37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 531973 |
Time | |
Date | 200112 |
Day | Thu |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | A320 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | ground : pushback |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Experience | flight time last 90 days : 190 flight time total : 11000 flight time type : 4500 |
ASRS Report | 531973 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | cabin event other non adherence : published procedure non adherence : company policies other anomaly other |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | none taken : unable |
Consequence | other |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
During pushback, we were cleared to start engines. In order to initiate engine start, the engine mode selector must be turned to the right. Instead of turning the mode selector to the right, I accidentally turned the parking brake switch to the right, bringing the aircraft to a sudden stop. Although the switches have different shapes, they are located in the same general area of the control panel and both turn to the right to accurate. The sudden stop broke the towbar and a flight attendant was injured requiring a trip to the emergency room. She was treated and released. There was no damage to the aircraft, and no one was injured on the ground. The event happened during the 11TH hour of a 12 hour duty day. The day consisted of 4 1-HR legs with a 1 1/2 - 2 hour situation time between each leg. Shown time was XA50 with mountain time with release at XA00 pacific time. I feel that fatigue was a factor. I believe that sitting around waiting for the next departure is just as tiring as being in the air the whole time. The longer the wait on the ground, the longer it takes to get into the flying frame of mind. Every time we got into the cockpit to fly another leg was like starting a whole new day. I am being more careful about which switch I am putting my hand on now. Especially when it's late in the day.
Original NASA ASRS Text
Title: AN A320 CREW, DURING PUSHBACK AND ENG START, INSTEAD OF OPERATING THE ENG MODE SELECTOR, OPERATED THE PARKING BRAKE SELECTOR, BRINGING THE ACFT TO A SUDDEN STOP. INJURY TO A FLT ATTENDANT AND DAMAGE TO THE TOWBAR WAS THE RESULT.
Narrative: DURING PUSHBACK, WE WERE CLRED TO START ENGS. IN ORDER TO INITIATE ENG START, THE ENG MODE SELECTOR MUST BE TURNED TO THE R. INSTEAD OF TURNING THE MODE SELECTOR TO THE R, I ACCIDENTALLY TURNED THE PARKING BRAKE SWITCH TO THE R, BRINGING THE ACFT TO A SUDDEN STOP. ALTHOUGH THE SWITCHES HAVE DIFFERENT SHAPES, THEY ARE LOCATED IN THE SAME GENERAL AREA OF THE CTL PANEL AND BOTH TURN TO THE R TO ACCURATE. THE SUDDEN STOP BROKE THE TOWBAR AND A FLT ATTENDANT WAS INJURED REQUIRING A TRIP TO THE EMER ROOM. SHE WAS TREATED AND RELEASED. THERE WAS NO DAMAGE TO THE ACFT, AND NO ONE WAS INJURED ON THE GND. THE EVENT HAPPENED DURING THE 11TH HR OF A 12 HR DUTY DAY. THE DAY CONSISTED OF 4 1-HR LEGS WITH A 1 1/2 - 2 HR SIT TIME BTWN EACH LEG. SHOWN TIME WAS XA50 WITH MOUNTAIN TIME WITH RELEASE AT XA00 PACIFIC TIME. I FEEL THAT FATIGUE WAS A FACTOR. I BELIEVE THAT SITTING AROUND WAITING FOR THE NEXT DEP IS JUST AS TIRING AS BEING IN THE AIR THE WHOLE TIME. THE LONGER THE WAIT ON THE GND, THE LONGER IT TAKES TO GET INTO THE FLYING FRAME OF MIND. EVERY TIME WE GOT INTO THE COCKPIT TO FLY ANOTHER LEG WAS LIKE STARTING A WHOLE NEW DAY. I AM BEING MORE CAREFUL ABOUT WHICH SWITCH I AM PUTTING MY HAND ON NOW. ESPECIALLY WHEN IT'S LATE IN THE DAY.
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.