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|
Attributes | |
ACN | 437406 |
Time | |
Date | 199905 |
Day | Wed |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : ewr.airport |
State Reference | NJ |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zkc.artcc |
Operator | common carrier : air carrier |
Make Model Name | B757 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : maintenance ground : parked |
Flight Plan | None |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : atp pilot : cfi pilot : commercial pilot : instrument |
Experience | flight time last 90 days : 190 flight time total : 7200 flight time type : 600 |
ASRS Report | 437406 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 140 flight time total : 11000 flight time type : 4800 |
ASRS Report | 437401 |
Events | |
Anomaly | aircraft equipment problem : critical ground encounters : fod maintenance problem : improper maintenance non adherence : company policies |
Independent Detector | other other : 3 |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Supplementary | |
Problem Areas | Flight Crew Human Performance Aircraft Maintenance Human Performance |
Primary Problem | Maintenance Human Performance |
Narrative:
Aircraft (B757) was parked at gate at ewr airport. Maintenance had been working on a hydraulic leak on/near the #2 right engine. As part of the troubleshooting, they requested that we start the right engine and 'run it in reverse' when directed to do so by one of the mechanics over the intercom. The mechanic informed us that the area around the aircraft was clear and it was ok for us to start an engine at the gate. (Gate is quite extended from the terminal.) the captain slowly raised the reverse lever out of idle. However the engine was very slow to spool up. When it finally did accelerate, he immediately returned the lever to idle. We then learned that a maintenance ladder, which had been sitting next to the #2 engine (though we were told the area was clear), was blown across the ramp, under the aircraft, into the #1 left engine -- damaging the fiberglas cowling. In retrospect the engine should never have been run in reverse at or near the gate. As the first officer, I was kind of removed from the troubleshooting and communication process between the captain and the lead mechanic. I was surprised when the captain actually 'pulled' the reverse lever out of its detent into reverse. I had assumed that the captain would only 'open the buckets,' activate the hydraulic reverse accumulator, without going into full reverse thrust. I believe that this was also the intention of the mechanic, but he failed to clearly communicate this to the captain, who understood 'run it in reverse' as utilizing reverse thrust. With better communication and CRM this incident could have been prevented. In the future I will leave all mechanic troubleshooting up to our maintenance department. By 'just wanting to help and get the passenger out on time' we contributed to this unfortunate incident and aircraft damage. Supplemental information from acn 437401: I later found out that maintenance is not permitted to run an engine in reverse at the gate. I suspect they asked me to expedite the process -- ie, no taxi to run-up area. Poor judgement on my part to get involved.
Original NASA ASRS Text
Title: A B757 PIC BLASTS A LADDER INTO HIS #1 ENG COWL DURING AN ILLEGAL GND RUN-UP AT THE GATE AT EWR, NJ.
Narrative: ACFT (B757) WAS PARKED AT GATE AT EWR ARPT. MAINT HAD BEEN WORKING ON A HYD LEAK ON/NEAR THE #2 R ENG. AS PART OF THE TROUBLESHOOTING, THEY REQUESTED THAT WE START THE R ENG AND 'RUN IT IN REVERSE' WHEN DIRECTED TO DO SO BY ONE OF THE MECHS OVER THE INTERCOM. THE MECH INFORMED US THAT THE AREA AROUND THE ACFT WAS CLR AND IT WAS OK FOR US TO START AN ENG AT THE GATE. (GATE IS QUITE EXTENDED FROM THE TERMINAL.) THE CAPT SLOWLY RAISED THE REVERSE LEVER OUT OF IDLE. HOWEVER THE ENG WAS VERY SLOW TO SPOOL UP. WHEN IT FINALLY DID ACCELERATE, HE IMMEDIATELY RETURNED THE LEVER TO IDLE. WE THEN LEARNED THAT A MAINT LADDER, WHICH HAD BEEN SITTING NEXT TO THE #2 ENG (THOUGH WE WERE TOLD THE AREA WAS CLR), WAS BLOWN ACROSS THE RAMP, UNDER THE ACFT, INTO THE #1 L ENG -- DAMAGING THE FIBERGLAS COWLING. IN RETROSPECT THE ENG SHOULD NEVER HAVE BEEN RUN IN REVERSE AT OR NEAR THE GATE. AS THE FO, I WAS KIND OF REMOVED FROM THE TROUBLESHOOTING AND COM PROCESS BTWN THE CAPT AND THE LEAD MECH. I WAS SURPRISED WHEN THE CAPT ACTUALLY 'PULLED' THE REVERSE LEVER OUT OF ITS DETENT INTO REVERSE. I HAD ASSUMED THAT THE CAPT WOULD ONLY 'OPEN THE BUCKETS,' ACTIVATE THE HYD REVERSE ACCUMULATOR, WITHOUT GOING INTO FULL REVERSE THRUST. I BELIEVE THAT THIS WAS ALSO THE INTENTION OF THE MECH, BUT HE FAILED TO CLRLY COMMUNICATE THIS TO THE CAPT, WHO UNDERSTOOD 'RUN IT IN REVERSE' AS UTILIZING REVERSE THRUST. WITH BETTER COM AND CRM THIS INCIDENT COULD HAVE BEEN PREVENTED. IN THE FUTURE I WILL LEAVE ALL MECH TROUBLESHOOTING UP TO OUR MAINT DEPT. BY 'JUST WANTING TO HELP AND GET THE PAX OUT ON TIME' WE CONTRIBUTED TO THIS UNFORTUNATE INCIDENT AND ACFT DAMAGE. SUPPLEMENTAL INFO FROM ACN 437401: I LATER FOUND OUT THAT MAINT IS NOT PERMITTED TO RUN AN ENG IN REVERSE AT THE GATE. I SUSPECT THEY ASKED ME TO EXPEDITE THE PROCESS -- IE, NO TAXI TO RUN-UP AREA. POOR JUDGEMENT ON MY PART TO GET INVOLVED.
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.