37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 562847 |
Time | |
Date | 200210 |
Day | Fri |
Local Time Of Day | 0601 To 1200 |
Place | |
State Reference | LA |
Altitude | msl single value : 37000 |
Environment | |
Flight Conditions | VMC |
Aircraft 1 | |
Controlling Facilities | artcc : zfw.artcc |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise : level |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument pilot : multi engine |
Experience | flight time last 90 days : 210 flight time total : 6000 flight time type : 3000 |
ASRS Report | 562847 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 250 flight time total : 13300 flight time type : 10000 |
ASRS Report | 562843 |
Events | |
Anomaly | aircraft equipment problem : less severe non adherence : published procedure non adherence : company policies other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : fuel pump low press lights other flight crewa other flight crewb |
Resolutory Action | other |
Consequence | other other |
Supplementary | |
Problem Areas | Flight Crew Human Performance Aircraft |
Primary Problem | Flight Crew Human Performance |
Narrative:
We were cruising at FL370 when the captain looked up at the fuel panel and noticed the #1 forward and #2 aft fuel pump low pressure lights illuminated, followed shortly thereafter by the master caution light. We checked the circuit breakers and found that the #1 circuit breaker forward and #2 aft, and center right were popped. We consulted the QRH and, after a few mins, reset the circuit breaker. The circuit breaker popped back out. It was about 1 min later that the captain remembered something about fuel circuit breakers in the limitation section of the fom and opened it up. We then realized what we did went against what was written there. We should have not reset the circuit breakers. I believe 3 factors contributed to us screwing this up. The first and foremost, we were not as familiar with the limitation section of the fom as we should have been. It is a memory recall limitation. Second, it is a habit pattern, at least for me, to look for tripped circuit breakers and reset them once. Third, since we consulted the QRH first and followed all its guidance (descend to FL300 or lower, boost pump, etc) it would have been of great value to have that restr listed there.
Original NASA ASRS Text
Title: B737-300 CREW RESET A POPPED FUEL PUMP CIRCUIT BREAKER CONTRARY TO FOM PROC.
Narrative: WE WERE CRUISING AT FL370 WHEN THE CAPT LOOKED UP AT THE FUEL PANEL AND NOTICED THE #1 FORWARD AND #2 AFT FUEL PUMP LOW PRESSURE LIGHTS ILLUMINATED, FOLLOWED SHORTLY THEREAFTER BY THE MASTER CAUTION LIGHT. WE CHKED THE CIRCUIT BREAKERS AND FOUND THAT THE #1 CIRCUIT BREAKER FORWARD AND #2 AFT, AND CTR R WERE POPPED. WE CONSULTED THE QRH AND, AFTER A FEW MINS, RESET THE CIRCUIT BREAKER. THE CIRCUIT BREAKER POPPED BACK OUT. IT WAS ABOUT 1 MIN LATER THAT THE CAPT REMEMBERED SOMETHING ABOUT FUEL CIRCUIT BREAKERS IN THE LIMITATION SECTION OF THE FOM AND OPENED IT UP. WE THEN REALIZED WHAT WE DID WENT AGAINST WHAT WAS WRITTEN THERE. WE SHOULD HAVE NOT RESET THE CIRCUIT BREAKERS. I BELIEVE 3 FACTORS CONTRIBUTED TO US SCREWING THIS UP. THE FIRST AND FOREMOST, WE WERE NOT AS FAMILIAR WITH THE LIMITATION SECTION OF THE FOM AS WE SHOULD HAVE BEEN. IT IS A MEMORY RECALL LIMITATION. SECOND, IT IS A HABIT PATTERN, AT LEAST FOR ME, TO LOOK FOR TRIPPED CIRCUIT BREAKERS AND RESET THEM ONCE. THIRD, SINCE WE CONSULTED THE QRH FIRST AND FOLLOWED ALL ITS GUIDANCE (DSND TO FL300 OR LOWER, BOOST PUMP, ETC) IT WOULD HAVE BEEN OF GREAT VALUE TO HAVE THAT RESTR LISTED THERE.
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.