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|
Attributes | |
ACN | 485240 |
Time | |
Date | 200009 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : sjc.airport |
State Reference | CA |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : taxi ground : pushback |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : multi engine pilot : instrument pilot : flight engineer pilot : commercial |
Experience | flight time last 90 days : 200 flight time total : 20000 flight time type : 10000 |
ASRS Report | 485240 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : commercial |
Events | |
Anomaly | conflict : ground critical ground encounters : vehicle non adherence : company policies other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Consequence | other other other other |
Supplementary | |
Problem Areas | Company Airport Flight Crew Human Performance ATC Human Performance Maintenance Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
As captain of this flight, I called for and completed the before start checklist and then released brakes and cleared the tug operator to commence pushback for our flight. The pushback crew was from another air carrier under contract and consisted of the tug operator who was on headset and 1 wing walker instead of our usual 2. As the pushback was in progress, the first officer and I started the #1 engine and then the #2 engine. The aircraft was pushed back with a 90 degree turn to align us on a taxiway and when pushback was complete, I set the brakes at the tug operator's request. I then cleared him to disconnect the tow bar and headset and told him I'd see him out front. I called for the after start checklist which the first officer and I performed along with our usual panel scans. I heard the normal 'clunk' of the tow bar being disconnected and the 'click' of the communications door being closed. Also in my peripheral vision, I thought I saw the tug initiate movement back from the aircraft and the marshaller walk a few steps away from the aircraft with her back to me. I flashed the taxi light for the tug operator signaling that I was ready to taxi. At that point, I called for the first officer to select flaps 5 degrees and call for taxi clearance. We were then cleared by ground control to taxi to runway 30L after an MD80 passed us on our right side on a parallel taxiway. I asked the first officer if he saw the MD80 and he looked to his right and said he saw the MD80 coming, but it was some distance back yet. I waited until I saw the other aircraft pass our right and then scanned in front of and to the right of our aircraft and saw no hazards. I thought I must have missed the taxi salute from the marshaller and both were well clear and probably already back at the gate. I commenced to taxi and shortly thereafter felt the aircraft shudder and stop. We had contacted the tug with the #1 engine. After my initial shock at what had happened, I told the first officer to notify ground control of what had happened and to request that emergency equipment be dispatched to our location as a precaution. I performed applicable parts of the engine fire on ground checklist to shut down the engines and secure the aircraft from further damage, made a short PA to the passenger, and called operations on the radio to inform them what had happened and asked them to notify the company. Passenger were deplaned via stairs and returned to the terminal. Thankfully, no injuries were incurred by anyone. Factors contributing to this mishap were that pushback was made with a contract crew from another airline that used only 2 people instead of 3. That led to a situation where no one was out in front of the aircraft to be visible and give a stop signal at a critical time when both the tug operator and the marshaller were under the nose of the aircraft out of sight of the cockpit crew. Additionally, I was distraction from my normal outside vigilance by looking for another aircraft to follow and that drew my attention away from the front of the aircraft. Most important, however, was the fact that I assumed that I must have been clear to taxi when I saw nothing in front of the aircraft. Moral: never ever taxi an aircraft without a definite 'clear to taxi' signal from your marshaller. Things may not be where you think they area. It can happen to you!
Original NASA ASRS Text
Title: THE CAPT OF A B737 TAXIES HIS ACFT'S #1 ENG INTO A TUG DURING THE RAMP DEP PROC AT SJC, CA.
Narrative: AS CAPT OF THIS FLT, I CALLED FOR AND COMPLETED THE BEFORE START CHKLIST AND THEN RELEASED BRAKES AND CLRED THE TUG OPERATOR TO COMMENCE PUSHBACK FOR OUR FLT. THE PUSHBACK CREW WAS FROM ANOTHER ACR UNDER CONTRACT AND CONSISTED OF THE TUG OPERATOR WHO WAS ON HEADSET AND 1 WING WALKER INSTEAD OF OUR USUAL 2. AS THE PUSHBACK WAS IN PROGRESS, THE FO AND I STARTED THE #1 ENG AND THEN THE #2 ENG. THE ACFT WAS PUSHED BACK WITH A 90 DEG TURN TO ALIGN US ON A TXWY AND WHEN PUSHBACK WAS COMPLETE, I SET THE BRAKES AT THE TUG OPERATOR'S REQUEST. I THEN CLRED HIM TO DISCONNECT THE TOW BAR AND HEADSET AND TOLD HIM I'D SEE HIM OUT FRONT. I CALLED FOR THE AFTER START CHKLIST WHICH THE FO AND I PERFORMED ALONG WITH OUR USUAL PANEL SCANS. I HEARD THE NORMAL 'CLUNK' OF THE TOW BAR BEING DISCONNECTED AND THE 'CLICK' OF THE COMS DOOR BEING CLOSED. ALSO IN MY PERIPHERAL VISION, I THOUGHT I SAW THE TUG INITIATE MOVEMENT BACK FROM THE ACFT AND THE MARSHALLER WALK A FEW STEPS AWAY FROM THE ACFT WITH HER BACK TO ME. I FLASHED THE TAXI LIGHT FOR THE TUG OPERATOR SIGNALING THAT I WAS READY TO TAXI. AT THAT POINT, I CALLED FOR THE FO TO SELECT FLAPS 5 DEGS AND CALL FOR TAXI CLRNC. WE WERE THEN CLRED BY GND CTL TO TAXI TO RWY 30L AFTER AN MD80 PASSED US ON OUR R SIDE ON A PARALLEL TXWY. I ASKED THE FO IF HE SAW THE MD80 AND HE LOOKED TO HIS R AND SAID HE SAW THE MD80 COMING, BUT IT WAS SOME DISTANCE BACK YET. I WAITED UNTIL I SAW THE OTHER ACFT PASS OUR R AND THEN SCANNED IN FRONT OF AND TO THE R OF OUR ACFT AND SAW NO HAZARDS. I THOUGHT I MUST HAVE MISSED THE TAXI SALUTE FROM THE MARSHALLER AND BOTH WERE WELL CLR AND PROBABLY ALREADY BACK AT THE GATE. I COMMENCED TO TAXI AND SHORTLY THEREAFTER FELT THE ACFT SHUDDER AND STOP. WE HAD CONTACTED THE TUG WITH THE #1 ENG. AFTER MY INITIAL SHOCK AT WHAT HAD HAPPENED, I TOLD THE FO TO NOTIFY GND CTL OF WHAT HAD HAPPENED AND TO REQUEST THAT EMER EQUIP BE DISPATCHED TO OUR LOCATION AS A PRECAUTION. I PERFORMED APPLICABLE PARTS OF THE ENG FIRE ON GND CHKLIST TO SHUT DOWN THE ENGS AND SECURE THE ACFT FROM FURTHER DAMAGE, MADE A SHORT PA TO THE PAX, AND CALLED OPS ON THE RADIO TO INFORM THEM WHAT HAD HAPPENED AND ASKED THEM TO NOTIFY THE COMPANY. PAX WERE DEPLANED VIA STAIRS AND RETURNED TO THE TERMINAL. THANKFULLY, NO INJURIES WERE INCURRED BY ANYONE. FACTORS CONTRIBUTING TO THIS MISHAP WERE THAT PUSHBACK WAS MADE WITH A CONTRACT CREW FROM ANOTHER AIRLINE THAT USED ONLY 2 PEOPLE INSTEAD OF 3. THAT LED TO A SIT WHERE NO ONE WAS OUT IN FRONT OF THE ACFT TO BE VISIBLE AND GIVE A STOP SIGNAL AT A CRITICAL TIME WHEN BOTH THE TUG OPERATOR AND THE MARSHALLER WERE UNDER THE NOSE OF THE ACFT OUT OF SIGHT OF THE COCKPIT CREW. ADDITIONALLY, I WAS DISTR FROM MY NORMAL OUTSIDE VIGILANCE BY LOOKING FOR ANOTHER ACFT TO FOLLOW AND THAT DREW MY ATTN AWAY FROM THE FRONT OF THE ACFT. MOST IMPORTANT, HOWEVER, WAS THE FACT THAT I ASSUMED THAT I MUST HAVE BEEN CLR TO TAXI WHEN I SAW NOTHING IN FRONT OF THE ACFT. MORAL: NEVER EVER TAXI AN ACFT WITHOUT A DEFINITE 'CLR TO TAXI' SIGNAL FROM YOUR MARSHALLER. THINGS MAY NOT BE WHERE YOU THINK THEY AREA. IT CAN HAPPEN TO YOU!
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.