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|
Attributes | |
ACN | 530969 |
Time | |
Date | 200111 |
Day | Sat |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | navaid : ewc.vortac |
State Reference | PA |
Altitude | msl single value : 19000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zob.artcc tower : pit.tower |
Operator | common carrier : air carrier |
Make Model Name | Do 328 TP (Turboprop) |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : intermediate altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : multi engine |
Experience | flight time total : 4800 flight time type : 2800 |
ASRS Report | 530969 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : cfi pilot : multi engine |
Experience | flight time last 90 days : 215 flight time total : 1350 flight time type : 620 |
ASRS Report | 530364 |
Events | |
Anomaly | non adherence : far non adherence : published procedure non adherence : company policies other anomaly other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : over spd warning flaps |
Resolutory Action | flight crew : became reoriented other |
Supplementary | |
Problem Areas | Environmental Factor Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
We were departing out of pit and we were assigned a 360 degree heading. Our company procedures are to climb to 500 ft on runway heading before turning to assigned headings. At 500 ft, the PNF calls '500 ft' and the PF calls 'flaps up.' just before the 500 ft call, the tower called traffic that would be 1000 ft above us once we leveled off. I was the PF, my first officer was the PNF. My first officer, the PNF, never made the '500 ft' call and the flaps were not retracted from 12 degrees to 0 degrees. At approximately 1500 ft AGL to 2000 ft AGL, I turned on the autoplt so I could divert some of my attention to look for the traffic. We both were focusing on locating the traffic. My first officer called '1500 ft,' which is company procedure to call for the after takeoff checks. I called for the after takeoff check at that time, flaps up are part of the after takeoff checklist and flaps up was missed by the PNF. I did not notice the extra drag because the autoplt was on and the airplane was performing well. The airplane was somewhat heavy that night and was climbing 2000 FPM through 10000 ft, and 1500 FPM all the way to 19000 ft, which would be normal. The airspeed was between 180 KTS and 190 KTS during the climb. Once we leveled off, the airplane slowly accelerated. We got a 'flap overspd' cas once we hit 200 KTS. The limitation for flaps 12 degrees is 200 KTS. My first officer quickly selected flaps up and the speed never reached 201 KTS. The cas extinguished by 201 KTS and the flaps indicated zero degrees. According to company policy, when a cas is extinguished no further action is required. We allowed ourselves to be distracted due to the traffic. This resulted in the limitations to be exceeded flaps 12 degrees 200 KTS. Maximum altitude flaps extended, 18000 ft. Supplemental information from acn 530364: in this case I unintentionally forgot the 500 ft call due to the distraction of resetting the heading bug, responding to ATC, etc, and the flaps were inadvertently left in the takeoff position (12 degrees). The PF called for the after takeoff checks which I completed including placing my hand on the flap control to ensure it was in the retracted detent. I did not either push up hard enough or the dark cockpit and my hand blocked me from observing the true position of the flaps. Failure to recognize the early turn as a distraction to normal operations and failure to confirm the flap position using the indicator instead of the handle itself were contributing factors that caused us to accidentally exceed the flap speed and altitude.
Original NASA ASRS Text
Title: A DO328 FLC EXCEEDS THE FLAPS EXTENDED SPD ON THEIR ACFT DURING CLB TO CRUISE ALT N OF PIT, PA.
Narrative: WE WERE DEPARTING OUT OF PIT AND WE WERE ASSIGNED A 360 DEG HDG. OUR COMPANY PROCS ARE TO CLB TO 500 FT ON RWY HEADING BEFORE TURNING TO ASSIGNED HEADINGS. AT 500 FT, THE PNF CALLS '500 FT' AND THE PF CALLS 'FLAPS UP.' JUST BEFORE THE 500 FT CALL, THE TWR CALLED TFC THAT WOULD BE 1000 FT ABOVE US ONCE WE LEVELED OFF. I WAS THE PF, MY FO WAS THE PNF. MY FO, THE PNF, NEVER MADE THE '500 FT' CALL AND THE FLAPS WERE NOT RETRACTED FROM 12 DEGS TO 0 DEGS. AT APPROX 1500 FT AGL TO 2000 FT AGL, I TURNED ON THE AUTOPLT SO I COULD DIVERT SOME OF MY ATTN TO LOOK FOR THE TFC. WE BOTH WERE FOCUSING ON LOCATING THE TFC. MY FO CALLED '1500 FT,' WHICH IS COMPANY PROC TO CALL FOR THE AFTER TKOF CHKS. I CALLED FOR THE AFTER TKOF CHK AT THAT TIME, FLAPS UP ARE PART OF THE AFTER TKOF CHKLIST AND FLAPS UP WAS MISSED BY THE PNF. I DID NOT NOTICE THE EXTRA DRAG BECAUSE THE AUTOPLT WAS ON AND THE AIRPLANE WAS PERFORMING WELL. THE AIRPLANE WAS SOMEWHAT HVY THAT NIGHT AND WAS CLBING 2000 FPM THROUGH 10000 FT, AND 1500 FPM ALL THE WAY TO 19000 FT, WHICH WOULD BE NORMAL. THE AIRSPD WAS BTWN 180 KTS AND 190 KTS DURING THE CLB. ONCE WE LEVELED OFF, THE AIRPLANE SLOWLY ACCELERATED. WE GOT A 'FLAP OVERSPD' CAS ONCE WE HIT 200 KTS. THE LIMITATION FOR FLAPS 12 DEGS IS 200 KTS. MY FO QUICKLY SELECTED FLAPS UP AND THE SPD NEVER REACHED 201 KTS. THE CAS EXTINGUISHED BY 201 KTS AND THE FLAPS INDICATED ZERO DEGS. ACCORDING TO COMPANY POLICY, WHEN A CAS IS EXTINGUISHED NO FURTHER ACTION IS REQUIRED. WE ALLOWED OURSELVES TO BE DISTRACTED DUE TO THE TFC. THIS RESULTED IN THE LIMITATIONS TO BE EXCEEDED FLAPS 12 DEGS 200 KTS. MAX ALT FLAPS EXTENDED, 18000 FT. SUPPLEMENTAL INFO FROM ACN 530364: IN THIS CASE I UNINTENTIONALLY FORGOT THE 500 FT CALL DUE TO THE DISTR OF RESETTING THE HEADING BUG, RESPONDING TO ATC, ETC, AND THE FLAPS WERE INADVERTENTLY LEFT IN THE TKOF POS (12 DEGS). THE PF CALLED FOR THE AFTER TKOF CHKS WHICH I COMPLETED INCLUDING PLACING MY HAND ON THE FLAP CTL TO ENSURE IT WAS IN THE RETRACTED DETENT. I DID NOT EITHER PUSH UP HARD ENOUGH OR THE DARK COCKPIT AND MY HAND BLOCKED ME FROM OBSERVING THE TRUE POS OF THE FLAPS. FAILURE TO RECOGNIZE THE EARLY TURN AS A DISTR TO NORMAL OPS AND FAILURE TO CONFIRM THE FLAP POS USING THE INDICATOR INSTEAD OF THE HANDLE ITSELF WERE CONTRIBUTING FACTORS THAT CAUSED US TO ACCIDENTALLY EXCEED THE FLAP SPD AND ALT.
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.