37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 715523 |
Time | |
Date | 200610 |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : phl.airport |
State Reference | PA |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : taxi |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 95 flight time total : 22000 flight time type : 7000 |
ASRS Report | 715523 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | non adherence : far non adherence : company policies non adherence : published procedure |
Independent Detector | other flight crewa |
Resolutory Action | none taken : anomaly accepted |
Supplementary | |
Problem Areas | Flight Crew Human Performance Company |
Primary Problem | Flight Crew Human Performance |
Narrative:
First officer was running late. To prevent flight delays; I performed the first officer duties as well as my usual 'C/O' duties and I prepared the aircraft for the first flight of our trip. In the process; I neglected to check the logbook for write-ups. I later discovered to my dismay that there were 2 minor cabin/galley write-ups by the previous crew that had not been addressed by maintenance personnel. I take full responsibility for the omission. I attribute my error to the following: 1) extreme fatigue caused by airline management pushing all domestic crews of air carrier beyond reasonable human tolerances (for the sake of productivity). This is a problem that is growing to extremes with air carrier and must be addressed to prevent a tragedy. Our crews are exhausted; and if we call in sick we are harassed incessantly. 2) drastic changes in procedures and no real training on those unfamiliar procedures. Training by 'email' is cost-effective but quite ineffective.
Original NASA ASRS Text
Title: B737 CAPT CITES FATIGUE AND LACK OF TRAINING AS THE CAUSES FOR FAILURE TO NOTE TWO OPEN MAINT ITEMS IN ACFT LOG.
Narrative: FO WAS RUNNING LATE. TO PREVENT FLT DELAYS; I PERFORMED THE FO DUTIES AS WELL AS MY USUAL 'C/O' DUTIES AND I PREPARED THE ACFT FOR THE FIRST FLT OF OUR TRIP. IN THE PROCESS; I NEGLECTED TO CHK THE LOGBOOK FOR WRITE-UPS. I LATER DISCOVERED TO MY DISMAY THAT THERE WERE 2 MINOR CABIN/GALLEY WRITE-UPS BY THE PREVIOUS CREW THAT HAD NOT BEEN ADDRESSED BY MAINT PERSONNEL. I TAKE FULL RESPONSIBILITY FOR THE OMISSION. I ATTRIBUTE MY ERROR TO THE FOLLOWING: 1) EXTREME FATIGUE CAUSED BY AIRLINE MGMNT PUSHING ALL DOMESTIC CREWS OF ACR BEYOND REASONABLE HUMAN TOLERANCES (FOR THE SAKE OF PRODUCTIVITY). THIS IS A PROB THAT IS GROWING TO EXTREMES WITH ACR AND MUST BE ADDRESSED TO PREVENT A TRAGEDY. OUR CREWS ARE EXHAUSTED; AND IF WE CALL IN SICK WE ARE HARASSED INCESSANTLY. 2) DRASTIC CHANGES IN PROCS AND NO REAL TRAINING ON THOSE UNFAMILIAR PROCS. TRAINING BY 'EMAIL' IS COST-EFFECTIVE BUT QUITE INEFFECTIVE.
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.