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|
Attributes | |
ACN | 633110 |
Time | |
Date | 200410 |
Day | Mon |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : iah.airport |
State Reference | TX |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-500 |
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 |
Experience | flight time last 90 days : 260 flight time total : 24300 flight time type : 6500 |
ASRS Report | 633110 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Experience | flight time last 90 days : 156 flight time total : 10000 flight time type : 3000 |
ASRS Report | 633111 |
Events | |
Anomaly | ground encounters : vehicle non adherence : company policies non adherence : published procedure other anomaly other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : nose tire contacting tow bar |
Resolutory Action | flight crew : regained aircraft control |
Consequence | other |
Factors | |
Maintenance | performance deficiency : inspection |
Supplementary | |
Problem Areas | Flight Crew Human Performance Aircraft |
Primary Problem | Flight Crew Human Performance |
Narrative:
When checking the aircraft logbook, I noted an entry made that this APU put out low air and had a delayed start. We also noticed that as far as air conditioning the aircraft, the APU was doing a poor job. I pre-briefed the first officer that we would turn the engine hydraulic pumps off and get the best N2 before we start. (In my irregularity report, I noted the aircraft log page number) pushback was normal and we were cleared to start. I elected to turn engine #2 first so we could get air to the passenger sooner as it was a hot day. We could only get 22% N2 but continued the start. Just as engine #2 N2 reached 46%, the tug operator called for brakes set. I set the brakes, called brakes set and then called for isolation valve close and start #1. What I did not do was to verify the brake red light on, but instead was watching the egt on engine #2. My outside vision just started to note movement when I heard the nosewheel making contact with the towbar. I immediately jumped on the brakes to stop the aircraft, but not before riding up on the towbar. We asked the tug driver if anyone was harmed and he said no one was touched but we better call maintenance. We did call and they came out to dislodge the towbar and inspected the nose gear and certified it ok and released us for flight. The flight to ZZZ1 and back to ZZZ2 was uneventful. I have to assume that I never truly set the brakes even though I know in my mind they were set. I am also extremely thankful that no one was hurt.
Original NASA ASRS Text
Title: A B737 PLT FAILED TO SET THE PARKING BRAKE DURING ENG START AND THE ACFT ROLLED INTO THE TOWBAR AFTER PUSHBACK.
Narrative: WHEN CHKING THE ACFT LOGBOOK, I NOTED AN ENTRY MADE THAT THIS APU PUT OUT LOW AIR AND HAD A DELAYED START. WE ALSO NOTICED THAT AS FAR AS AIR CONDITIONING THE ACFT, THE APU WAS DOING A POOR JOB. I PRE-BRIEFED THE FO THAT WE WOULD TURN THE ENG HYD PUMPS OFF AND GET THE BEST N2 BEFORE WE START. (IN MY IRREGULARITY RPT, I NOTED THE ACFT LOG PAGE NUMBER) PUSHBACK WAS NORMAL AND WE WERE CLRED TO START. I ELECTED TO TURN ENG #2 FIRST SO WE COULD GET AIR TO THE PAX SOONER AS IT WAS A HOT DAY. WE COULD ONLY GET 22% N2 BUT CONTINUED THE START. JUST AS ENG #2 N2 REACHED 46%, THE TUG OPERATOR CALLED FOR BRAKES SET. I SET THE BRAKES, CALLED BRAKES SET AND THEN CALLED FOR ISOLATION VALVE CLOSE AND START #1. WHAT I DID NOT DO WAS TO VERIFY THE BRAKE RED LIGHT ON, BUT INSTEAD WAS WATCHING THE EGT ON ENG #2. MY OUTSIDE VISION JUST STARTED TO NOTE MOVEMENT WHEN I HEARD THE NOSEWHEEL MAKING CONTACT WITH THE TOWBAR. I IMMEDIATELY JUMPED ON THE BRAKES TO STOP THE ACFT, BUT NOT BEFORE RIDING UP ON THE TOWBAR. WE ASKED THE TUG DRIVER IF ANYONE WAS HARMED AND HE SAID NO ONE WAS TOUCHED BUT WE BETTER CALL MAINT. WE DID CALL AND THEY CAME OUT TO DISLODGE THE TOWBAR AND INSPECTED THE NOSE GEAR AND CERTIFIED IT OK AND RELEASED US FOR FLT. THE FLT TO ZZZ1 AND BACK TO ZZZ2 WAS UNEVENTFUL. I HAVE TO ASSUME THAT I NEVER TRULY SET THE BRAKES EVEN THOUGH I KNOW IN MY MIND THEY WERE SET. I AM ALSO EXTREMELY THANKFUL THAT NO ONE WAS HURT.
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.