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|
Attributes | |
ACN | 497390 |
Time | |
Date | 200101 |
Day | Tue |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : mdw.airport |
State Reference | IL |
Altitude | agl single value : 0 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-700 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : takeoff roll |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 6000 flight time type : 200 |
ASRS Report | 497390 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 86 flight time total : 3500 flight time type : 86 |
ASRS Report | 497389 |
Events | |
Anomaly | non adherence : published procedure non adherence : company policies other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : tkof warning horn other flight crewa other flight crewb |
Resolutory Action | flight crew : rejected takeoff |
Consequence | other |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
After start checklist completed, called for takeoff flaps, taxied to runway 31C. Completed pretkof checklist, the cleared position and hold with pretkof checklist accomplished when cleared for takeoff (from standing still), advanced throttles and immediately got the takeoff warning horn with less than 5-10 KTS on aircraft. Throttles immediately reduced and we told tower that we 'needed to clear the runway' and proceed back to the hold short. We exited runway 31L at taxiway K and returned to the hold. When we got the horn, I immediately noticed the flap handle in the up position with the leading edge devices and total tef's showing normal up. The takeoff warning horn functioned normally. We set the flaps to position 5, recompleted pretkof checklist in entirety and waited for another clearance to take off. Flight continued normally and without further incident. This was definitely human factors/pilot error -- not mechanical. We both remember calling for flaps on the checklist and the proper response was made. How the flaps got back to up or never placed to 5 is not clear to us. We did everything as prescribed by the company and in a slow methodical and deliberate manner. We were not rushing or in a hurry. I am a new captain and he is a new hire in his first month after IOE. We were doing our dead level best to be as cautious as possible. I was certain the speed brake handle was not the cause. Lessons learned for both of us are many. We thoroughly debriefed and resolved to be ready or expect the unexpected. I believe our checklists/procedures are sound. A new captain and a new first officer, in this case, proved to be a weakness.
Original NASA ASRS Text
Title: B737-700 CREW HAD TKOF ABORT BECAUSE OF A TKOF WARNING HORN AT MDW.
Narrative: AFTER START CHKLIST COMPLETED, CALLED FOR TKOF FLAPS, TAXIED TO RWY 31C. COMPLETED PRETKOF CHKLIST, THE CLRED POS AND HOLD WITH PRETKOF CHKLIST ACCOMPLISHED WHEN CLRED FOR TKOF (FROM STANDING STILL), ADVANCED THROTTLES AND IMMEDIATELY GOT THE TKOF WARNING HORN WITH LESS THAN 5-10 KTS ON ACFT. THROTTLES IMMEDIATELY REDUCED AND WE TOLD TWR THAT WE 'NEEDED TO CLR THE RWY' AND PROCEED BACK TO THE HOLD SHORT. WE EXITED RWY 31L AT TXWY K AND RETURNED TO THE HOLD. WHEN WE GOT THE HORN, I IMMEDIATELY NOTICED THE FLAP HANDLE IN THE UP POS WITH THE LEADING EDGE DEVICES AND TOTAL TEF'S SHOWING NORMAL UP. THE TKOF WARNING HORN FUNCTIONED NORMALLY. WE SET THE FLAPS TO POS 5, RECOMPLETED PRETKOF CHKLIST IN ENTIRETY AND WAITED FOR ANOTHER CLRNC TO TAKE OFF. FLT CONTINUED NORMALLY AND WITHOUT FURTHER INCIDENT. THIS WAS DEFINITELY HUMAN FACTORS/PLT ERROR -- NOT MECHANICAL. WE BOTH REMEMBER CALLING FOR FLAPS ON THE CHKLIST AND THE PROPER RESPONSE WAS MADE. HOW THE FLAPS GOT BACK TO UP OR NEVER PLACED TO 5 IS NOT CLR TO US. WE DID EVERYTHING AS PRESCRIBED BY THE COMPANY AND IN A SLOW METHODICAL AND DELIBERATE MANNER. WE WERE NOT RUSHING OR IN A HURRY. I AM A NEW CAPT AND HE IS A NEW HIRE IN HIS FIRST MONTH AFTER IOE. WE WERE DOING OUR DEAD LEVEL BEST TO BE AS CAUTIOUS AS POSSIBLE. I WAS CERTAIN THE SPD BRAKE HANDLE WAS NOT THE CAUSE. LESSONS LEARNED FOR BOTH OF US ARE MANY. WE THOROUGHLY DEBRIEFED AND RESOLVED TO BE READY OR EXPECT THE UNEXPECTED. I BELIEVE OUR CHKLISTS/PROCS ARE SOUND. A NEW CAPT AND A NEW FO, IN THIS CASE, PROVED TO BE A WEAKNESS.
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.