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|
Attributes | |
ACN | 272411 |
Time | |
Date | 199405 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : dtw |
State Reference | MI |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Flight Conditions | Marginal |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | A320 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | climbout : takeoff ground : preflight ground other : taxi |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : flight engineer pilot : commercial pilot : atp |
Experience | flight time last 90 days : 250 flight time total : 5500 flight time type : 250 |
ASRS Report | 272411 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 250 flight time total : 20000 flight time type : 250 |
ASRS Report | 272231 |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : far non adherence other 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:
Release amended without knowledge or concurrence of captain. Fuel requirements changed by dispatch. Crew did not notice release #2 on ACARS weight data. Dispatch did not inform crew of new release, nor did they notice flight data fuel sent by crew was fuel required by first release. Flight landed at dca without incident and with adequate fuel. Callback conversation with reporter revealed the following information: reporter revealed that the extra fuel message was sent for ATC delays in the dc area account thunderstorm activity. The delays were not that long and the flight landed with adequate fuel. There was a mixup in the message coordination between the dispatch section and the weight forms division of this air carrier. One division blamed the other for the lapse in coordination with dtw operations, who then was unaware of the fuel changes and let the flight go with the original fuel load. The only notice the crew had was the small notation of 'release #2' on the ACARS which they misread. No other release was sent for PIC's concurrence. Supplemental information from acn 272231: release amended after I signed release (added fuel). I was not aware of change (we missed the fact that the ACARS data showed release #2 and not #1). ACARS should be changed so that an error message is sent when the release and/or fuel on board are different from the correct values.
Original NASA ASRS Text
Title: ACR A-320 DEPARTS ARPT WITH INADEQUATE FUEL RESERVES.
Narrative: RELEASE AMENDED WITHOUT KNOWLEDGE OR CONCURRENCE OF CAPT. FUEL REQUIREMENTS CHANGED BY DISPATCH. CREW DID NOT NOTICE RELEASE #2 ON ACARS WT DATA. DISPATCH DID NOT INFORM CREW OF NEW RELEASE, NOR DID THEY NOTICE FLT DATA FUEL SENT BY CREW WAS FUEL REQUIRED BY FIRST RELEASE. FLT LANDED AT DCA WITHOUT INCIDENT AND WITH ADEQUATE FUEL. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: RPTR REVEALED THAT THE EXTRA FUEL MESSAGE WAS SENT FOR ATC DELAYS IN THE DC AREA ACCOUNT TSTM ACTIVITY. THE DELAYS WERE NOT THAT LONG AND THE FLT LANDED WITH ADEQUATE FUEL. THERE WAS A MIXUP IN THE MESSAGE COORD BTWN THE DISPATCH SECTION AND THE WT FORMS DIVISION OF THIS ACR. ONE DIVISION BLAMED THE OTHER FOR THE LAPSE IN COORD WITH DTW OPS, WHO THEN WAS UNAWARE OF THE FUEL CHANGES AND LET THE FLT GO WITH THE ORIGINAL FUEL LOAD. THE ONLY NOTICE THE CREW HAD WAS THE SMALL NOTATION OF 'RELEASE #2' ON THE ACARS WHICH THEY MISREAD. NO OTHER RELEASE WAS SENT FOR PIC'S CONCURRENCE. SUPPLEMENTAL INFO FROM ACN 272231: RELEASE AMENDED AFTER I SIGNED RELEASE (ADDED FUEL). I WAS NOT AWARE OF CHANGE (WE MISSED THE FACT THAT THE ACARS DATA SHOWED RELEASE #2 AND NOT #1). ACARS SHOULD BE CHANGED SO THAT AN ERROR MESSAGE IS SENT WHEN THE RELEASE AND/OR FUEL ON BOARD ARE DIFFERENT FROM THE CORRECT VALUES.
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.