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|
Attributes | |
ACN | 543230 |
Time | |
Date | 200204 |
Day | Fri |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : bwi.airport |
State Reference | MD |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B757-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : parked |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 225 flight time total : 20000 flight time type : 2300 |
ASRS Report | 543230 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | conflict : ground critical ground encounters other non adherence : company policies non adherence : far non adherence : published procedure other anomaly other |
Independent Detector | other other : 3 |
Resolutory Action | none taken : insufficient time |
Consequence | other other other |
Supplementary | |
Problem Areas | Flight Crew Human Performance Maintenance Human Performance Company Aircraft |
Primary Problem | Company |
Narrative:
After arrival at the gate the captain parked the brakes and the first officer shut down the left engine. The right engine was still running. The ground crew signalman gave the 'chocks in' signal. The first officer continued with secure cockpit duties and the captain began completing the logbook entries while waiting for external power to be plugged in. The parking brake latch apparently did not get fully latched and released without either pilot being aware. The aircraft slowly started to roll and the left engine contacted the jetway causing damage to the engine cowl. Even though the ground crew had given the 'chocks in' signal, they hadn't actually put the chocks in. When they saw the airplane start moving, the signal man went back to the front of the airplane, picked up his wands, and tried to signal the captain to stop the airplane. The first corrective action would be to triple check, not just double check parking brake engagement. The second would be to re-emphasize what we already know - don't allow yourself to de distracted by unimportant duties. Third would be to encourage ground crews to be more aggressive in taking action when they see something obviously wrong.
Original NASA ASRS Text
Title: B757-200. ACFT ROLLED INTO JETWAY AT GATE AREA AFTER THE PARKING BRAKE RELEASED AND THE GND CREW DID NOT CHOCK THE WHEELS.
Narrative: AFTER ARR AT THE GATE THE CAPT PARKED THE BRAKES AND THE FO SHUT DOWN THE L ENGINE. THE RIGHT ENGINE WAS STILL RUNNING. THE GND CREW SIGNALMAN GAVE THE 'CHOCKS IN' SIGNAL. THE FO CONTINUED WITH SECURE COCKPIT DUTIES AND THE CAPT BEGAN COMPLETING THE LOGBOOK ENTRIES WHILE WAITING FOR EXTERNAL PWR TO BE PLUGGED IN. THE PARKING BRAKE LATCH APPARENTLY DID NOT GET FULLY LATCHED AND RELEASED WITHOUT EITHER PLT BEING AWARE. THE ACFT SLOWLY STARTED TO ROLL AND THE L ENGINE CONTACTED THE JETWAY CAUSING DAMAGE TO THE ENGINE COWL. EVEN THOUGH THE GND CREW HAD GIVEN THE 'CHOCKS IN' SIGNAL, THEY HADN'T ACTUALLY PUT THE CHOCKS IN. WHEN THEY SAW THE AIRPLANE START MOVING, THE SIGNAL MAN WENT BACK TO THE FRONT OF THE AIRPLANE, PICKED UP HIS WANDS, AND TRIED TO SIGNAL THE CAPT TO STOP THE AIRPLANE. THE FIRST CORRECTIVE ACTION WOULD BE TO TRIPLE CHK, NOT JUST DOUBLE CHK PARKING BRAKE ENGAGEMENT. THE SECOND WOULD BE TO RE-EMPHASIZE WHAT WE ALREADY KNOW - DON'T ALLOW YOURSELF TO DE DISTRACTED BY UNIMPORTANT DUTIES. THIRD WOULD BE TO ENCOURAGE GND CREWS TO BE MORE AGGRESSIVE IN TAKING ACTION WHEN THEY SEE SOMETHING OBVIOUSLY WRONG.
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.