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|
Attributes | |
ACN | 577899 |
Time | |
Date | 200303 |
Day | Sat |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : yyz.airport |
State Reference | ON |
Altitude | agl single value : 0 |
Environment | |
Light | Night |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Fokker 100 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : takeoff roll |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : commercial |
ASRS Report | 577899 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | aircraft equipment problem : less severe non adherence : company policies non adherence : far other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : tkof warning horn other flight crewa other flight crewb |
Resolutory Action | none taken : anomaly accepted |
Supplementary | |
Problem Areas | Flight Crew Human Performance Maintenance Human Performance Aircraft |
Primary Problem | Flight Crew Human Performance |
Narrative:
On the morning of mar/sat/03, crew tracking had changed our departure time a total of 3 times out of yyz to ord. Attempting to get the flight out safely and an on time departure, my captain and I reviewed the MEL for correct procedures and maintenance action. Everything seemed to comply with the write-up and placard for the lift dumper unsafe message. During the takeoff warning test, the warning sounded, and we both assumed this was normal due to the placarded item. Obviously, the procedure was not completely complied with, and we took off with the takeoff warning system sounding and lift dumper unsafe message. After reviewing our action and the aircraft MEL in-flight, we determined maintenance should have placarded MEL ZZZ instead of YYY. Air carrier's maintenance also said when we landed, yyz maintenance should also have disconnected a couple of cannon plugs. I now know that we should not have received the takeoff warning sound during the test, and definitely, we should not have taken off with the horn sounding. I learned a valuable lesson, and this will not happen again.
Original NASA ASRS Text
Title: F100 FLT CREW TKOF WITH WARNING HORN SOUNDING.
Narrative: ON THE MORNING OF MAR/SAT/03, CREW TRACKING HAD CHANGED OUR DEP TIME A TOTAL OF 3 TIMES OUT OF YYZ TO ORD. ATTEMPTING TO GET THE FLT OUT SAFELY AND AN ON TIME DEP, MY CAPT AND I REVIEWED THE MEL FOR CORRECT PROCS AND MAINT ACTION. EVERYTHING SEEMED TO COMPLY WITH THE WRITE-UP AND PLACARD FOR THE LIFT DUMPER UNSAFE MESSAGE. DURING THE TKOF WARNING TEST, THE WARNING SOUNDED, AND WE BOTH ASSUMED THIS WAS NORMAL DUE TO THE PLACARDED ITEM. OBVIOUSLY, THE PROC WAS NOT COMPLETELY COMPLIED WITH, AND WE TOOK OFF WITH THE TKOF WARNING SYS SOUNDING AND LIFT DUMPER UNSAFE MESSAGE. AFTER REVIEWING OUR ACTION AND THE ACFT MEL INFLT, WE DETERMINED MAINT SHOULD HAVE PLACARDED MEL ZZZ INSTEAD OF YYY. ACR'S MAINT ALSO SAID WHEN WE LANDED, YYZ MAINT SHOULD ALSO HAVE DISCONNECTED A COUPLE OF CANNON PLUGS. I NOW KNOW THAT WE SHOULD NOT HAVE RECEIVED THE TKOF WARNING SOUND DURING THE TEST, AND DEFINITELY, WE SHOULD NOT HAVE TAKEN OFF WITH THE HORN SOUNDING. I LEARNED A VALUABLE LESSON, AND THIS WILL NOT HAPPEN AGAIN.
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.