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|
Attributes | |
ACN | 547882 |
Time | |
Date | 200205 |
Day | Fri |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Regional Jet CL65, Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : pushback |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : multi engine |
Experience | flight time last 90 days : 20 flight time total : 19000 flight time type : 1300 |
ASRS Report | 547882 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : published procedure other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : exhaust gas temp indicator other flight crewa other flight crewb |
Resolutory Action | none taken : detected after the fact other |
Consequence | other |
Supplementary | |
Problem Areas | Flight Crew Human Performance Aircraft Weather |
Primary Problem | Flight Crew Human Performance |
Narrative:
On pushback for last flight of day with WX delays we were about 1 hour late. Both pilots were fatigued. First officer was starting engines. Right engine start ok. Left engine no light off. On second attempt got hot start. On shutdown got 'post shutdown tailpipe fire' - accomplished procedure to put out fire. I was occupied with monitoring pushback and not watching engine start. I believe first officer accomplished shutdown after first attempt incorrectly. This left raw fuel in engine. On second attempt got hot start and again first officer did shut down improperly (starter was de-energized instead of fuel shut-off and ignition off). I shut the fuel off. There was a fire reported in tailpipe of engine by ground crew. I accomplished that fire procedure. The tailpipe fire was extinguished and maintenance was called. I believe this incident was caused by a malfunction in ignition circuit and then aggravated by improper shutdown technique by first officer. Also fatigue and my attention outside as dictated by our standard procedures delayed my recognition of developing problem.
Original NASA ASRS Text
Title: A CANADAIR CL65 RPTS 2 ATTEMPTS TO START THE L ENG DURING PUSHBACK. BOTH RESULT IN HOT STARTS AND OVERTEMP OF ENG.
Narrative: ON PUSHBACK FOR LAST FLT OF DAY WITH WX DELAYS WE WERE ABOUT 1 HR LATE. BOTH PLTS WERE FATIGUED. FO WAS STARTING ENGS. R ENG START OK. L ENG NO LIGHT OFF. ON SECOND ATTEMPT GOT HOT START. ON SHUTDOWN GOT 'POST SHUTDOWN TAILPIPE FIRE' - ACCOMPLISHED PROC TO PUT OUT FIRE. I WAS OCCUPIED WITH MONITORING PUSHBACK AND NOT WATCHING ENG START. I BELIEVE FO ACCOMPLISHED SHUTDOWN AFTER FIRST ATTEMPT INCORRECTLY. THIS LEFT RAW FUEL IN ENG. ON SECOND ATTEMPT GOT HOT START AND AGAIN FO DID SHUT DOWN IMPROPERLY (STARTER WAS DE-ENERGIZED INSTEAD OF FUEL SHUT-OFF AND IGNITION OFF). I SHUT THE FUEL OFF. THERE WAS A FIRE RPTED IN TAILPIPE OF ENG BY GND CREW. I ACCOMPLISHED THAT FIRE PROC. THE TAILPIPE FIRE WAS EXTINGUISHED AND MAINT WAS CALLED. I BELIEVE THIS INCIDENT WAS CAUSED BY A MALFUNCTION IN IGNITION CIRCUIT AND THEN AGGRAVATED BY IMPROPER SHUTDOWN TECHNIQUE BY FO. ALSO FATIGUE AND MY ATTN OUTSIDE AS DICTATED BY OUR STANDARD PROCS DELAYED MY RECOGNITION OF DEVELOPING PROB.
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.