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|
Attributes | |
ACN | 600714 |
Time | |
Date | 200311 |
Day | Wed |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : mia.airport |
State Reference | FL |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B757 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : parked ground : preflight |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : cfi pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 170 flight time total : 7700 flight time type : 1000 |
ASRS Report | 600714 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 170 |
ASRS Report | 600478 |
Events | |
Anomaly | aircraft equipment problem : less severe non adherence : company policies non adherence : far non adherence : published procedure |
Independent Detector | other flight crewb |
Resolutory Action | none taken : detected after the fact |
Factors | |
Maintenance | performance deficiency : non compliance with legal requirements |
Supplementary | |
Problem Areas | Aircraft Company Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
We were scheduled for a 1 leg, overwater flight from miami, fl, to panama city, panama. We arrived at the aircraft approximately 45 mins prior to departure time and the captain and I began our normal preflight activities. Our company's aircraft fly a mixture of domestic, overland flts and international, overwater flts. If the aircraft is scheduled to fly a domestic pairing, it is common for maintenance to remove the life rafts off the aircraft to make more room in the cramped cockpit area. Normally, once an airplane is then positioned to miami for an international flight, the life rafts are reinstalled on the aircraft. As first officer, part of my cockpit preflight check is to ensure all the required safety equipment is on board the aircraft. This is done with flows and visual inspections of the required equipment. For some reason that morning, the life rafts were not reinstalled on the aircraft for our overwater flight and I missed that omission during my cockpit preflight check. We subsequently flew the overwater flight to panama city without the required life rafts. Looking back on my preflight flow, I cannot recall exactly what distraction caused me to not see the missing rafts. Unfortunately, the predep cockpit is a very noisy, hectic environment with loaders, fuelers, caterers, and ramp supervisors coming and going at all times. To prevent this problem from happening again, I will use extra vigilance during the preflight checks and make an effort to disregard any non-essential distrs in the cockpit environment. Operationally, I think it would be beneficial for the company to develop an international, overwater checklist to address equipment and procedural differences in the international theaters.
Original NASA ASRS Text
Title: A B757 FLT CREW DETECTS AFTER THE FACT THAT MAINT FORGOT TO PUT THE LIFE RAFT BACK ON THE ACFT FOR AN OVERWATER FLT.
Narrative: WE WERE SCHEDULED FOR A 1 LEG, OVERWATER FLT FROM MIAMI, FL, TO PANAMA CITY, PANAMA. WE ARRIVED AT THE ACFT APPROX 45 MINS PRIOR TO DEP TIME AND THE CAPT AND I BEGAN OUR NORMAL PREFLT ACTIVITIES. OUR COMPANY'S ACFT FLY A MIXTURE OF DOMESTIC, OVERLAND FLTS AND INTL, OVERWATER FLTS. IF THE ACFT IS SCHEDULED TO FLY A DOMESTIC PAIRING, IT IS COMMON FOR MAINT TO REMOVE THE LIFE RAFTS OFF THE ACFT TO MAKE MORE ROOM IN THE CRAMPED COCKPIT AREA. NORMALLY, ONCE AN AIRPLANE IS THEN POSITIONED TO MIAMI FOR AN INTL FLT, THE LIFE RAFTS ARE REINSTALLED ON THE ACFT. AS FO, PART OF MY COCKPIT PREFLT CHK IS TO ENSURE ALL THE REQUIRED SAFETY EQUIP IS ON BOARD THE ACFT. THIS IS DONE WITH FLOWS AND VISUAL INSPECTIONS OF THE REQUIRED EQUIP. FOR SOME REASON THAT MORNING, THE LIFE RAFTS WERE NOT REINSTALLED ON THE ACFT FOR OUR OVERWATER FLT AND I MISSED THAT OMISSION DURING MY COCKPIT PREFLT CHK. WE SUBSEQUENTLY FLEW THE OVERWATER FLT TO PANAMA CITY WITHOUT THE REQUIRED LIFE RAFTS. LOOKING BACK ON MY PREFLT FLOW, I CANNOT RECALL EXACTLY WHAT DISTR CAUSED ME TO NOT SEE THE MISSING RAFTS. UNFORTUNATELY, THE PREDEP COCKPIT IS A VERY NOISY, HECTIC ENVIRONMENT WITH LOADERS, FUELERS, CATERERS, AND RAMP SUPVRS COMING AND GOING AT ALL TIMES. TO PREVENT THIS PROB FROM HAPPENING AGAIN, I WILL USE EXTRA VIGILANCE DURING THE PREFLT CHKS AND MAKE AN EFFORT TO DISREGARD ANY NON-ESSENTIAL DISTRS IN THE COCKPIT ENVIRONMENT. OPERATIONALLY, I THINK IT WOULD BE BENEFICIAL FOR THE COMPANY TO DEVELOP AN INTL, OVERWATER CHKLIST TO ADDRESS EQUIP AND PROCEDURAL DIFFERENCES IN THE INTL THEATERS.
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.