37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 518100 |
Time | |
Date | 200107 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : rjtg.artcc |
State Reference | FO |
Altitude | msl single value : 37000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : rjtg.artcc |
Operator | common carrier : air carrier |
Make Model Name | B747-200 |
Operating Under FAR Part | Part 121 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : second officer |
Qualification | pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 7000 flight time type : 1200 |
ASRS Report | 518100 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : company policies non adherence : published procedure non adherence : far other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : engine instruments other flight crewa other flight crewb |
Resolutory Action | controller : provided flight assist controller : issued new clearance none taken : detected after the fact other |
Consequence | other |
Supplementary | |
Problem Areas | Company Flight Crew Human Performance Aircraft |
Primary Problem | Flight Crew Human Performance |
Narrative:
The #4 xfeed valve was closed on climb out and overlooked when establishing xfeed at leveloff. After 5 mins, the #4 engine rolled back and the crew performed the engine failure checklist and initiated a descent. After securing the engine, the closed valve was discovered and a successful restart was performed. Most of our B747 aircraft have a warning system that will blink the fuel pressure lights if no fuel source is selected. This aircraft did not. Callback conversation with reporter revealed the following information: reporter said the flight was from rjaa to rctp. Because of the short leg the inboard mains only had about 700 pounds more than the onboard mains. The so accidentally closed the #4 xfeed when the #4 main tank pumps were off. The so did not know that the aircraft is supposed to suction feed fuel in this circumstance. The air carrier does not mention this requirement in the aircraft flight manual. The reporter thinks the air carrier needs to check that all aircraft are capable of suction feed and provide maintenance as necessary.
Original NASA ASRS Text
Title: B747-200 CREW HAD #4 ENG ROLL BACK WHEN IT WOULD NOT SUCTION FEED FUEL FROM ITS FUEL TANK.
Narrative: THE #4 XFEED VALVE WAS CLOSED ON CLBOUT AND OVERLOOKED WHEN ESTABLISHING XFEED AT LEVELOFF. AFTER 5 MINS, THE #4 ENG ROLLED BACK AND THE CREW PERFORMED THE ENG FAILURE CHKLIST AND INITIATED A DSCNT. AFTER SECURING THE ENG, THE CLOSED VALVE WAS DISCOVERED AND A SUCCESSFUL RESTART WAS PERFORMED. MOST OF OUR B747 ACFT HAVE A WARNING SYS THAT WILL BLINK THE FUEL PRESSURE LIGHTS IF NO FUEL SOURCE IS SELECTED. THIS ACFT DID NOT. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: RPTR SAID THE FLT WAS FROM RJAA TO RCTP. BECAUSE OF THE SHORT LEG THE INBOARD MAINS ONLY HAD ABOUT 700 LBS MORE THAN THE ONBOARD MAINS. THE SO ACCIDENTALLY CLOSED THE #4 XFEED WHEN THE #4 MAIN TANK PUMPS WERE OFF. THE SO DID NOT KNOW THAT THE ACFT IS SUPPOSED TO SUCTION FEED FUEL IN THIS CIRCUMSTANCE. THE ACR DOES NOT MENTION THIS REQUIREMENT IN THE ACFT FLT MANUAL. THE RPTR THINKS THE ACR NEEDS TO CHK THAT ALL ACFT ARE CAPABLE OF SUCTION FEED AND PROVIDE MAINT AS NECESSARY.
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.