37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 354820 |
Time | |
Date | 199612 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : zzz |
State Reference | US |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Flight Conditions | IMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tower : ord |
Operator | common carrier : air carrier |
Make Model Name | B757 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | ground : preflight |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 35 flight time total : 3200 flight time type : 400 |
ASRS Report | 354820 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Events | |
Anomaly | other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact none taken : insufficient time |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Go around from missed approach was poorly executed because captain improperly set MCP altitude window and first officer retracted speed brake without command. Together these caused a flap overspd of 10 KTS. After normal landing, flap discrepancy was not entered in the logbook due to late arrival, quick turn, and distraction of snow removal. Because of the rushed ground operations, crew did not debrief the go around sufficiently to discover overspd. The event was more thoroughly discussed at the next station, and the decision was made to enter it in the logbook there. Had we taken the time to thoroughly debrief the event and consider its severity, we would not have departed the first station without entering and properly deferring the discrepancy.
Original NASA ASRS Text
Title: B757 FLC ON GAR RETRACTS SPD BRAKES EARLY CAUSING FLAP OVERSPD. THIS WAS NOT ENTERED IN LOGBOOK DUE TO QUICK TURN AROUND AND DELAYED DEBRIEFING ON THE INCIDENT.
Narrative: GAR FROM MISSED APCH WAS POORLY EXECUTED BECAUSE CAPT IMPROPERLY SET MCP ALT WINDOW AND FO RETRACTED SPD BRAKE WITHOUT COMMAND. TOGETHER THESE CAUSED A FLAP OVERSPD OF 10 KTS. AFTER NORMAL LNDG, FLAP DISCREPANCY WAS NOT ENTERED IN THE LOGBOOK DUE TO LATE ARR, QUICK TURN, AND DISTR OF SNOW REMOVAL. BECAUSE OF THE RUSHED GND OPS, CREW DID NOT DEBRIEF THE GAR SUFFICIENTLY TO DISCOVER OVERSPD. THE EVENT WAS MORE THOROUGHLY DISCUSSED AT THE NEXT STATION, AND THE DECISION WAS MADE TO ENTER IT IN THE LOGBOOK THERE. HAD WE TAKEN THE TIME TO THOROUGHLY DEBRIEF THE EVENT AND CONSIDER ITS SEVERITY, WE WOULD NOT HAVE DEPARTED THE FIRST STATION WITHOUT ENTERING AND PROPERLY DEFERRING THE DISCREPANCY.
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.