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|
Attributes | |
ACN | 619201 |
Time | |
Date | 200405 |
Day | Mon |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : aus.airport |
State Reference | TX |
Altitude | agl single value : 0 |
Aircraft 1 | |
Controlling Facilities | tower : ord.tower |
Operator | common carrier : air carrier |
Make Model Name | MD-80 Series (DC-9-80) Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : pushback |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
ASRS Report | 619201 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | ground encounters : person ground encounters : vehicle non adherence : company policies non adherence : published procedure non adherence : far other anomaly |
Independent Detector | other other : 3 |
Resolutory Action | flight crew : regained aircraft control flight crew : became reoriented other |
Consequence | other |
Supplementary | |
Problem Areas | Company Flight Crew Human Performance FAA |
Primary Problem | Flight Crew Human Performance |
Narrative:
After pushback from gate, I parked the brakes per tug driver request. I then started the right engine and notified driver that the start was complete and cleared to disconnect. While waiting for a salute, the driver called to tell me the brakes were not parked as aircraft was rolling slowly forward. I immediately stopped the forward motion and set the brakes. There were no unusual distrs during the entire process and I do not know if I had set the brakes and then released them or had never set them. I asked the driver if everything was ok, which it was, and I proceeded to taxi out. This event occurred on the 6TH day in a row of flying (I am on reserve) and I feel that fatigue was a major factor. The cumulative effects of reassignments, a diversion, cancellations and a late night arrival, while all legal, proved to be too much. Upon arrival at destination, crew schedule called to reassign me to continue flying. I declined due to fatigue.
Original NASA ASRS Text
Title: AN MD80 CAPT CITED FATIGUE AS THE REASON HE IMPROPERLY SET HIS BRAKES BEFORE PUSHBACK AT AUS.
Narrative: AFTER PUSHBACK FROM GATE, I PARKED THE BRAKES PER TUG DRIVER REQUEST. I THEN STARTED THE R ENG AND NOTIFIED DRIVER THAT THE START WAS COMPLETE AND CLRED TO DISCONNECT. WHILE WAITING FOR A SALUTE, THE DRIVER CALLED TO TELL ME THE BRAKES WERE NOT PARKED AS ACFT WAS ROLLING SLOWLY FORWARD. I IMMEDIATELY STOPPED THE FORWARD MOTION AND SET THE BRAKES. THERE WERE NO UNUSUAL DISTRS DURING THE ENTIRE PROCESS AND I DO NOT KNOW IF I HAD SET THE BRAKES AND THEN RELEASED THEM OR HAD NEVER SET THEM. I ASKED THE DRIVER IF EVERYTHING WAS OK, WHICH IT WAS, AND I PROCEEDED TO TAXI OUT. THIS EVENT OCCURRED ON THE 6TH DAY IN A ROW OF FLYING (I AM ON RESERVE) AND I FEEL THAT FATIGUE WAS A MAJOR FACTOR. THE CUMULATIVE EFFECTS OF REASSIGNMENTS, A DIVERSION, CANCELLATIONS AND A LATE NIGHT ARR, WHILE ALL LEGAL, PROVED TO BE TOO MUCH. UPON ARR AT DEST, CREW SCHEDULE CALLED TO REASSIGN ME TO CONTINUE FLYING. I DECLINED DUE TO FATIGUE.
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.