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|
Attributes | |
ACN | 264692 |
Time | |
Date | 199402 |
Day | Sun |
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 | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Flight Phase | other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : instrument pilot : atp pilot : commercial |
Experience | flight time last 90 days : 160 flight time total : 16000 flight time type : 400 |
ASRS Report | 264692 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : second officer |
Qualification | pilot : commercial pilot : instrument pilot : atp pilot : private pilot : flight engineer |
Experience | flight time last 90 days : 180 flight time total : 2050 |
ASRS Report | 264684 |
Events | |
Anomaly | conflict : ground critical 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 | Pilot Deviation |
Narrative:
During pushback, rear airstairs remained down. Slight damage to airstair area. No structural damage. The accident occurred because the flight was late. The so is responsible for raising the airstairs prior to departure. So was involved in computing the weight and balance and failed to observe the warning light on his annunciator panel. The captain is required to confirm stairs retracted, but could not see the panel because of the physical position he was in to complete weight and balance. The pushback crew consisted of 2 wing observers plus an individual in the tug. All failed to observe the rear stairs and damage resulted. It is my belief that all crew members should be free of any administrative duties while the aircraft is moving. Distraction in the cockpit, plus a desire to operate on schedule, contribute to multiple distrs, resulting in minor damage. A risk exists for a more severe situation. Supplemental information from acn 264684: all checklists were completed down to the line. We were behind schedule and there were several conversations going on from inside and outside the aircraft. I was attending to required paperwork. In response to checklist called by first officer, I heard the captain say door lights out. I felt the aircraft move and heard a loud noise. Upon inspection, the crew found the aft airstair down. Supplemental information from acn 265064: so is responsible to inform flight attendants to raise airstair. This is a checklist item normally deferred until pushback. Backup for this item is another checklist item which requires the so to check a warning light. Also, the tractor driver is required to check with wingwalkers. Fact: no one noticed the light, even though at least the captain looked for it. It may have been extinguished. The tractor driver did not look at the wingwalkers, who apparently use the stair movement as a 'ready to push' signal. These are recently hired 'contract' workers, not hired by the airline, but a contractor. Cockpit has too much to worry about at pushback: papers, people, agents, drivers, tower, and checklists. Simplify by removing non-essential items. Insure that crews are concerned with aircraft functions, not airline functions, i.e., on-time, baggage, passenger problems. Pay cuts, increased duties, and other job pressures lead to over-concern with non-flying functions.
Original NASA ASRS Text
Title: ACFT DAMAGED WHEN AFT STAIRS ARE LEFT DOWN DURING RAMP OP PUSHBACK.
Narrative: DURING PUSHBACK, REAR AIRSTAIRS REMAINED DOWN. SLIGHT DAMAGE TO AIRSTAIR AREA. NO STRUCTURAL DAMAGE. THE ACCIDENT OCCURRED BECAUSE THE FLT WAS LATE. THE SO IS RESPONSIBLE FOR RAISING THE AIRSTAIRS PRIOR TO DEP. SO WAS INVOLVED IN COMPUTING THE WT AND BAL AND FAILED TO OBSERVE THE WARNING LIGHT ON HIS ANNUNCIATOR PANEL. THE CAPT IS REQUIRED TO CONFIRM STAIRS RETRACTED, BUT COULD NOT SEE THE PANEL BECAUSE OF THE PHYSICAL POS HE WAS IN TO COMPLETE WT AND BAL. THE PUSHBACK CREW CONSISTED OF 2 WING OBSERVERS PLUS AN INDIVIDUAL IN THE TUG. ALL FAILED TO OBSERVE THE REAR STAIRS AND DAMAGE RESULTED. IT IS MY BELIEF THAT ALL CREW MEMBERS SHOULD BE FREE OF ANY ADMINISTRATIVE DUTIES WHILE THE ACFT IS MOVING. DISTR IN THE COCKPIT, PLUS A DESIRE TO OPERATE ON SCHEDULE, CONTRIBUTE TO MULTIPLE DISTRS, RESULTING IN MINOR DAMAGE. A RISK EXISTS FOR A MORE SEVERE SIT. SUPPLEMENTAL INFO FROM ACN 264684: ALL CHKLISTS WERE COMPLETED DOWN TO THE LINE. WE WERE BEHIND SCHEDULE AND THERE WERE SEVERAL CONVERSATIONS GOING ON FROM INSIDE AND OUTSIDE THE ACFT. I WAS ATTENDING TO REQUIRED PAPERWORK. IN RESPONSE TO CHKLIST CALLED BY FO, I HEARD THE CAPT SAY DOOR LIGHTS OUT. I FELT THE ACFT MOVE AND HEARD A LOUD NOISE. UPON INSPECTION, THE CREW FOUND THE AFT AIRSTAIR DOWN. SUPPLEMENTAL INFO FROM ACN 265064: SO IS RESPONSIBLE TO INFORM FLT ATTENDANTS TO RAISE AIRSTAIR. THIS IS A CHKLIST ITEM NORMALLY DEFERRED UNTIL PUSHBACK. BACKUP FOR THIS ITEM IS ANOTHER CHKLIST ITEM WHICH REQUIRES THE SO TO CHK A WARNING LIGHT. ALSO, THE TRACTOR DRIVER IS REQUIRED TO CHK WITH WINGWALKERS. FACT: NO ONE NOTICED THE LIGHT, EVEN THOUGH AT LEAST THE CAPT LOOKED FOR IT. IT MAY HAVE BEEN EXTINGUISHED. THE TRACTOR DRIVER DID NOT LOOK AT THE WINGWALKERS, WHO APPARENTLY USE THE STAIR MOVEMENT AS A 'READY TO PUSH' SIGNAL. THESE ARE RECENTLY HIRED 'CONTRACT' WORKERS, NOT HIRED BY THE AIRLINE, BUT A CONTRACTOR. COCKPIT HAS TOO MUCH TO WORRY ABOUT AT PUSHBACK: PAPERS, PEOPLE, AGENTS, DRIVERS, TWR, AND CHKLISTS. SIMPLIFY BY REMOVING NON-ESSENTIAL ITEMS. INSURE THAT CREWS ARE CONCERNED WITH ACFT FUNCTIONS, NOT AIRLINE FUNCTIONS, I.E., ON-TIME, BAGGAGE, PAX PROBS. PAY CUTS, INCREASED DUTIES, AND OTHER JOB PRESSURES LEAD TO OVER-CONCERN WITH NON-FLYING FUNCTIONS.
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.