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Air carrier large transport leaves the gate without having received fuel required for flight. Ramp operation ground refueling procedure faulty.
| Attributes | |
| ACN | 263405 |
| Time | |
| Date | 199402 |
| Day | Mon |
| Local Time Of Day | 1201 To 1800 |
| Place | |
| Locale Reference | airport : dca |
| State Reference | DC |
| Altitude | agl bound lower : 0 agl bound upper : 0 |
| Environment | |
| Flight Conditions | Mixed |
| Light | Daylight |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | Commercial Fixed Wing |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : holding ground : preflight ground other : taxi |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : second officer |
| Qualification | pilot : instrument pilot : flight engineer pilot : commercial |
| Experience | flight time last 90 days : 60 flight time total : 4000 flight time type : 1200 |
| ASRS Report | 263405 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : atp pilot : flight engineer pilot : instrument pilot : commercial |
| Experience | flight time last 90 days : 200 flight time total : 15000 flight time type : 6000 |
| ASRS Report | 263402 |
| Events | |
| Anomaly | aircraft equipment problem : critical non adherence : far non adherence : published procedure other anomaly other |
| Independent Detector | other flight crewa |
| Resolutory Action | none taken : detected after the fact |
| Consequence | Other Other |
| Supplementary | |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
After a late arrival, aircraft 'quick-turned' for next departure, pushed back for next flight on time, but the fueler put insufficient fuel on board. Due to ATC, jumpseat rider, and clearance changes we were distracted during the checklist. Fuel quantity discrepancy noticed on 'taxi checklist' after engines started and pushed from gate. No flight occurred, crew elected to return to gate. Sterile environment was not controled by crew. Supplemental information from acn 263402: distrs from receiving a clearance with a 'wheels up' time and the ensuing discussion about whether to taxi or take delay at gate, etc. Distrs from jumpseat rider arriving while checklist was read. Fueler 'hooked up' but left when he discovered he was out of fuel and never returned. Being rushed to make an on-time departure. Corrective action: eliminate (do not allow) distrs during checklists. Read and respond to checklists like it's the first time you've read it or responded to it. Supplemental information from acn 263393: fuel check missed during checklist due to multiple checklist interruptions. Restarted checklist picked up after fuel item. 30 min ground hold delay by ATC. Shutdown equipment to conserve fuel on restarting engines and before takeoff checklist fuel shortage discovered. Returned to gate, proper fuel boarded. As PIC I will be changing my personal procedures to include a sign off of fuel boarded on aircraft.
Original NASA ASRS Text
Title: ACR LGT LEAVES THE GATE WITHOUT HAVING RECEIVED FUEL REQUIRED FOR FLT. RAMP OP GND REFUELING PROC FAULTY.
Narrative: AFTER A LATE ARR, ACFT 'QUICK-TURNED' FOR NEXT DEP, PUSHED BACK FOR NEXT FLT ON TIME, BUT THE FUELER PUT INSUFFICIENT FUEL ON BOARD. DUE TO ATC, JUMPSEAT RIDER, AND CLRNC CHANGES WE WERE DISTRACTED DURING THE CHKLIST. FUEL QUANTITY DISCREPANCY NOTICED ON 'TAXI CHKLIST' AFTER ENGS STARTED AND PUSHED FROM GATE. NO FLT OCCURRED, CREW ELECTED TO RETURN TO GATE. STERILE ENVIRONMENT WAS NOT CTLED BY CREW. SUPPLEMENTAL INFO FROM ACN 263402: DISTRS FROM RECEIVING A CLRNC WITH A 'WHEELS UP' TIME AND THE ENSUING DISCUSSION ABOUT WHETHER TO TAXI OR TAKE DELAY AT GATE, ETC. DISTRS FROM JUMPSEAT RIDER ARRIVING WHILE CHKLIST WAS READ. FUELER 'HOOKED UP' BUT LEFT WHEN HE DISCOVERED HE WAS OUT OF FUEL AND NEVER RETURNED. BEING RUSHED TO MAKE AN ON-TIME DEP. CORRECTIVE ACTION: ELIMINATE (DO NOT ALLOW) DISTRS DURING CHKLISTS. READ AND RESPOND TO CHKLISTS LIKE IT'S THE FIRST TIME YOU'VE READ IT OR RESPONDED TO IT. SUPPLEMENTAL INFO FROM ACN 263393: FUEL CHK MISSED DURING CHKLIST DUE TO MULTIPLE CHKLIST INTERRUPTIONS. RESTARTED CHKLIST PICKED UP AFTER FUEL ITEM. 30 MIN GND HOLD DELAY BY ATC. SHUTDOWN EQUIP TO CONSERVE FUEL ON RESTARTING ENGS AND BEFORE TKOF CHKLIST FUEL SHORTAGE DISCOVERED. RETURNED TO GATE, PROPER FUEL BOARDED. AS PIC I WILL BE CHANGING MY PERSONAL PROCS TO INCLUDE A SIGN OFF OF FUEL BOARDED ON 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.