37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 584168 |
Time | |
Date | 200306 |
Day | Sat |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : rjnn.airport |
State Reference | FO |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B747-400 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | ground : takeoff roll ground other : rotation |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : commercial pilot : multi engine |
Experience | flight time total : 27000 |
ASRS Report | 584168 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | aircraft equipment problem : critical ground encounters other non adherence : published procedure non adherence : company policies other anomaly |
Independent Detector | aircraft equipment other aircraft equipment : eicas/fmc other flight crewa other flight crewb |
Resolutory Action | none taken : detected after the fact |
Consequence | faa : investigated other other other |
Supplementary | |
Problem Areas | Flight Crew Human Performance Aircraft Environmental Factor |
Primary Problem | Flight Crew Human Performance |
Narrative:
At rotation on takeoff in ngo noticed a bump that felt like it came from the gear area. We looked at the EICAS gear synoptic page to see if we had blown a tire along with checking all other system. Everything checked normal. During this time we got several insufficient fuel messages, however dismissed them because the winds had not been completely programmed in the FMC. After we got to altitude 33000 ft the first officer brought to my attention that progress page 2 calculated fuel was coming up at approximately 68000 pounds and no total fuel was indicated on 6L progress page 2. I sent a message to dispatch and maintenance control to see if they might have an idea how to correct the problem. Shortly after we discovered the wrong information on the calculated fuel block on the performance page and corrected it. This alleviated the problem. At this point we became more concerned about a possible tail strike, knowing our takeoff numbers were way off. The first officer and I discussed this and what action, if any, should be taken. After checking all system there were still no indications of anything abnormal. After discussing this with the first officer, I decided to wake the captain, the relief pilot, to get his input, which was to continue. I agreed, thinking that we simply had hit a bump on the runway. After arriving in dtw, we inspected the tail section and confirmed there had been a tail strike. Callback conversation with reporter revealed the following information: reporter advised that this incident was the subject of an investigation by the air carrier and the FAA. No probable cause short of a finding of likely pilot error in programming the performance initialization page was reached. The assumption is that somehow an improper manual entry was made to the fuel on board line of the performance initialization page which overrode the automatic FMC calculation which normally is utilized by the FMC for development of the takeoff v-spds. The specifics of how this occurred was unresolved. The reporter and the analyst agreed the lack of an independent calculation method for comparison to the FMC developed speeds was instrumental in allowing the error to go undiscovered.
Original NASA ASRS Text
Title: FLT CREW OF B744 EXPERIENCED TAIL STRIKE ON TKOF FROM RJNN. INCORRECT FUEL ON BOARD ENTERED INTO FMC RESULTED IN CALCULATED TKOF SPDS WELL UNDER THAT REQUIRED FOR ACTUAL TKOF GROSS WT.
Narrative: AT ROTATION ON TKOF IN NGO NOTICED A BUMP THAT FELT LIKE IT CAME FROM THE GEAR AREA. WE LOOKED AT THE EICAS GEAR SYNOPTIC PAGE TO SEE IF WE HAD BLOWN A TIRE ALONG WITH CHKING ALL OTHER SYS. EVERYTHING CHKED NORMAL. DURING THIS TIME WE GOT SEVERAL INSUFFICIENT FUEL MESSAGES, HOWEVER DISMISSED THEM BECAUSE THE WINDS HAD NOT BEEN COMPLETELY PROGRAMMED IN THE FMC. AFTER WE GOT TO ALT 33000 FT THE FO BROUGHT TO MY ATTN THAT PROGRESS PAGE 2 CALCULATED FUEL WAS COMING UP AT APPROX 68000 LBS AND NO TOTAL FUEL WAS INDICATED ON 6L PROGRESS PAGE 2. I SENT A MESSAGE TO DISPATCH AND MAINT CTL TO SEE IF THEY MIGHT HAVE AN IDEA HOW TO CORRECT THE PROB. SHORTLY AFTER WE DISCOVERED THE WRONG INFO ON THE CALCULATED FUEL BLOCK ON THE PERFORMANCE PAGE AND CORRECTED IT. THIS ALLEVIATED THE PROB. AT THIS POINT WE BECAME MORE CONCERNED ABOUT A POSSIBLE TAIL STRIKE, KNOWING OUR TKOF NUMBERS WERE WAY OFF. THE FO AND I DISCUSSED THIS AND WHAT ACTION, IF ANY, SHOULD BE TAKEN. AFTER CHKING ALL SYS THERE WERE STILL NO INDICATIONS OF ANYTHING ABNORMAL. AFTER DISCUSSING THIS WITH THE FO, I DECIDED TO WAKE THE CAPT, THE RELIEF PLT, TO GET HIS INPUT, WHICH WAS TO CONTINUE. I AGREED, THINKING THAT WE SIMPLY HAD HIT A BUMP ON THE RWY. AFTER ARRIVING IN DTW, WE INSPECTED THE TAIL SECTION AND CONFIRMED THERE HAD BEEN A TAIL STRIKE. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: RPTR ADVISED THAT THIS INCIDENT WAS THE SUBJECT OF AN INVESTIGATION BY THE ACR AND THE FAA. NO PROBABLE CAUSE SHORT OF A FINDING OF LIKELY PLT ERROR IN PROGRAMMING THE PERFORMANCE INITIALIZATION PAGE WAS REACHED. THE ASSUMPTION IS THAT SOMEHOW AN IMPROPER MANUAL ENTRY WAS MADE TO THE FUEL ON BOARD LINE OF THE PERFORMANCE INITIALIZATION PAGE WHICH OVERRODE THE AUTOMATIC FMC CALCULATION WHICH NORMALLY IS UTILIZED BY THE FMC FOR DEVELOPMENT OF THE TKOF V-SPDS. THE SPECIFICS OF HOW THIS OCCURRED WAS UNRESOLVED. THE RPTR AND THE ANALYST AGREED THE LACK OF AN INDEPENDENT CALCULATION METHOD FOR COMPARISON TO THE FMC DEVELOPED SPDS WAS INSTRUMENTAL IN ALLOWING THE ERROR TO GO UNDISCOVERED.
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.