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|
Attributes | |
ACN | 664643 |
Time | |
Date | 200507 |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : rno.airport |
State Reference | NV |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : preflight |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Experience | flight time last 90 days : 190 flight time total : 5000 flight time type : 2000 |
ASRS Report | 664643 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Experience | flight time last 90 days : 21 flight time total : 18000 flight time type : 8700 |
ASRS Report | 664644 |
Events | |
Anomaly | non adherence : company policies non adherence : far non adherence : published procedure |
Independent Detector | other other : 3 |
Resolutory Action | none taken : detected after the fact |
Supplementary | |
Problem Areas | Company Flight Crew Human Performance |
Primary Problem | Company |
Narrative:
The operations agent handed me the load sheet and I began to make the appropriate entries in the FMC and opc. The center column of numbers added up and looked correct. We noticed and commented that we were really light and were going to take off like a rocket. I got the numbers from the opc and handed it to the captain; who then called for the before push checklist. We ran it and proceeded to push; start; taxi and take off uneventfully. Once in the air; we received a radio call from operations telling us to revise our takeoff weight. Pulled out the load sheet and at that time noticed a large difference in takeoff weights. The correct weight was actually 19000 pounds heavier. We then realized the numbers added up correctly but the passenger weight was extremely low; causing the low takeoff weight. The operations agent had entered 33 passenger into the computer versus the 133 passenger that we actually had. The error was twofold: 1) garbage in; garbage out for the operations computer; the numbers added up had we really had 33 passenger. 2) we did not notice the discrepancy in passenger listed on the load sheet. The plane took off fine; although the captain said it felt a little mushy on liftoff. But had we lost an engine on takeoff at that heavy weight and at that altitude; we may not have been able to stay airborne. We were not feeling rushed or any other pressures like that. Supplemental information from acn 664644: this was this crew's 5TH leg together for the day. The first officer was just doing 1 day with me. I would get a new first officer at destination to complete this 3-DAY pairing. I had commuted in from the city this morning to fly this 6-LEG day. I felt tired as we were going through our preflight duties for this leg. We started the day a little behind schedule but were now on time. I can't believe that I missed this large error. I quickly scanned the form and checked that the flight and tail numbers were correct and called for the 'before push checklist.' I think part of the problem is that with the new computer generated form; I have stopped looking for math errors like I did with old form. This can create a false sense of security. Yes the math was correct -- garbage in; garbage out. I will slow down a little in the future and really look at the form and check everything for accuracy just like with the old manual form. On this flight; all 3 of us failed to catch a simple error and the check and balance we rely on broke down.
Original NASA ASRS Text
Title: A B737-300 DEPARTED WITH AN 19000 LB TKOF WT ERROR.
Narrative: THE OPS AGENT HANDED ME THE LOAD SHEET AND I BEGAN TO MAKE THE APPROPRIATE ENTRIES IN THE FMC AND OPC. THE CTR COLUMN OF NUMBERS ADDED UP AND LOOKED CORRECT. WE NOTICED AND COMMENTED THAT WE WERE REALLY LIGHT AND WERE GOING TO TAKE OFF LIKE A ROCKET. I GOT THE NUMBERS FROM THE OPC AND HANDED IT TO THE CAPT; WHO THEN CALLED FOR THE BEFORE PUSH CHKLIST. WE RAN IT AND PROCEEDED TO PUSH; START; TAXI AND TAKE OFF UNEVENTFULLY. ONCE IN THE AIR; WE RECEIVED A RADIO CALL FROM OPS TELLING US TO REVISE OUR TKOF WT. PULLED OUT THE LOAD SHEET AND AT THAT TIME NOTICED A LARGE DIFFERENCE IN TKOF WTS. THE CORRECT WT WAS ACTUALLY 19000 LBS HEAVIER. WE THEN REALIZED THE NUMBERS ADDED UP CORRECTLY BUT THE PAX WT WAS EXTREMELY LOW; CAUSING THE LOW TKOF WT. THE OPS AGENT HAD ENTERED 33 PAX INTO THE COMPUTER VERSUS THE 133 PAX THAT WE ACTUALLY HAD. THE ERROR WAS TWOFOLD: 1) GARBAGE IN; GARBAGE OUT FOR THE OPS COMPUTER; THE NUMBERS ADDED UP HAD WE REALLY HAD 33 PAX. 2) WE DID NOT NOTICE THE DISCREPANCY IN PAX LISTED ON THE LOAD SHEET. THE PLANE TOOK OFF FINE; ALTHOUGH THE CAPT SAID IT FELT A LITTLE MUSHY ON LIFTOFF. BUT HAD WE LOST AN ENG ON TKOF AT THAT HVY WT AND AT THAT ALT; WE MAY NOT HAVE BEEN ABLE TO STAY AIRBORNE. WE WERE NOT FEELING RUSHED OR ANY OTHER PRESSURES LIKE THAT. SUPPLEMENTAL INFO FROM ACN 664644: THIS WAS THIS CREW'S 5TH LEG TOGETHER FOR THE DAY. THE FO WAS JUST DOING 1 DAY WITH ME. I WOULD GET A NEW FO AT DEST TO COMPLETE THIS 3-DAY PAIRING. I HAD COMMUTED IN FROM THE CITY THIS MORNING TO FLY THIS 6-LEG DAY. I FELT TIRED AS WE WERE GOING THROUGH OUR PREFLT DUTIES FOR THIS LEG. WE STARTED THE DAY A LITTLE BEHIND SCHEDULE BUT WERE NOW ON TIME. I CAN'T BELIEVE THAT I MISSED THIS LARGE ERROR. I QUICKLY SCANNED THE FORM AND CHKED THAT THE FLT AND TAIL NUMBERS WERE CORRECT AND CALLED FOR THE 'BEFORE PUSH CHKLIST.' I THINK PART OF THE PROB IS THAT WITH THE NEW COMPUTER GENERATED FORM; I HAVE STOPPED LOOKING FOR MATH ERRORS LIKE I DID WITH OLD FORM. THIS CAN CREATE A FALSE SENSE OF SECURITY. YES THE MATH WAS CORRECT -- GARBAGE IN; GARBAGE OUT. I WILL SLOW DOWN A LITTLE IN THE FUTURE AND REALLY LOOK AT THE FORM AND CHK EVERYTHING FOR ACCURACY JUST LIKE WITH THE OLD MANUAL FORM. ON THIS FLT; ALL 3 OF US FAILED TO CATCH A SIMPLE ERROR AND THE CHK AND BAL WE RELY ON BROKE DOWN.
Data retrieved from NASA's ASRS site as of January 2009 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.