37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 687662 |
Time | |
Date | 200602 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : cvg.airport |
State Reference | KY |
Altitude | agl single value : 300 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : cvg.tower tower : zbaa.tower |
Operator | common carrier : air carrier |
Make Model Name | Regional Jet 200 ER&LR |
Operating Under FAR Part | Part 121 |
Flight Phase | descent : approach |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Experience | flight time last 90 days : 70 flight time total : 8400 flight time type : 6000 |
ASRS Report | 687662 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Experience | flight time last 90 days : 250 flight time total : 2550 flight time type : 1500 |
ASRS Report | 687663 |
Events | |
Anomaly | non adherence : company policies non adherence : published procedure other anomaly other |
Independent Detector | aircraft equipment : gpws other flight crewa other flight crewb |
Resolutory Action | flight crew : executed go around |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
During approach to runway 18C; the first officer (who was flying) called for flaps 45 degrees and before landing checklist. The checklist was verbalized as required; but the flaps were still at 30 degrees extension. Neither of us caught the fact that the flaps were at the wrong setting. On short final the GPWS annunciated; 'too low flaps' and we decided that the best course of action was to go around. As it was my job as the PNF to put the flaps down; I was certain I had done so. It is quite possible that I started to and got distraction. As for completing the before landing checklist; we did verbalize it using challenge and response; but I think we just saw what we wanted/expected to see. A contributing factor to this event was being tired. This trip had 3 consecutive early reports; including an XA45 wake-up on day #2; XB15 on the event date. On top of that; the event date also included 2 long breaks; including 1 before the flight and 1 we were anticipating after the flight. In short; we were sort of robotic and tired; and we wanted to finish the day. Supplemental information fro acn 687663: I even called scheduling and spoke to a supervisor at XA45 and again at XB30 asking him to take me off the rest of the trip because I was so exhausted. He tried to work that out; but said we were short staffed. I told him I wasn't going to call in sick (because I wasn't sick) and I told him that I wouldn't call in fatigued because they didn't have the staffing. All of my trips during the month had much later report times; so I wasn't used to getting up so early and wasn't able to fall asleep early. In hindsight; I feel that I should have called in fatigued instead of fighting the exhaustion.
Original NASA ASRS Text
Title: CRJ200 FLT CREW EXECUTES GAR WHEN GPWS ALERTS THEM TO IMPROPER ACFT CONFIGN.
Narrative: DURING APCH TO RWY 18C; THE FO (WHO WAS FLYING) CALLED FOR FLAPS 45 DEGS AND BEFORE LNDG CHKLIST. THE CHKLIST WAS VERBALIZED AS REQUIRED; BUT THE FLAPS WERE STILL AT 30 DEGS EXTENSION. NEITHER OF US CAUGHT THE FACT THAT THE FLAPS WERE AT THE WRONG SETTING. ON SHORT FINAL THE GPWS ANNUNCIATED; 'TOO LOW FLAPS' AND WE DECIDED THAT THE BEST COURSE OF ACTION WAS TO GO AROUND. AS IT WAS MY JOB AS THE PNF TO PUT THE FLAPS DOWN; I WAS CERTAIN I HAD DONE SO. IT IS QUITE POSSIBLE THAT I STARTED TO AND GOT DISTR. AS FOR COMPLETING THE BEFORE LNDG CHKLIST; WE DID VERBALIZE IT USING CHALLENGE AND RESPONSE; BUT I THINK WE JUST SAW WHAT WE WANTED/EXPECTED TO SEE. A CONTRIBUTING FACTOR TO THIS EVENT WAS BEING TIRED. THIS TRIP HAD 3 CONSECUTIVE EARLY RPTS; INCLUDING AN XA45 WAKE-UP ON DAY #2; XB15 ON THE EVENT DATE. ON TOP OF THAT; THE EVENT DATE ALSO INCLUDED 2 LONG BREAKS; INCLUDING 1 BEFORE THE FLT AND 1 WE WERE ANTICIPATING AFTER THE FLT. IN SHORT; WE WERE SORT OF ROBOTIC AND TIRED; AND WE WANTED TO FINISH THE DAY. SUPPLEMENTAL INFO FRO ACN 687663: I EVEN CALLED SCHEDULING AND SPOKE TO A SUPVR AT XA45 AND AGAIN AT XB30 ASKING HIM TO TAKE ME OFF THE REST OF THE TRIP BECAUSE I WAS SO EXHAUSTED. HE TRIED TO WORK THAT OUT; BUT SAID WE WERE SHORT STAFFED. I TOLD HIM I WASN'T GOING TO CALL IN SICK (BECAUSE I WASN'T SICK) AND I TOLD HIM THAT I WOULDN'T CALL IN FATIGUED BECAUSE THEY DIDN'T HAVE THE STAFFING. ALL OF MY TRIPS DURING THE MONTH HAD MUCH LATER RPT TIMES; SO I WASN'T USED TO GETTING UP SO EARLY AND WASN'T ABLE TO FALL ASLEEP EARLY. IN HINDSIGHT; I FEEL THAT I SHOULD HAVE CALLED IN FATIGUED INSTEAD OF FIGHTING THE EXHAUSTION.
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.