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After parking at the end of the duty assignment. The flight crew of a B757 ran the shutdown checklists and went home to bed leaving the right engine still running. Duty schedule fatigue was claimed for the error.
| Attributes | |
| ACN | 355680 |
| Time | |
| Date | 199612 |
| Day | Sun |
| Local Time Of Day | 0001 To 0600 |
| Place | |
| Locale Reference | airport : ord |
| State Reference | IL |
| Altitude | agl bound lower : 0 agl bound upper : 0 |
| Environment | |
| Flight Conditions | IMC |
| Light | Night |
| Aircraft 1 | |
| 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 : parked |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | other other : other pilot : atp pilot : flight engineer |
| Experience | flight time last 90 days : 150 flight time total : 15000 flight time type : 700 |
| ASRS Report | 355680 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : cfi pilot : flight engineer pilot : atp |
| Experience | flight time last 90 days : 200 flight time total : 9800 flight time type : 560 |
| ASRS Report | 356228 |
| Events | |
| Anomaly | non adherence : far other anomaly other |
| Independent Detector | other other : unspecified |
| Resolutory Action | none taken : detected after the fact |
| Consequence | Other |
| Supplementary | |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
Left r-hand engine running and departed aircraft. Checklists were accomplished, but reference to 'start levers-cutoff fuel flow zero' not actually observed by crew. I was sure I saw zero fuel flow but was tired and then did not actually observe start levers. After XA30 on duty all night I didn't see what I thought I saw. Fatigue reduced situational awareness -- too much in this case. Supplemental information from acn 356228: the flight to sea and back to ord was normal. We parked the aircraft, read the checklist, and went home to bed. I was soon waken up by someone wondering why we had left #2 engine running.
Original NASA ASRS Text
Title: AFTER PARKING AT THE END OF THE DUTY ASSIGNMENT. THE FLC OF A B757 RAN THE SHUTDOWN CHKLISTS AND WENT HOME TO BED LEAVING THE R ENG STILL RUNNING. DUTY SCHEDULE FATIGUE WAS CLAIMED FOR THE ERROR.
Narrative: LEFT R-HAND ENG RUNNING AND DEPARTED ACFT. CHKLISTS WERE ACCOMPLISHED, BUT REF TO 'START LEVERS-CUTOFF FUEL FLOW ZERO' NOT ACTUALLY OBSERVED BY CREW. I WAS SURE I SAW ZERO FUEL FLOW BUT WAS TIRED AND THEN DID NOT ACTUALLY OBSERVE START LEVERS. AFTER XA30 ON DUTY ALL NIGHT I DIDN'T SEE WHAT I THOUGHT I SAW. FATIGUE REDUCED SITUATIONAL AWARENESS -- TOO MUCH IN THIS CASE. SUPPLEMENTAL INFO FROM ACN 356228: THE FLT TO SEA AND BACK TO ORD WAS NORMAL. WE PARKED THE ACFT, READ THE CHKLIST, AND WENT HOME TO BED. I WAS SOON WAKEN UP BY SOMEONE WONDERING WHY WE HAD LEFT #2 ENG RUNNING.
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.