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|
Attributes | |
ACN | 804855 |
Time | |
Date | 200809 |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : zzzz.airport |
State Reference | FO |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B747-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : preflight ground : takeoff roll |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 25000 flight time type : 2000 |
ASRS Report | 804855 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : second officer |
Qualification | pilot : instrument pilot : flight engineer pilot : cfi pilot : atp pilot : multi engine technician : airframe technician : powerplant |
Experience | flight time last 90 days : 60 flight time total : 30000 |
ASRS Report | 804583 |
Events | |
Anomaly | non adherence : company policies non adherence : far non adherence : published procedure |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Supplementary | |
Problem Areas | Flight Crew Human Performance Company |
Primary Problem | Ambiguous |
Narrative:
After departure; no problems were noted. When the aircraft was leveled off at cruise altitude FL350; we noticed that calculated cruise power was not holding cruise mach speed. I asked the flight engineer to recalculate the EPR for cruise speed. He did and restated it was correct. We then looked at the weight and balance form and saw the ramp fuel was 12000 pounds; but should have been 120000 pounds. Our company has a weight and balance program on computer. It should not have allowed the loadmaster to complete the weight and balance; but it did. All 3 crew members missed this gross error. In the future; all crew members will review and agree on this form. Supplemental information from acn 804853: factors affecting the quality of human performance: I had not eaten for 12 hours; minimum rest. After long; duty period. Rush to get flight out on time. Crew was complacent on procedure and making sure all items were correct.
Original NASA ASRS Text
Title: A B747 DEPARTED 108;000 LBS HEAVIER THAN CALCULATED BECAUSE OF A WT AND BALANCE ERROR.
Narrative: AFTER DEP; NO PROBS WERE NOTED. WHEN THE ACFT WAS LEVELED OFF AT CRUISE ALT FL350; WE NOTICED THAT CALCULATED CRUISE PWR WAS NOT HOLDING CRUISE MACH SPD. I ASKED THE FE TO RECALCULATE THE EPR FOR CRUISE SPD. HE DID AND RESTATED IT WAS CORRECT. WE THEN LOOKED AT THE WT AND BAL FORM AND SAW THE RAMP FUEL WAS 12000 LBS; BUT SHOULD HAVE BEEN 120000 LBS. OUR COMPANY HAS A WT AND BAL PROGRAM ON COMPUTER. IT SHOULD NOT HAVE ALLOWED THE LOADMASTER TO COMPLETE THE WT AND BAL; BUT IT DID. ALL 3 CREW MEMBERS MISSED THIS GROSS ERROR. IN THE FUTURE; ALL CREW MEMBERS WILL REVIEW AND AGREE ON THIS FORM. SUPPLEMENTAL INFO FROM ACN 804853: FACTORS AFFECTING THE QUALITY OF HUMAN PERFORMANCE: I HAD NOT EATEN FOR 12 HRS; MINIMUM REST. AFTER LONG; DUTY PERIOD. RUSH TO GET FLT OUT ON TIME. CREW WAS COMPLACENT ON PROC AND MAKING SURE ALL ITEMS WERE CORRECT.
Data retrieved from NASA's ASRS site as of May 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.