37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 466493 |
Time | |
Date | 200003 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : msp.airport |
State Reference | MN |
Altitude | msl single value : 3000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : m98.tracon tower : mso.tower |
Operator | common carrier : air carrier |
Make Model Name | B727 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | ils localizer & glide slope : 30r |
Flight Phase | descent : approach landing : go around |
Route In Use | approach : instrument precision |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : flight engineer pilot : cfi |
Experience | flight time last 90 days : 225 flight time total : 20000 flight time type : 9000 |
ASRS Report | 466493 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp pilot : multi engine pilot : flight engineer pilot : cfi |
Experience | flight time last 90 days : 200 flight time total : 8000 flight time type : 2500 |
ASRS Report | 466581 |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : published procedure non adherence : company policies other anomaly other |
Independent Detector | other flight crewa other flight crewb other other : 3 |
Resolutory Action | controller : issued new clearance flight crew : declared emergency flight crew : landed in emergency condition flight crew : executed go around |
Consequence | other |
Supplementary | |
Problem Areas | Chart Or Publication Aircraft Flight Crew Human Performance |
Primary Problem | Aircraft |
Narrative:
On final to runway 30R, with gear down and flaps set to 25 degrees, we had a complete loss of our hydraulic 'a' system. So and I completed the appropriate checklist and landed uneventfully. Later, on the layover we realized we landed with the incorrect flap setting called for in the procedures. Should have been 15 degrees, we used 30 degrees. When practicing this procedure in training, we always start off clean, flaps 0 degrees. We then dirtied up the airplane using the checklist. Because we were already beyond flaps 15 degrees, the checklist sort of led us past that step the way we read it (incorrectly). We had already completed the approach check before anything happened and we passed the page that continues after approach check. (The book says 'accomplish the approach check if not previously accomplished').
Original NASA ASRS Text
Title: B727 CREW HAD A SYS HYD FAILURE ON APCH AT MSP.
Narrative: ON FINAL TO RWY 30R, WITH GEAR DOWN AND FLAPS SET TO 25 DEGS, WE HAD A COMPLETE LOSS OF OUR HYD 'A' SYS. SO AND I COMPLETED THE APPROPRIATE CHKLIST AND LANDED UNEVENTFULLY. LATER, ON THE LAYOVER WE REALIZED WE LANDED WITH THE INCORRECT FLAP SETTING CALLED FOR IN THE PROCS. SHOULD HAVE BEEN 15 DEGS, WE USED 30 DEGS. WHEN PRACTICING THIS PROC IN TRAINING, WE ALWAYS START OFF CLEAN, FLAPS 0 DEGS. WE THEN DIRTIED UP THE AIRPLANE USING THE CHKLIST. BECAUSE WE WERE ALREADY BEYOND FLAPS 15 DEGS, THE CHKLIST SORT OF LED US PAST THAT STEP THE WAY WE READ IT (INCORRECTLY). WE HAD ALREADY COMPLETED THE APCH CHK BEFORE ANYTHING HAPPENED AND WE PASSED THE PAGE THAT CONTINUES AFTER APCH CHK. (THE BOOK SAYS 'ACCOMPLISH THE APCH CHK IF NOT PREVIOUSLY ACCOMPLISHED').
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.