37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 280261 |
Time | |
Date | 199408 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : lny |
State Reference | HI |
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 | Twin Otter DHC-6 |
Operating Under FAR Part | Part 135 |
Flight Phase | climbout : takeoff other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air taxi |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 3500 flight time type : 2200 |
ASRS Report | 280261 |
Person 2 | |
Affiliation | company : air taxi |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | inflight encounter : weather other anomaly other anomaly other other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : rejected takeoff other |
Consequence | other Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
To begin it is important to mention the conditions that were present at the field. It was VFR, but with tail winds at the approach end of runway 03/21 (the only runway), and a shift about midway in the 2500 ft runway. It was the captain's leg back to honolulu, we had obtained our canned IFR clearance with a 2 min void left. Being there was a quartering tailwind at the both approach ends of the runways, the captain chose to depart at the end closest to our position. This would give us a right quartering tailwind with a slight uphill gradient. We completed all checklists, called CTAF and entered the runway. The captain lined the aircraft up on centerline at the end of runway 21, with the tiller bar. He then advanced power while holding the brakes to about 25 pounds of torque. He then released the brakes, within 3 seconds the aircraft slowly veered , he corrected to the right but the tiller input set us on a 45 degree course towards the right side of the runway, he then corrected back to the left with about the same result, (a 45 degree cut towards the left edge). It was then that he brought the power levers to full reverse but could not stop prior to exiting the runway into the grass and decelerating parallel to the runway. There was no damage to the twin otter, a tough airplane. The aircraft did not contact any edge lights or obstacles. After allowing 4 of the 18 passenger to deplane at their request the captain departed from runway 3 (same runway but downhill) without event, and continued to hnl. I think a crew procedure that called for the PNF to hold aileron into the wind at the beginning of the takeoff roll while the captain is busy with the tiller and power levers would have helped maintain control in the shearing winds. The only other causes I can see may have been a reluctance to discontinue the takeoff sooner and departing downhill initially. I would have to attribute the major cause to wind shear. The captain is a retired air force pilot, a check airman with the company, and is very conservative and conscientious with several thousand hours in the otter. The flight was scheduled and routine.
Original NASA ASRS Text
Title: CAPT OF AN LTT TWIN OTTER LOST DIRECTIONAL CTL DURING TKOF ROLL RESULTING IN RUNNING OFF THE SIDE OF THE RWY.
Narrative: TO BEGIN IT IS IMPORTANT TO MENTION THE CONDITIONS THAT WERE PRESENT AT THE FIELD. IT WAS VFR, BUT WITH TAIL WINDS AT THE APCH END OF RWY 03/21 (THE ONLY RWY), AND A SHIFT ABOUT MIDWAY IN THE 2500 FT RWY. IT WAS THE CAPT'S LEG BACK TO HONOLULU, WE HAD OBTAINED OUR CANNED IFR CLRNC WITH A 2 MIN VOID LEFT. BEING THERE WAS A QUARTERING TAILWIND AT THE BOTH APCH ENDS OF THE RWYS, THE CAPT CHOSE TO DEPART AT THE END CLOSEST TO OUR POS. THIS WOULD GIVE US A RIGHT QUARTERING TAILWIND WITH A SLIGHT UPHILL GRADIENT. WE COMPLETED ALL CHKLISTS, CALLED CTAF AND ENTERED THE RWY. THE CAPT LINED THE ACFT UP ON CTRLINE AT THE END OF RWY 21, WITH THE TILLER BAR. HE THEN ADVANCED PWR WHILE HOLDING THE BRAKES TO ABOUT 25 LBS OF TORQUE. HE THEN RELEASED THE BRAKES, WITHIN 3 SECONDS THE ACFT SLOWLY VEERED , HE CORRECTED TO THE R BUT THE TILLER INPUT SET US ON A 45 DEG COURSE TOWARDS THE R SIDE OF THE RWY, HE THEN CORRECTED BACK TO THE L WITH ABOUT THE SAME RESULT, (A 45 DEG CUT TOWARDS THE L EDGE). IT WAS THEN THAT HE BROUGHT THE PWR LEVERS TO FULL REVERSE BUT COULD NOT STOP PRIOR TO EXITING THE RWY INTO THE GRASS AND DECELERATING PARALLEL TO THE RWY. THERE WAS NO DAMAGE TO THE TWIN OTTER, A TOUGH AIRPLANE. THE ACFT DID NOT CONTACT ANY EDGE LIGHTS OR OBSTACLES. AFTER ALLOWING 4 OF THE 18 PAX TO DEPLANE AT THEIR REQUEST THE CAPT DEPARTED FROM RWY 3 (SAME RWY BUT DOWNHILL) WITHOUT EVENT, AND CONTINUED TO HNL. I THINK A CREW PROC THAT CALLED FOR THE PNF TO HOLD AILERON INTO THE WIND AT THE BEGINNING OF THE TKOF ROLL WHILE THE CAPT IS BUSY WITH THE TILLER AND PWR LEVERS WOULD HAVE HELPED MAINTAIN CTL IN THE SHEARING WINDS. THE ONLY OTHER CAUSES I CAN SEE MAY HAVE BEEN A RELUCTANCE TO DISCONTINUE THE TKOF SOONER AND DEPARTING DOWNHILL INITIALLY. I WOULD HAVE TO ATTRIBUTE THE MAJOR CAUSE TO WIND SHEAR. THE CAPT IS A RETIRED AIR FORCE PLT, A CHK AIRMAN WITH THE COMPANY, AND IS VERY CONSERVATIVE AND CONSCIENTIOUS WITH SEVERAL THOUSAND HRS IN THE OTTER. THE FLT WAS SCHEDULED AND ROUTINE.
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.