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Air carrier crew departs with an unreviewed dispatch release message that required fuel to be loaded differently that it was.
| Attributes | |
| ACN | 450380 |
| Time | |
| Date | 199909 |
| Day | Tue |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : sfo.airport |
| State Reference | CA |
| Altitude | agl single value : 0 |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | tower : sfo.tower |
| Operator | common carrier : air carrier |
| Make Model Name | Widebody, Low Wing, 4 Turbojet Eng |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : pushback ground : preflight |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp pilot : flight engineer pilot : multi engine pilot : cfi |
| Experience | flight time last 90 days : 300 flight time total : 15000 flight time type : 550 |
| ASRS Report | 450380 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : multi engine pilot : atp pilot : commercial |
| Events | |
| Anomaly | aircraft equipment problem : less severe maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : company policies non adherence : published procedure non adherence other |
| Independent Detector | other flight crewa |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other |
| Supplementary | |
| Problem Areas | Aircraft Company Flight Crew Human Performance Maintenance Human Performance |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
During pushback from the gate, the #2 aft boost pump low pressure light illuminated. We checked circuit breakers in cockpit and none were popped. After engine start, we contacted dispatch and our maintenance department. They approved dispatch with our correct fuel load of approximately 140000 pounds of fuel. We did not have any center tank fuel. Just prior to takeoff, we received a new dispatch release message. Thinking that everything was legal, I did not personally review the new dispatch release message. After reaching cruise, I reviewed the dispatch release message and noticed that the deferred message required 10000 pounds of fuel in the center tank. I contacted dispatch and asked for clarification of the potential illegal situation. Dispatch contacted maintenance, and they stated we were legal without center tank fuel.
Original NASA ASRS Text
Title: ACR CREW DEPARTS WITH AN UNREVIEWED DISPATCH RELEASE MESSAGE THAT REQUIRED FUEL TO BE LOADED DIFFERENTLY THAT IT WAS.
Narrative: DURING PUSHBACK FROM THE GATE, THE #2 AFT BOOST PUMP LOW PRESSURE LIGHT ILLUMINATED. WE CHKED CIRCUIT BREAKERS IN COCKPIT AND NONE WERE POPPED. AFTER ENG START, WE CONTACTED DISPATCH AND OUR MAINT DEPT. THEY APPROVED DISPATCH WITH OUR CORRECT FUEL LOAD OF APPROX 140000 LBS OF FUEL. WE DID NOT HAVE ANY CTR TANK FUEL. JUST PRIOR TO TKOF, WE RECEIVED A NEW DISPATCH RELEASE MESSAGE. THINKING THAT EVERYTHING WAS LEGAL, I DID NOT PERSONALLY REVIEW THE NEW DISPATCH RELEASE MESSAGE. AFTER REACHING CRUISE, I REVIEWED THE DISPATCH RELEASE MESSAGE AND NOTICED THAT THE DEFERRED MESSAGE REQUIRED 10000 LBS OF FUEL IN THE CTR TANK. I CONTACTED DISPATCH AND ASKED FOR CLARIFICATION OF THE POTENTIAL ILLEGAL SIT. DISPATCH CONTACTED MAINT, AND THEY STATED WE WERE LEGAL WITHOUT CTR TANK FUEL.
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.