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|
Attributes | |
ACN | 429350 |
Time | |
Date | 199902 |
Day | Mon |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : lax.airport |
State Reference | CA |
Altitude | agl bound lower : 0 agl bound upper : 3000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tower : lax.tower |
Operator | common carrier : air carrier |
Make Model Name | B747-400 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other vortac |
Flight Phase | climbout : takeoff climbout : initial ground : takeoff roll |
Route In Use | departure sid : ns |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : multi engine pilot : instrument pilot : commercial pilot : atp |
Experience | flight time last 90 days : 80 flight time total : 16000 flight time type : 700 |
ASRS Report | 429350 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : commercial pilot : instrument |
Events | |
Anomaly | aircraft equipment problem : critical cabin event : passenger illness non adherence : published procedure non adherence : company policies |
Independent Detector | other flight crewa |
Resolutory Action | aircraft : automation overrode flight crew none taken : anomaly accepted |
Consequence | other |
Supplementary | |
Problem Areas | Aircraft Cabin Crew Human Performance Company Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
Normal preparation for departure with slightly more than usual activities in cockpit, purser had concerns about 2 elderly passenger. Taxi out normal except a longer than normal wait for final weights. Just prior to taking the runway, received a call from the company that they had made an error in final weights and would send us a revision. In approximately 4 or 5 mins, we received new weights approximately 10000 pounds lower. Numbers inserted into FMC and takeoff checklist completed. On takeoff, acceleration appeared less than normal (takeoff power at reduced setting). However, the acceleration green arrow indicated substandard acceleration. This rate decreased as aircraft approached V1 -- rotated at vr approximately 1500-1800 ft from end of runway 25R. Climb out was below normal performance. Relief first officer instructed to call load planning to confirm weights. He responded that the problem occurred because the takeoff power was not set properly in the FMC. Page was selected to confirm, but data drops out once airborne. However, aircraft was now in climb confign and FMC selected to climb two power -- indicating that the FMC had either been programmed wrong or had some other irregularity. Bottom line is 4 pilots overlooked an improper power setting for takeoff. Too much reliance on the machine for normal operations. The old manual FLIP cards would have prevented this situation, or the FMC should verify the interaction between page information to prevent errors.
Original NASA ASRS Text
Title: A B747-400 PERFORMS A REDUCED THRUST TKOF AT LAX. CREW SENSES A PERFORMANCE THAT IS LESS THAN EXPECTED AND FINDS THAT THERE MAY HAVE BEEN AN ERROR COMMITTED IN INSERTING THE TKOF WTS IN THE FMC, THEREBY SETTING THE THRUST COMPUTER RESPONSES TO A SETTING TOO LOW FOR THE PROJECTED TKOF WT.
Narrative: NORMAL PREPARATION FOR DEP WITH SLIGHTLY MORE THAN USUAL ACTIVITIES IN COCKPIT, PURSER HAD CONCERNS ABOUT 2 ELDERLY PAX. TAXI OUT NORMAL EXCEPT A LONGER THAN NORMAL WAIT FOR FINAL WTS. JUST PRIOR TO TAKING THE RWY, RECEIVED A CALL FROM THE COMPANY THAT THEY HAD MADE AN ERROR IN FINAL WTS AND WOULD SEND US A REVISION. IN APPROX 4 OR 5 MINS, WE RECEIVED NEW WTS APPROX 10000 LBS LOWER. NUMBERS INSERTED INTO FMC AND TKOF CHKLIST COMPLETED. ON TKOF, ACCELERATION APPEARED LESS THAN NORMAL (TKOF PWR AT REDUCED SETTING). HOWEVER, THE ACCELERATION GREEN ARROW INDICATED SUBSTANDARD ACCELERATION. THIS RATE DECREASED AS ACFT APCHED V1 -- ROTATED AT VR APPROX 1500-1800 FT FROM END OF RWY 25R. CLBOUT WAS BELOW NORMAL PERFORMANCE. RELIEF FO INSTRUCTED TO CALL LOAD PLANNING TO CONFIRM WTS. HE RESPONDED THAT THE PROB OCCURRED BECAUSE THE TKOF PWR WAS NOT SET PROPERLY IN THE FMC. PAGE WAS SELECTED TO CONFIRM, BUT DATA DROPS OUT ONCE AIRBORNE. HOWEVER, ACFT WAS NOW IN CLB CONFIGN AND FMC SELECTED TO CLB TWO PWR -- INDICATING THAT THE FMC HAD EITHER BEEN PROGRAMMED WRONG OR HAD SOME OTHER IRREGULARITY. BOTTOM LINE IS 4 PLTS OVERLOOKED AN IMPROPER PWR SETTING FOR TKOF. TOO MUCH RELIANCE ON THE MACHINE FOR NORMAL OPS. THE OLD MANUAL FLIP CARDS WOULD HAVE PREVENTED THIS SIT, OR THE FMC SHOULD VERIFY THE INTERACTION BTWN PAGE INFO TO PREVENT ERRORS.
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.