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|
Attributes | |
ACN | 552484 |
Time | |
Date | 200207 |
Day | Mon |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : zdv.artcc |
State Reference | CO |
Altitude | msl single value : 39000 |
Environment | |
Light | Night |
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 | cruise : level |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
ASRS Report | 552484 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
ASRS Report | 552488 |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : published procedure non adherence : company policies other anomaly other other spatial deviation |
Independent Detector | aircraft equipment other aircraft equipment : rudder trim indicator other flight crewa other flight crewb |
Resolutory Action | flight crew : regained aircraft control none taken : detected after the fact other |
Consequence | other |
Supplementary | |
Problem Areas | Flight Crew Human Performance Aircraft |
Primary Problem | Flight Crew Human Performance |
Narrative:
Inadvertent rudder trim. While cruising at FL390 and passing a waypoint, we noticed the aircraft turing toward the next waypoint. The aircraft continued the turn past the intended course at which time I thought that the waypoints may have somehow gotten out of sequence. I reached up and selected heading hold, but there was no response. As the bank angle continued past 15 degrees, I knew that something was not right. I disconnected the autoplt, rolled the wings level and realized that the aircraft was out of trim in the yaw axes. We looked down and noticed that the rudder trim was showing 15 units of left trim, at which time we trimmed the aircraft, re-engaged the autoplt, and continued to our destination. After the event, we discussed how 15 units of trim could have been put in inadvertently. We realized that just prior, the first officer was standing between the seats with his foot on the back of the center pedestal, he must have inadvertently touched the trim knob. I realize that all boeing center pedestals as well as rudder trim knobs were modified to prevent this exact scenario after a B737 accident in lga in 1989. During this event, we did not deviate off altitude and our xtrack error was less than 1 mi.
Original NASA ASRS Text
Title: B767 CREW MEMBER ACTIVATED THE RUDDER TRIM TO FULL NOSE L WITH A FOOT ON THE PEDESTAL.
Narrative: INADVERTENT RUDDER TRIM. WHILE CRUISING AT FL390 AND PASSING A WAYPOINT, WE NOTICED THE ACFT TURING TOWARD THE NEXT WAYPOINT. THE ACFT CONTINUED THE TURN PAST THE INTENDED COURSE AT WHICH TIME I THOUGHT THAT THE WAYPOINTS MAY HAVE SOMEHOW GOTTEN OUT OF SEQUENCE. I REACHED UP AND SELECTED HDG HOLD, BUT THERE WAS NO RESPONSE. AS THE BANK ANGLE CONTINUED PAST 15 DEGS, I KNEW THAT SOMETHING WAS NOT RIGHT. I DISCONNECTED THE AUTOPLT, ROLLED THE WINGS LEVEL AND REALIZED THAT THE ACFT WAS OUT OF TRIM IN THE YAW AXES. WE LOOKED DOWN AND NOTICED THAT THE RUDDER TRIM WAS SHOWING 15 UNITS OF L TRIM, AT WHICH TIME WE TRIMMED THE ACFT, RE-ENGAGED THE AUTOPLT, AND CONTINUED TO OUR DEST. AFTER THE EVENT, WE DISCUSSED HOW 15 UNITS OF TRIM COULD HAVE BEEN PUT IN INADVERTENTLY. WE REALIZED THAT JUST PRIOR, THE FO WAS STANDING BTWN THE SEATS WITH HIS FOOT ON THE BACK OF THE CTR PEDESTAL, HE MUST HAVE INADVERTENTLY TOUCHED THE TRIM KNOB. I REALIZE THAT ALL BOEING CENTER PEDESTALS AS WELL AS RUDDER TRIM KNOBS WERE MODIFIED TO PREVENT THIS EXACT SCENARIO AFTER A B737 ACCIDENT IN LGA IN 1989. DURING THIS EVENT, WE DID NOT DEVIATE OFF ALT AND OUR XTRACK ERROR WAS LESS THAN 1 MI.
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.