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|
Attributes | |
ACN | 324178 |
Time | |
Date | 199512 |
Day | Tue |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : ord |
State Reference | IL |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Flight Conditions | Mixed |
Light | Dusk |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B757-200 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | ground other : taxi |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 14000 flight time type : 200 |
ASRS Report | 324178 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 250 flight time total : 10500 flight time type : 100 |
ASRS Report | 324182 |
Events | |
Anomaly | non adherence : far other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | none taken : insufficient time |
Consequence | faa : investigated |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
First officer flew approach and landing at ord on runway 27R. Landing and rollout deceleration normal. I assumed control below 60 KTS and continued slowing for the high speed left turnoff. Several seconds after stowing the speed brake, the left engine accelerated toward full power and the aircraft accelerated into a right turn and went into the grass. First officer saw the left throttle full forward and pulled it back, then put both engines into full reverse. Aircraft stopped on grass and parallel to runway 27R. Passenger remained seated until deplaned by mobile stairs. No injuries or damage except to captain's ego. While the flight recorder data is unavailable, I am confident that I put the left throttle full forward by mistake while thinking that I was stowing the speed brake. After flying the B737- 300 for 3 1/2 yrs, the habit of stowing the speed brake by advancing the left throttle was well ingrained. The 757/767 fleet on air carrier X retract spoilers by manually pushing the lever full forward to the detent. I suspect that fatigue (last leg of a 4 day trip with consecutive very early starts) caused me to revert to habit patterns and I had a negative transfer from the B737. My 3 months on the B757 was not enough to overcome the B737 habit. Suggested fix: standardize spoiler retraction procedures among all fleets so that there is no negative habit pattern carryover when a pilot moves to another type aircraft. Supplemental information from acn 324182: while captain was taxiing on high speed I looked down to change UHF radio frequency. I felt the aircraft turn 90 degrees to the right, looked forward and noted left throttle was advanced. I retarded throttle, placed both engines in reverse and applied full wheel brakes. Aircraft departed paved taxiway and came to rest heading 270 degrees in grassy area south of and adjacent to runway 27R.
Original NASA ASRS Text
Title: RWY EXCURSION. PLT FATIGUE IMPROPER THROTTLE MOVEMENT.
Narrative: FO FLEW APCH AND LNDG AT ORD ON RWY 27R. LNDG AND ROLLOUT DECELERATION NORMAL. I ASSUMED CTL BELOW 60 KTS AND CONTINUED SLOWING FOR THE HIGH SPD L TURNOFF. SEVERAL SECONDS AFTER STOWING THE SPD BRAKE, THE L ENG ACCELERATED TOWARD FULL PWR AND THE ACFT ACCELERATED INTO A R TURN AND WENT INTO THE GRASS. FO SAW THE L THROTTLE FULL FORWARD AND PULLED IT BACK, THEN PUT BOTH ENGS INTO FULL REVERSE. ACFT STOPPED ON GRASS AND PARALLEL TO RWY 27R. PAX REMAINED SEATED UNTIL DEPLANED BY MOBILE STAIRS. NO INJURIES OR DAMAGE EXCEPT TO CAPT'S EGO. WHILE THE FLT RECORDER DATA IS UNAVAILABLE, I AM CONFIDENT THAT I PUT THE L THROTTLE FULL FORWARD BY MISTAKE WHILE THINKING THAT I WAS STOWING THE SPD BRAKE. AFTER FLYING THE B737- 300 FOR 3 1/2 YRS, THE HABIT OF STOWING THE SPD BRAKE BY ADVANCING THE L THROTTLE WAS WELL INGRAINED. THE 757/767 FLEET ON ACR X RETRACT SPOILERS BY MANUALLY PUSHING THE LEVER FULL FORWARD TO THE DETENT. I SUSPECT THAT FATIGUE (LAST LEG OF A 4 DAY TRIP WITH CONSECUTIVE VERY EARLY STARTS) CAUSED ME TO REVERT TO HABIT PATTERNS AND I HAD A NEGATIVE TRANSFER FROM THE B737. MY 3 MONTHS ON THE B757 WAS NOT ENOUGH TO OVERCOME THE B737 HABIT. SUGGESTED FIX: STANDARDIZE SPOILER RETRACTION PROCS AMONG ALL FLEETS SO THAT THERE IS NO NEGATIVE HABIT PATTERN CARRYOVER WHEN A PLT MOVES TO ANOTHER TYPE ACFT. SUPPLEMENTAL INFO FROM ACN 324182: WHILE CAPT WAS TAXIING ON HIGH SPD I LOOKED DOWN TO CHANGE UHF RADIO FREQ. I FELT THE ACFT TURN 90 DEGS TO THE R, LOOKED FORWARD AND NOTED L THROTTLE WAS ADVANCED. I RETARDED THROTTLE, PLACED BOTH ENGS IN REVERSE AND APPLIED FULL WHEEL BRAKES. ACFT DEPARTED PAVED TXWY AND CAME TO REST HDG 270 DEGS IN GRASSY AREA S OF AND ADJACENT TO RWY 27R.
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.