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Flight crew of DC9-15F is called from crew rest to reposition an aircraft for cargo flight. After preflight and strapping the cargo pallets down the takeoff is started. The pallets shift and takeoff aborted. It appears there is minor damage, pallets are re-strapped and flight continues.
| Attributes | |
| ACN | 386988 |
| Time | |
| Date | 199711 |
| Day | Fri |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : syr |
| State Reference | NY |
| 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 | DC-9 10 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | climbout : takeoff |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| Experience | flight time last 90 days : 86 flight time total : 7700 flight time type : 3000 |
| ASRS Report | 386988 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : instrument pilot : commercial |
| Events | |
| Anomaly | aircraft equipment problem : critical other anomaly other |
| Independent Detector | other flight crewa |
| Resolutory Action | none taken : unable |
| Consequence | other |
| Supplementary | |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
Started crew rest at approximately XX30 EST following an 11 hour crew day. First officer started crew rest at the same time following a 4.5 hour crew day (crew changed at cvg). At approximately XY00 EST our company dispatch/flight following called us out of crew rest to reposition (part 91 ferry) a DC9-15F to yip for a revenue flight. Another crew will continue on from yip. Our DC9-15F was parked at syr cargo ramp with the cargo deck stacked in the 'B' position adjacent to the cargo door. Previous trip had been with igloo pallets. After checking weight and balance parameters I directed the first officer to strap down the cargo deck pallets at position 'B' while I went to get the flight plan and release information. When I returned to the aircraft 15 mins later the first officer had the pallet stack strapped down, aircraft preparation and preflight completed. I visually inspected the strapped down pallets from the cabin entrance door area. At the beginning of takeoff roll we heard the cargo pallets shift in the cargo bay and I rejected the takeoff and returned to the ramp. At the ramp we discovered the bottom pallet locked in place at the 'B' position, the remaining 5 pallets (all strapped together) had slid to the aft 'a' position. We noted superficial damage to 2 panels at the aft end of the cargo bay and I elected to continue to yip after we resecured the cargo deck pallets. Contributing factors from my perspective: 1) crew rest -- first officer was sent from yip to cvg for a crew change. He had been awake 20+ hours when his crew day started at cvg. 2) cargo pallets were strapped to the second from bottom pallet vice the bottom pallet. 3)I only visually checked the cargo deck pallets stacked and strapped at position 'B.' 4) I should have written up the aft cargo panel damage in syr. Maintenance personnel at yip discovered extensive damage behind the panels and the DC9-15F is still in maintenance at yip.
Original NASA ASRS Text
Title: FLC OF DC9-15F IS CALLED FROM CREW REST TO REPOSITION AN ACFT FOR CARGO FLT. AFTER PREFLT AND STRAPPING THE CARGO PALLETS DOWN THE TKOF IS STARTED. THE PALLETS SHIFT AND TKOF ABORTED. IT APPEARS THERE IS MINOR DAMAGE, PALLETS ARE RE-STRAPPED AND FLT CONTINUES.
Narrative: STARTED CREW REST AT APPROX XX30 EST FOLLOWING AN 11 HR CREW DAY. FO STARTED CREW REST AT THE SAME TIME FOLLOWING A 4.5 HR CREW DAY (CREW CHANGED AT CVG). AT APPROX XY00 EST OUR COMPANY DISPATCH/FLT FOLLOWING CALLED US OUT OF CREW REST TO REPOSITION (PART 91 FERRY) A DC9-15F TO YIP FOR A REVENUE FLT. ANOTHER CREW WILL CONTINUE ON FROM YIP. OUR DC9-15F WAS PARKED AT SYR CARGO RAMP WITH THE CARGO DECK STACKED IN THE 'B' POS ADJACENT TO THE CARGO DOOR. PREVIOUS TRIP HAD BEEN WITH IGLOO PALLETS. AFTER CHKING WT AND BAL PARAMETERS I DIRECTED THE FO TO STRAP DOWN THE CARGO DECK PALLETS AT POS 'B' WHILE I WENT TO GET THE FLT PLAN AND RELEASE INFO. WHEN I RETURNED TO THE ACFT 15 MINS LATER THE FO HAD THE PALLET STACK STRAPPED DOWN, ACFT PREPARATION AND PREFLT COMPLETED. I VISUALLY INSPECTED THE STRAPPED DOWN PALLETS FROM THE CABIN ENTRANCE DOOR AREA. AT THE BEGINNING OF TKOF ROLL WE HEARD THE CARGO PALLETS SHIFT IN THE CARGO BAY AND I REJECTED THE TKOF AND RETURNED TO THE RAMP. AT THE RAMP WE DISCOVERED THE BOTTOM PALLET LOCKED IN PLACE AT THE 'B' POS, THE REMAINING 5 PALLETS (ALL STRAPPED TOGETHER) HAD SLID TO THE AFT 'A' POS. WE NOTED SUPERFICIAL DAMAGE TO 2 PANELS AT THE AFT END OF THE CARGO BAY AND I ELECTED TO CONTINUE TO YIP AFTER WE RESECURED THE CARGO DECK PALLETS. CONTRIBUTING FACTORS FROM MY PERSPECTIVE: 1) CREW REST -- FO WAS SENT FROM YIP TO CVG FOR A CREW CHANGE. HE HAD BEEN AWAKE 20+ HRS WHEN HIS CREW DAY STARTED AT CVG. 2) CARGO PALLETS WERE STRAPPED TO THE SECOND FROM BOTTOM PALLET VICE THE BOTTOM PALLET. 3)I ONLY VISUALLY CHKED THE CARGO DECK PALLETS STACKED AND STRAPPED AT POS 'B.' 4) I SHOULD HAVE WRITTEN UP THE AFT CARGO PANEL DAMAGE IN SYR. MAINT PERSONNEL AT YIP DISCOVERED EXTENSIVE DAMAGE BEHIND THE PANELS AND THE DC9-15F IS STILL IN MAINT AT YIP.
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.