT FROM THE RAIN, AN INCREASE IN PAYLOAD THAT DIFFERED FROM THE FLT RELEASE PROJECTION, AND THIS RESULTED IN APPROX THE SAME TKOF GROSS WT (13500 LBS) WHICH WE HAD EXPECTED, PRESSURE TO EXPEDITE FOR ON- TIME PUSHBACK. RESULT: OUR WT AND BAL SHOWED A TKOF GROSS WT OF APPROX 13400 LBS INSTEAD OF ACTUAL 14100 LBS. I DISCOVERED ERROR IN PREPARATION FOR LNDG CALCULATIONS AT MSP. I DISCUSSED IT IMMEDIATELY WITH THE CAPT. HE DISCUSSED WITH COMPANY SAFETY DEPT ON ARR AT MSP. CORRECTIVE ACTION IS, AS ALWAYS, PAY SPECIFIC ATTN TO DETAILS. NO OTHER PROBS OCCURRED ON THIS FLT. SUPPLEMENTAL INFORMATION FROM ACN 251687: AS ALL 3 FLC MEMBERS AND 2 RAMP AGENTS ALL MISSED THE DISCREPANCY, I CAN OFFER NO DEFINITIVE ANSWER AS TO WHY. OBVIOUSLY, THE ULTIMATE RESPONSIBILITY RESTS WITH ME, AND I SOMEHOW FLUBBED UP AND MISSED IT! WE HAD TO LEAVE LGB FOR ORD AT XA30 LCL, AND FLY ALL NIGHT TO MSP VIA ORD. THE CHANGE IN FLT TIME (DAY VERSUS NIGHT) AND BODY CYCLE ALSO, I FEEL, CONTRIBUTED. ALSO, SINCE WE CAUGHT A SIMILAR ERROR AT LGB, I FEEL LIKE THE RAMP AGENT SHOULD ALSO BE REQUIRED TO VISUALLY/VERBALLY ASCERTAIN FOR HIMSELF THE ACTUAL FUEL ON BOARD BEFORE ENTERING THE AMOUNT INTO THE COMPUTER TO GENERATE THE WT AND BAL. MISTAKES HAPPEN. THIS ONE WAS MINOR. BUT IT IS AN IMPORTANT LESSON FOR DOUBLE-/TRIPLE-CHKING ONESELF DURING ALL PHASES OF OPS, PARTICULARLY IN THOSE WHERE FATIGUE, BACK SIDE OF THE CLOCK, AND SUCH FACTORS ARE PRESENT. IF NOT ACCOMPLISHED, AS EVIDENCED BY THIS OCCURRENCE, ERRORS CAN FALL THROUGH THE CRACKS, NO MATTER HOW MANY CHKS AND BALS ARE APPLIED.
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.