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|
Attributes | |
ACN | 606407 |
Time | |
Date | 200401 |
Day | Sat |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tower : dfw.tower |
Operator | common carrier : air carrier |
Make Model Name | B727 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : preflight |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : second officer |
Qualification | pilot : multi engine pilot : instrument pilot : flight engineer pilot : commercial pilot : atp |
Experience | flight time last 90 days : 50 flight time total : 3100 flight time type : 150 |
ASRS Report | 606407 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | non adherence : company policies non adherence : published procedure |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Supplementary | |
Problem Areas | Company Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
On jan/sat/04, at XA15 CDT our aircraft departed ZZZ, 4000 pounds lighter than indicated on our weight and balance sheet. The flight plan/release indicated 4000 pounds less fuel than the weight and balance sheet. The problem arose when I discussed the fuel on board with the weight and balance agent. Believing the fuel was indicated correctly on the form, I failed to rechk the actual fuel on board with the weight and balance fuel on board. Normal habit patterns include rechking the weight and balance. However, an issue distraction me and I did not continue where I had left off. The primary reason that the problem arose was the break in my flow and subsequent lack of attention to detail to return myself to my normal flow/habit patterns. The problem was discovered after the flight was terminated, the flight plan closed, and the crew log closed out. After closing our flight with the company the numbers did not make sense. At a later time I rechked the paperwork and discovered that the flight plan/release and the fuel receipt did not match the weight and balance. Initially, I did not think anything of it. I considered our situation to be better than planned due to the lighter weight. We did not exceed any aircraft limitations. The paperwork was turned in upon return to our operations center. As I considered the situation it occurred to me that this was not my decision to make. We had violated company operating policy and I needed to give the information to the captain and allow him to make a decision based upon the facts. Poor judgement led to a poor decision that needed to be corrected. Factors affecting the quality of human performance were distraction and inattention to detail at the time the event occurred. Fatigue was a factor when the problem was discovered and impacted my judgement and decision making ability.
Original NASA ASRS Text
Title: B727 FLT CREW DEPARTS ZZZ 4000 LBS LIGHTER THAN COMPUTED WT AND BAL.
Narrative: ON JAN/SAT/04, AT XA15 CDT OUR ACFT DEPARTED ZZZ, 4000 LBS LIGHTER THAN INDICATED ON OUR WT AND BAL SHEET. THE FLT PLAN/RELEASE INDICATED 4000 LBS LESS FUEL THAN THE WT AND BAL SHEET. THE PROB AROSE WHEN I DISCUSSED THE FUEL ON BOARD WITH THE WT AND BAL AGENT. BELIEVING THE FUEL WAS INDICATED CORRECTLY ON THE FORM, I FAILED TO RECHK THE ACTUAL FUEL ON BOARD WITH THE WT AND BAL FUEL ON BOARD. NORMAL HABIT PATTERNS INCLUDE RECHKING THE WT AND BAL. HOWEVER, AN ISSUE DISTR ME AND I DID NOT CONTINUE WHERE I HAD LEFT OFF. THE PRIMARY REASON THAT THE PROB AROSE WAS THE BREAK IN MY FLOW AND SUBSEQUENT LACK OF ATTN TO DETAIL TO RETURN MYSELF TO MY NORMAL FLOW/HABIT PATTERNS. THE PROB WAS DISCOVERED AFTER THE FLT WAS TERMINATED, THE FLT PLAN CLOSED, AND THE CREW LOG CLOSED OUT. AFTER CLOSING OUR FLT WITH THE COMPANY THE NUMBERS DID NOT MAKE SENSE. AT A LATER TIME I RECHKED THE PAPERWORK AND DISCOVERED THAT THE FLT PLAN/RELEASE AND THE FUEL RECEIPT DID NOT MATCH THE WT AND BAL. INITIALLY, I DID NOT THINK ANYTHING OF IT. I CONSIDERED OUR SIT TO BE BETTER THAN PLANNED DUE TO THE LIGHTER WT. WE DID NOT EXCEED ANY ACFT LIMITATIONS. THE PAPERWORK WAS TURNED IN UPON RETURN TO OUR OPS CTR. AS I CONSIDERED THE SIT IT OCCURRED TO ME THAT THIS WAS NOT MY DECISION TO MAKE. WE HAD VIOLATED COMPANY OPERATING POLICY AND I NEEDED TO GIVE THE INFO TO THE CAPT AND ALLOW HIM TO MAKE A DECISION BASED UPON THE FACTS. POOR JUDGEMENT LED TO A POOR DECISION THAT NEEDED TO BE CORRECTED. FACTORS AFFECTING THE QUALITY OF HUMAN PERFORMANCE WERE DISTR AND INATTENTION TO DETAIL AT THE TIME THE EVENT OCCURRED. FATIGUE WAS A FACTOR WHEN THE PROB WAS DISCOVERED AND IMPACTED MY JUDGEMENT AND DECISION MAKING ABILITY.
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.