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|
Attributes | |
ACN | 538283 |
Time | |
Date | 200202 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : slc.airport |
State Reference | UT |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | IMC |
Weather Elements | Fog |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | ground : takeoff roll |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : cfi |
Experience | flight time last 90 days : 70 flight time total : 20800 flight time type : 7500 |
ASRS Report | 538283 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : cfi pilot : atp |
Experience | flight time last 90 days : 184 flight time total : 10000 flight time type : 3042 |
ASRS Report | 538289 |
Events | |
Anomaly | non adherence : company policies non adherence : far non adherence : published procedure other anomaly other |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | none taken : detected after the fact |
Supplementary | |
Problem Areas | Environmental Factor Flight Crew Human Performance Weather Airport |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
I confirmed deice procedures with station personnel, and then arrived at flight deck, where first officer advised of 2 maintenance items that needed addressing per MEL procedures. After pushback from the south side of terminal, we taxied south to deice area. Completed deice for frost, then taxied sbound to runway 34R. Now comes my breakdown in applying judgement and sound thinking. Up till now, we had seen nothing but good visibility (1+ mi) while proceeding sbound. I was still concerned with deice hold over times while taxiing and it did not register in my mind when ground control mentioned RVR 5000 ft touchdown, 400 ft midfield, 300 ft rollout. The last 2 are below minimums for our operations specifications. I asked first officer, 'are we ok on visibility?' he advised 'yes, better than 5000 ft RVR.' he was wrong, I was wrong, we took off. Contributing factors: 1) coordinating security briefing, deice procedures, maintenance MEL's all after arriving at aircraft. 2) on the south side of terminal and taxiing south, we never saw any fog or low visibility. 3) haste to depart within holdover time for deice. 4) depending on first officer report of takeoff visibility without doublechking myself to catch error. 5) ironically, we had rotated and becoming airborne before seeing the ground fog on the runway. 6) not fully processing mentally ATC report of RVR. Classic case of human factors in trying to do too many things at once and not fully using all information resource available. You can bet I've learned a valuable lesson! Supplemental information from acn 538289: however, we departed for takeoff based on the RVR's of 6000 ft, 500 ft, 400 ft. We discussed and decided that in order to have to use the 3 RVR's the RVR for touchdown would have had to be less than 1600 ft RVR for touchdown. We think we departed legally of runway 34R based on the RVR's but are not positively sure.
Original NASA ASRS Text
Title: A B737-300 CREW, DEPARTING SLC, TOOK OFF WITH THE RPTED WX BEING BELOW THEIR COMPANY'S TKOF MINIMUMS.
Narrative: I CONFIRMED DEICE PROCS WITH STATION PERSONNEL, AND THEN ARRIVED AT FLT DECK, WHERE FO ADVISED OF 2 MAINT ITEMS THAT NEEDED ADDRESSING PER MEL PROCS. AFTER PUSHBACK FROM THE S SIDE OF TERMINAL, WE TAXIED S TO DEICE AREA. COMPLETED DEICE FOR FROST, THEN TAXIED SBOUND TO RWY 34R. NOW COMES MY BREAKDOWN IN APPLYING JUDGEMENT AND SOUND THINKING. UP TILL NOW, WE HAD SEEN NOTHING BUT GOOD VISIBILITY (1+ MI) WHILE PROCEEDING SBOUND. I WAS STILL CONCERNED WITH DEICE HOLD OVER TIMES WHILE TAXIING AND IT DID NOT REGISTER IN MY MIND WHEN GND CTL MENTIONED RVR 5000 FT TOUCHDOWN, 400 FT MIDFIELD, 300 FT ROLLOUT. THE LAST 2 ARE BELOW MINIMUMS FOR OUR OPS SPECS. I ASKED FO, 'ARE WE OK ON VISIBILITY?' HE ADVISED 'YES, BETTER THAN 5000 FT RVR.' HE WAS WRONG, I WAS WRONG, WE TOOK OFF. CONTRIBUTING FACTORS: 1) COORDINATING SECURITY BRIEFING, DEICE PROCS, MAINT MEL'S ALL AFTER ARRIVING AT ACFT. 2) ON THE S SIDE OF TERMINAL AND TAXIING S, WE NEVER SAW ANY FOG OR LOW VISIBILITY. 3) HASTE TO DEPART WITHIN HOLDOVER TIME FOR DEICE. 4) DEPENDING ON FO RPT OF TKOF VISIBILITY WITHOUT DOUBLECHKING MYSELF TO CATCH ERROR. 5) IRONICALLY, WE HAD ROTATED AND BECOMING AIRBORNE BEFORE SEEING THE GND FOG ON THE RWY. 6) NOT FULLY PROCESSING MENTALLY ATC RPT OF RVR. CLASSIC CASE OF HUMAN FACTORS IN TRYING TO DO TOO MANY THINGS AT ONCE AND NOT FULLY USING ALL INFO RESOURCE AVAILABLE. YOU CAN BET I'VE LEARNED A VALUABLE LESSON! SUPPLEMENTAL INFO FROM ACN 538289: HOWEVER, WE DEPARTED FOR TKOF BASED ON THE RVR'S OF 6000 FT, 500 FT, 400 FT. WE DISCUSSED AND DECIDED THAT IN ORDER TO HAVE TO USE THE 3 RVR'S THE RVR FOR TOUCHDOWN WOULD HAVE HAD TO BE LESS THAN 1600 FT RVR FOR TOUCHDOWN. WE THINK WE DEPARTED LEGALLY OF RWY 34R BASED ON THE RVR'S BUT ARE NOT POSITIVELY SURE.
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.