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|
Attributes | |
ACN | 631231 |
Time | |
Date | 200409 |
Day | Sat |
Place | |
Locale Reference | airport : bos.airport |
State Reference | MA |
Altitude | agl single value : 0 |
Aircraft 1 | |
Controlling Facilities | tower : zzz.tower |
Operator | common carrier : air carrier |
Make Model Name | Embraer Jet 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 |
ASRS Report | 631231 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
ASRS Report | 631227 |
Events | |
Anomaly | non adherence : published procedure non adherence : company policies non adherence : far |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Consequence | other |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
Engine running after parked. Arrived at bos after delays and WX on arrival and approach. At gate performed parking checklist and left aircraft with crew. Overheard someone talking about an engine running on a parked aircraft, which turned out to be ours. Possibly bumped thrust lever during shutdown procedure and for some unknown reason did not look at EICAS engine instruments as I always do. Upon reflection, picked the wrong flight to stop doing good habits. Contributing factors: pouring rain and aircraft parked next to us with APU and engine running masked sound of engine. Also, fatigue of previous day with lousy night sleep. Regardless, was surprised to find myself in this situation and will not let it happen again. Somewhere during the shutdown/parking procedure there was a distraction that was a combination of all these factors combined that caused us to miss something simple, but the chain wasn't broken. Supplemental information from acn 631227: after we arrived into bos and completed the checklist. Next crew who were waiting for the aircraft took over the airplane. After about 5 mins. Operations informed us one of the engines were running when the crew took over the aircraft. Although the captain and I were sure that we did the checklist in its entirety, we think that the thrust wasn't idle when thrust was selected to idle, therefore, the engine didn't stop. Nevertheless, we should have caught it by confirming the shutdown on EICAS. Although emb manual doesn't state that first officer has to confirm the engine shut down during parking check, I feel responsible about it.
Original NASA ASRS Text
Title: EMJ CREW LEFT THE ENG RUNNING AFTER PARKING AT THE GATE.
Narrative: ENG RUNNING AFTER PARKED. ARRIVED AT BOS AFTER DELAYS AND WX ON ARR AND APCH. AT GATE PERFORMED PARKING CHKLIST AND L ACFT WITH CREW. OVERHEARD SOMEONE TALKING ABOUT AN ENG RUNNING ON A PARKED ACFT, WHICH TURNED OUT TO BE OURS. POSSIBLY BUMPED THRUST LEVER DURING SHUTDOWN PROC AND FOR SOME UNKNOWN REASON DID NOT LOOK AT EICAS ENG INSTS AS I ALWAYS DO. UPON REFLECTION, PICKED THE WRONG FLT TO STOP DOING GOOD HABITS. CONTRIBUTING FACTORS: POURING RAIN AND ACFT PARKED NEXT TO US WITH APU AND ENG RUNNING MASKED SOUND OF ENG. ALSO, FATIGUE OF PREVIOUS DAY WITH LOUSY NIGHT SLEEP. REGARDLESS, WAS SURPRISED TO FIND MYSELF IN THIS SIT AND WILL NOT LET IT HAPPEN AGAIN. SOMEWHERE DURING THE SHUTDOWN/PARKING PROC THERE WAS A DISTR THAT WAS A COMBINATION OF ALL THESE FACTORS COMBINED THAT CAUSED US TO MISS SOMETHING SIMPLE, BUT THE CHAIN WASN'T BROKEN. SUPPLEMENTAL INFO FROM ACN 631227: AFTER WE ARRIVED INTO BOS AND COMPLETED THE CHKLIST. NEXT CREW WHO WERE WAITING FOR THE ACFT TOOK OVER THE AIRPLANE. AFTER ABOUT 5 MINS. OPS INFORMED US ONE OF THE ENGS WERE RUNNING WHEN THE CREW TOOK OVER THE ACFT. ALTHOUGH THE CAPT AND I WERE SURE THAT WE DID THE CHKLIST IN ITS ENTIRETY, WE THINK THAT THE THRUST WASN'T IDLE WHEN THRUST WAS SELECTED TO IDLE, THEREFORE, THE ENG DIDN'T STOP. NEVERTHELESS, WE SHOULD HAVE CAUGHT IT BY CONFIRMING THE SHUTDOWN ON EICAS. ALTHOUGH EMB MANUAL DOESN'T STATE THAT FO HAS TO CONFIRM THE ENG SHUT DOWN DURING PARKING CHK, I FEEL RESPONSIBLE ABOUT IT.
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.