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|
Attributes | |
ACN | 496500 |
Time | |
Date | 200012 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : sna.airport |
State Reference | CA |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : sna.tower |
Operator | common carrier : air carrier |
Make Model Name | A320 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | climbout : takeoff ground : taxi ground : holding |
Route In Use | departure : noise abatement |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : flight engineer pilot : atp pilot : cfi |
Experience | flight time last 90 days : 180 flight time total : 9000 flight time type : 600 |
ASRS Report | 496500 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | non adherence : published procedure non adherence : company policies |
Resolutory Action | none taken : detected after the fact |
Supplementary | |
Problem Areas | Flight Crew Human Performance Airport |
Primary Problem | Flight Crew Human Performance |
Narrative:
Briefed complex noise abatement procedure out of sna. Also briefed a bleeds off takeoff and took out appropriate checklist. Checklist called for bleeds to be shut off just prior to takeoff. After a lengthy taxi we were finally cleared for takeoff. We then rebriefed the noise abatement procedures highlights one last time. In the process of rebriefing, combined with the long taxi out, we did not complete the 'bleeds off' takeoff checklist. Lesson learned: keep the checklist in a conspicuous place prior to takeoff to avoid missing it. Also, airbus could modify the checklist to allow it to be done in its entirety during taxi out, as bleed air is normally available from the APU.
Original NASA ASRS Text
Title: AN AIRBUS CREW INADVERTENTLY TAKES OFF WITH BLEEDS ON WHEN CALLED FOR TO BE OFF BECAUSE OF PREOCCUPATION WITH SPECIAL ARPT NOISE ABATEMENT PROCS.
Narrative: BRIEFED COMPLEX NOISE ABATEMENT PROC OUT OF SNA. ALSO BRIEFED A BLEEDS OFF TKOF AND TOOK OUT APPROPRIATE CHKLIST. CHKLIST CALLED FOR BLEEDS TO BE SHUT OFF JUST PRIOR TO TKOF. AFTER A LENGTHY TAXI WE WERE FINALLY CLRED FOR TKOF. WE THEN REBRIEFED THE NOISE ABATEMENT PROCS HIGHLIGHTS ONE LAST TIME. IN THE PROCESS OF REBRIEFING, COMBINED WITH THE LONG TAXI OUT, WE DID NOT COMPLETE THE 'BLEEDS OFF' TKOF CHKLIST. LESSON LEARNED: KEEP THE CHKLIST IN A CONSPICUOUS PLACE PRIOR TO TKOF TO AVOID MISSING IT. ALSO, AIRBUS COULD MODIFY THE CHKLIST TO ALLOW IT TO BE DONE IN ITS ENTIRETY DURING TAXI OUT, AS BLEED AIR IS NORMALLY AVAILABLE FROM THE APU.
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.