37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 541078 |
Time | |
Date | 200203 |
Day | Sat |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : jfk.airport |
Altitude | agl single value : 0 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B767 Undifferentiated or Other Model |
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 |
Qualification | pilot : atp |
ASRS Report | 541078 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
ASRS Report | 541077 |
Events | |
Anomaly | aircraft equipment problem : less severe conflict : ground less severe non adherence : published procedure non adherence : far non adherence : company policies other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : became reoriented other |
Consequence | other |
Supplementary | |
Problem Areas | Environmental Factor Aircraft Company Maintenance Human Performance Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
Pushed back from the gate with autothrottles deferred, and had a speed flag on the ADI. Stayed with ground crew and called maintenance coordinator, who had us start engines and pull and reset a thrust management computer circuit breaker, then make a write-up. By this time, 2 inbound aircraft were waiting for us to clear to access the gate area. Ground crew were still connected, but it had been 10 mins since we had seen or heard from them, and captain called for taxi clearance, which we got, then released brakes before salute and release from guidance. Immediately realized error and reset parking brake. Ground crew confirmed all was normal, disconnected, and gave salute and release. Debriefed thoroughly. Abnormal operations caused us to get out of sequence and pick up in the flow without completing the before taxi-out sequence which would have prevented this. Not being able to see the ground crew, and working maintenance problem with maintenance coordinator on radio made it very easy to forget they were still plugged in after such a long delay. Serious lesson learned.
Original NASA ASRS Text
Title: A NEAR GND COLLISION BTWN THE GND CREW'S TUG AND THE B767 ABOUT TO LEAVE THE GATE AT JFK, NY.
Narrative: PUSHED BACK FROM THE GATE WITH AUTOTHROTTLES DEFERRED, AND HAD A SPD FLAG ON THE ADI. STAYED WITH GND CREW AND CALLED MAINT COORDINATOR, WHO HAD US START ENGS AND PULL AND RESET A THRUST MGMNT COMPUTER CIRCUIT BREAKER, THEN MAKE A WRITE-UP. BY THIS TIME, 2 INBOUND ACFT WERE WAITING FOR US TO CLR TO ACCESS THE GATE AREA. GND CREW WERE STILL CONNECTED, BUT IT HAD BEEN 10 MINS SINCE WE HAD SEEN OR HEARD FROM THEM, AND CAPT CALLED FOR TAXI CLRNC, WHICH WE GOT, THEN RELEASED BRAKES BEFORE SALUTE AND RELEASE FROM GUIDANCE. IMMEDIATELY REALIZED ERROR AND RESET PARKING BRAKE. GND CREW CONFIRMED ALL WAS NORMAL, DISCONNECTED, AND GAVE SALUTE AND RELEASE. DEBRIEFED THOROUGHLY. ABNORMAL OPS CAUSED US TO GET OUT OF SEQUENCE AND PICK UP IN THE FLOW WITHOUT COMPLETING THE BEFORE TAXI-OUT SEQUENCE WHICH WOULD HAVE PREVENTED THIS. NOT BEING ABLE TO SEE THE GND CREW, AND WORKING MAINT PROB WITH MAINT COORDINATOR ON RADIO MADE IT VERY EASY TO FORGET THEY WERE STILL PLUGGED IN AFTER SUCH A LONG DELAY. SERIOUS LESSON LEARNED.
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.