37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 622380 |
Time | |
Date | 200312 |
Day | Sat |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B777 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : parked |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Experience | flight time last 90 days : 100 flight time total : 29000 flight time type : 500 |
ASRS Report | 622380 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Experience | flight time last 90 days : 180 flight time total : 2500 flight time type : 4200 |
ASRS Report | 622379 |
Events | |
Anomaly | cabin event other non adherence : company policies non adherence : far non adherence : published procedure |
Independent Detector | other other : 3 |
Resolutory Action | other |
Consequence | other other |
Supplementary | |
Problem Areas | Flight Crew Human Performance Company |
Primary Problem | Flight Crew Human Performance |
Narrative:
Performed receiving and before start checklists in entirety. Started left engine, then during right engine start aircraft began to roll forward. First officer called 'we're moving.' both he and I simultaneously applied brakes and aircraft came to an abrupt stop. Checked with purser if everyone was ok. He informed me that we had 1 flight attendant injured. Waited on the ramp for approximately 5 mins to make sure all was well. The purser advised me that flight attendant was knocked unconscious for approximately 30-40 seconds. He said that everyone, including injured flight attendant, was ready to continue on to destination. I monitored condition throughout flight and she told me her stomach felt upset and her pelvic area hurt badly. I used satcom and requested a doctor meet us at gate. Upon arrival, doctor recommended flight attendant go to hospital for further evaluation. One other flight attendant had a minor bruise. Before starting engines we were continually interrupted by load planner, military personnel, flight attendants, and countless messages from dispatch. Dispatch sent 3 or 4 duplicate messages each requiring immediate reply. We received no fewer than 10 weight and balances which constantly dumped our takeoff and performance data. Our final ATC clearance was significantly different than what we had loaded. The ground supervisor gave the clearance to start engines and I gave the brakes set signal. It is my belief that the constant distrs were a direct contributing factor in this incident.
Original NASA ASRS Text
Title: B777 CREW STARTED THE ENGS WITH THE PARKING BRAKES NOT SET. THE ACFT ROLLED FORWARD. A FLT ATTENDANT WAS INJURED WHEN SHE WAS KNOCKED UNCONSCIOUS AS THE BRAKES WERE SET ABRUPTLY. THE CAPT DID NOT REQUEST MEDICAL ATTN FOR THE FLT ATTENDANT UNTIL AT LEAST 5 HRS AFTER THE INCIDENT HAPPENED. SHE WAS TAKEN TO THE HOSPITAL.
Narrative: PERFORMED RECEIVING AND BEFORE START CHKLISTS IN ENTIRETY. STARTED L ENG, THEN DURING R ENG START ACFT BEGAN TO ROLL FORWARD. FO CALLED 'WE'RE MOVING.' BOTH HE AND I SIMULTANEOUSLY APPLIED BRAKES AND ACFT CAME TO AN ABRUPT STOP. CHKED WITH PURSER IF EVERYONE WAS OK. HE INFORMED ME THAT WE HAD 1 FLT ATTENDANT INJURED. WAITED ON THE RAMP FOR APPROX 5 MINS TO MAKE SURE ALL WAS WELL. THE PURSER ADVISED ME THAT FLT ATTENDANT WAS KNOCKED UNCONSCIOUS FOR APPROX 30-40 SECONDS. HE SAID THAT EVERYONE, INCLUDING INJURED FLT ATTENDANT, WAS READY TO CONTINUE ON TO DEST. I MONITORED CONDITION THROUGHOUT FLT AND SHE TOLD ME HER STOMACH FELT UPSET AND HER PELVIC AREA HURT BADLY. I USED SATCOM AND REQUESTED A DOCTOR MEET US AT GATE. UPON ARR, DOCTOR RECOMMENDED FLT ATTENDANT GO TO HOSPITAL FOR FURTHER EVALUATION. ONE OTHER FLT ATTENDANT HAD A MINOR BRUISE. BEFORE STARTING ENGS WE WERE CONTINUALLY INTERRUPTED BY LOAD PLANNER, MIL PERSONNEL, FLT ATTENDANTS, AND COUNTLESS MESSAGES FROM DISPATCH. DISPATCH SENT 3 OR 4 DUPLICATE MESSAGES EACH REQUIRING IMMEDIATE REPLY. WE RECEIVED NO FEWER THAN 10 WT AND BALS WHICH CONSTANTLY DUMPED OUR TKOF AND PERFORMANCE DATA. OUR FINAL ATC CLRNC WAS SIGNIFICANTLY DIFFERENT THAN WHAT WE HAD LOADED. THE GND SUPVR GAVE THE CLRNC TO START ENGS AND I GAVE THE BRAKES SET SIGNAL. IT IS MY BELIEF THAT THE CONSTANT DISTRS WERE A DIRECT CONTRIBUTING FACTOR IN THIS INCIDENT.
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.