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|
Attributes | |
ACN | 535327 |
Time | |
Date | 200201 |
Day | Sun |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : cle.airport |
State Reference | OH |
Environment | |
Flight Conditions | IMC |
Weather Elements | Snow Fog Ice |
Aircraft 1 | |
Controlling Facilities | tower : cle.tower |
Operator | common carrier : air carrier |
Make Model Name | B737-700 |
Operating Under FAR Part | Part 121 |
Flight Phase | landing : go around |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : multi engine pilot : instrument pilot : atp pilot : commercial |
Experience | flight time last 90 days : 210 flight time total : 18746 flight time type : 2916 |
ASRS Report | 535327 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | inflight encounter : weather non adherence : company policies non adherence : published procedure other anomaly other anomaly other anomaly other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : auto thrust other flight crewa other flight crewb |
Resolutory Action | flight crew : executed go around flight crew : overrode automation flight crew : regained aircraft control other |
Consequence | faa : reviewed incident with flight crew Other |
Supplementary | |
Problem Areas | Environmental Factor Aircraft Airport Flight Crew Human Performance Weather |
Primary Problem | Flight Crew Human Performance |
Narrative:
I was captain of flight and functioning as the monitoring pilot for the first officer who was the PF. Approaching cle, our intended destination, we briefed for 2 different runways and approachs. ATC, tower changed the approach at least twice prior to commencing approach. Just prior to the approach, 2 aircraft ahead of us (B727) reported poor braking. So, I briefed the first officer that we would land flaps 40 degrees, brakes set at 3 degrees, and stressed that the first officer had to land right on the airspeed localizer/GS numbers in the landing zone. At about 400 ft I had a visual of the runway and called 'runway in sight.' the first officer disconnected the autoplt, but I failed to notice that he left the autothrottles on, which is contrary to SOP. While in the flare at about 30 ft, the throttles increased to takeoff/go around thrust, the first officer slammed the throttles back to idle, and the throttles once again moved forward. I didn't know if he was controling the throttles or the autothrust was, as I thought he had disconnected them when he disengaged the autoplt. After 1 or 2 seconds, he initiated a go around, at the same time I commanded a go around. On downwind while being vectored for another approach, tower wanted to know the reason for the go around. Since I hadn't had time to discuss it with the first officer, I asked him why and what happened. He said he thought he disconnected the autothrottles at about 50 ft but they would not disengage. So, that's what I reported. On the second attempt, he asked me to make approach, which I did to a successful landing, the autothrottles disconnected normally at about 400 ft when I pushed the autothrottle disconnect buttons on the sides of each throttle. On debriefing, I determined that he was unaware of the requirement to disengage autothrottles when disengaging autoplt. It is my belief that he hit the toga buttons by mistake which commanded the throttles to go around thrust. Once we landed, the tower once again asked me the reason for go around. I said 'we may have had a problem with the autothrottles and with poor braking being reported, elected to go around and try again.'
Original NASA ASRS Text
Title: AFTER A COUPLED APCH, A B737-700 FO FAILS TO DISCONNECT THE AUTOTHRUST DURING THE FLARE WITH THE CREW HAVING TO MAKE A GAR AT CLE, OH.
Narrative: I WAS CAPT OF FLT AND FUNCTIONING AS THE MONITORING PLT FOR THE FO WHO WAS THE PF. APCHING CLE, OUR INTENDED DEST, WE BRIEFED FOR 2 DIFFERENT RWYS AND APCHS. ATC, TWR CHANGED THE APCH AT LEAST TWICE PRIOR TO COMMENCING APCH. JUST PRIOR TO THE APCH, 2 ACFT AHEAD OF US (B727) RPTED POOR BRAKING. SO, I BRIEFED THE FO THAT WE WOULD LAND FLAPS 40 DEGS, BRAKES SET AT 3 DEGS, AND STRESSED THAT THE FO HAD TO LAND RIGHT ON THE AIRSPD LOC/GS NUMBERS IN THE LNDG ZONE. AT ABOUT 400 FT I HAD A VISUAL OF THE RWY AND CALLED 'RWY IN SIGHT.' THE FO DISCONNECTED THE AUTOPLT, BUT I FAILED TO NOTICE THAT HE LEFT THE AUTOTHROTTLES ON, WHICH IS CONTRARY TO SOP. WHILE IN THE FLARE AT ABOUT 30 FT, THE THROTTLES INCREASED TO TKOF/GAR THRUST, THE FO SLAMMED THE THROTTLES BACK TO IDLE, AND THE THROTTLES ONCE AGAIN MOVED FORWARD. I DIDN'T KNOW IF HE WAS CTLING THE THROTTLES OR THE AUTOTHRUST WAS, AS I THOUGHT HE HAD DISCONNECTED THEM WHEN HE DISENGAGED THE AUTOPLT. AFTER 1 OR 2 SECONDS, HE INITIATED A GAR, AT THE SAME TIME I COMMANDED A GAR. ON DOWNWIND WHILE BEING VECTORED FOR ANOTHER APCH, TWR WANTED TO KNOW THE REASON FOR THE GAR. SINCE I HADN'T HAD TIME TO DISCUSS IT WITH THE FO, I ASKED HIM WHY AND WHAT HAPPENED. HE SAID HE THOUGHT HE DISCONNECTED THE AUTOTHROTTLES AT ABOUT 50 FT BUT THEY WOULD NOT DISENGAGE. SO, THAT'S WHAT I RPTED. ON THE SECOND ATTEMPT, HE ASKED ME TO MAKE APCH, WHICH I DID TO A SUCCESSFUL LNDG, THE AUTOTHROTTLES DISCONNECTED NORMALLY AT ABOUT 400 FT WHEN I PUSHED THE AUTOTHROTTLE DISCONNECT BUTTONS ON THE SIDES OF EACH THROTTLE. ON DEBRIEFING, I DETERMINED THAT HE WAS UNAWARE OF THE REQUIREMENT TO DISENGAGE AUTOTHROTTLES WHEN DISENGAGING AUTOPLT. IT IS MY BELIEF THAT HE HIT THE TOGA BUTTONS BY MISTAKE WHICH COMMANDED THE THROTTLES TO GAR THRUST. ONCE WE LANDED, THE TWR ONCE AGAIN ASKED ME THE REASON FOR GAR. I SAID 'WE MAY HAVE HAD A PROB WITH THE AUTOTHROTTLES AND WITH POOR BRAKING BEING RPTED, ELECTED TO GO AROUND AND TRY AGAIN.'
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.