37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 412351 |
Time | |
Date | 199808 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : cvg |
State Reference | OH |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : sat |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other |
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 : 220 flight time total : 6500 flight time type : 2400 |
ASRS Report | 412351 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : published procedure non adherence : far other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : unspecified other flight crewa |
Resolutory Action | other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Very inexperienced first officer was PF. Cleared position and hold for several mins while traffic launched off crossing runway. When we were cleared for takeoff I reached up to turn on landing lights. Before I could look back down, I was surprised to hear abnormal engine and propeller spool up sounds. Got my eyes and hand down to throttle quadrant as rapidly as possible and found first officer had pushed up throttles instead of condition levers. We both pulled throttles back quickly. By the time I got my eyes on the engine gauges, torque was high, but spinning down too rapidly to read. It was definitely below the limitation value. Line-up check was completed and first officer made the takeoff. At that point, I considered it to have been a minor and momentary mistake. After a few mins reflection, however, I realized I had no idea how high the torque spike may have been. Called maintenance control and discussed what we had seen. After a few mins research they produced a value higher than the pilot limitation, but I had to tell them I couldn't be sure if that value had been exceeded. They decided that we had better bring it back for inspection. Should we have not made the takeoff? Hindsight might suggest that. At the time I was more concerned with creating an environment that would encourage first officer to relax -- settle down -- get his mind on flying rather than worry about having made the mistake. When I decided to call maintenance it was not because I actually thought we had exceeded a limit, it was a realization that since I didn't know (and gauge rate of change seemed to imply a probability that it had been much higher) it was no longer my decision to make as to whether to continue or give it back to maintenance.
Original NASA ASRS Text
Title: A PIC ALLOWS A TKOF ON AN LTT AFTER THE FO HAD OVERTORQUED BOTH ENGS. THE PIC DID NOT KNOW THE HIGHER LIMITS OF THE OVERTORQUE BUT THEN RETURNED TO DEP ARPT AFTER DUE REFLECTION.
Narrative: VERY INEXPERIENCED FO WAS PF. CLRED POS AND HOLD FOR SEVERAL MINS WHILE TFC LAUNCHED OFF XING RWY. WHEN WE WERE CLRED FOR TKOF I REACHED UP TO TURN ON LNDG LIGHTS. BEFORE I COULD LOOK BACK DOWN, I WAS SURPRISED TO HEAR ABNORMAL ENG AND PROP SPOOL UP SOUNDS. GOT MY EYES AND HAND DOWN TO THROTTLE QUADRANT AS RAPIDLY AS POSSIBLE AND FOUND FO HAD PUSHED UP THROTTLES INSTEAD OF CONDITION LEVERS. WE BOTH PULLED THROTTLES BACK QUICKLY. BY THE TIME I GOT MY EYES ON THE ENG GAUGES, TORQUE WAS HIGH, BUT SPINNING DOWN TOO RAPIDLY TO READ. IT WAS DEFINITELY BELOW THE LIMITATION VALUE. LINE-UP CHK WAS COMPLETED AND FO MADE THE TKOF. AT THAT POINT, I CONSIDERED IT TO HAVE BEEN A MINOR AND MOMENTARY MISTAKE. AFTER A FEW MINS REFLECTION, HOWEVER, I REALIZED I HAD NO IDEA HOW HIGH THE TORQUE SPIKE MAY HAVE BEEN. CALLED MAINT CTL AND DISCUSSED WHAT WE HAD SEEN. AFTER A FEW MINS RESEARCH THEY PRODUCED A VALUE HIGHER THAN THE PLT LIMITATION, BUT I HAD TO TELL THEM I COULDN'T BE SURE IF THAT VALUE HAD BEEN EXCEEDED. THEY DECIDED THAT WE HAD BETTER BRING IT BACK FOR INSPECTION. SHOULD WE HAVE NOT MADE THE TKOF? HINDSIGHT MIGHT SUGGEST THAT. AT THE TIME I WAS MORE CONCERNED WITH CREATING AN ENVIRONMENT THAT WOULD ENCOURAGE FO TO RELAX -- SETTLE DOWN -- GET HIS MIND ON FLYING RATHER THAN WORRY ABOUT HAVING MADE THE MISTAKE. WHEN I DECIDED TO CALL MAINT IT WAS NOT BECAUSE I ACTUALLY THOUGHT WE HAD EXCEEDED A LIMIT, IT WAS A REALIZATION THAT SINCE I DIDN'T KNOW (AND GAUGE RATE OF CHANGE SEEMED TO IMPLY A PROBABILITY THAT IT HAD BEEN MUCH HIGHER) IT WAS NO LONGER MY DECISION TO MAKE AS TO WHETHER TO CONTINUE OR GIVE IT BACK TO MAINT.
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.