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Attributes | |
ACN | 542195 |
Time | |
Date | 200203 |
Day | Fri |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : sna.airport |
State Reference | CA |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-400 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | ground : taxi ground : takeoff roll |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
ASRS Report | 542195 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
ASRS Report | 542196 |
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 |
Consequence | other |
Supplementary | |
Problem Areas | FAA Aircraft Company Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
Takeoff weight from sna in a B737-400 dictated a flaps 15 degree bleeds off takeoff. The B737-400 FMC takeoff data page defaults to flaps 5 degrees. FMC database 10.4 allows line selection of takeoff 'V' speeds without reference to a separate data card. Neither pilot recognized the inadvertent selection of flaps 5 degree speeds for a flaps 15 degree takeoff until after takeoff. In lieu of reintroducing the takeoff data card, 2 corrective actions could be recommended: 1) interim fix: responses to flaps on taxi and takeoff checklists could be amended to 'X degrees (flap lever), X degrees (FMC flap selection, X degrees (flap position indicator) green light.' 2) long term solution, modify the B737-400 FMC takeoff data page to function like the B737-700/900, ie, the desired flap setting must be made by manual input for each takeoff.
Original NASA ASRS Text
Title: B737-400 CREW USED FLAPS 5 DEG TKOF SPDS WHEN THEY WERE REQUIRED TO USE FLAPS 15 DEGS BECAUSE OF PERFORMANCE CONSIDERATIONS.
Narrative: TKOF WT FROM SNA IN A B737-400 DICTATED A FLAPS 15 DEG BLEEDS OFF TKOF. THE B737-400 FMC TKOF DATA PAGE DEFAULTS TO FLAPS 5 DEGS. FMC DATABASE 10.4 ALLOWS LINE SELECTION OF TKOF 'V' SPDS WITHOUT REF TO A SEPARATE DATA CARD. NEITHER PLT RECOGNIZED THE INADVERTENT SELECTION OF FLAPS 5 DEG SPDS FOR A FLAPS 15 DEG TKOF UNTIL AFTER TKOF. IN LIEU OF REINTRODUCING THE TKOF DATA CARD, 2 CORRECTIVE ACTIONS COULD BE RECOMMENDED: 1) INTERIM FIX: RESPONSES TO FLAPS ON TAXI AND TKOF CHKLISTS COULD BE AMENDED TO 'X DEGS (FLAP LEVER), X DEGS (FMC FLAP SELECTION, X DEGS (FLAP POS INDICATOR) GREEN LIGHT.' 2) LONG TERM SOLUTION, MODIFY THE B737-400 FMC TKOF DATA PAGE TO FUNCTION LIKE THE B737-700/900, IE, THE DESIRED FLAP SETTING MUST BE MADE BY MANUAL INPUT FOR EACH TKOF.
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.