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|
Attributes | |
ACN | 808254 |
Time | |
Date | 200810 |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | agl single value : 1400 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : zzz.tracon |
Operator | common carrier : air carrier |
Make Model Name | B737-700 |
Operating Under FAR Part | Part 121 |
Flight Phase | descent : approach |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Experience | flight time last 90 days : 86 flight time type : 1600 |
ASRS Report | 808254 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Experience | flight time last 90 days : 251 |
ASRS Report | 808646 |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : far non adherence : published procedure |
Independent Detector | aircraft equipment other aircraft equipment : flap position indicator other flight crewa |
Resolutory Action | flight crew : executed go around flight crew : overcame equipment problem |
Supplementary | |
Problem Areas | Flight Crew Human Performance Aircraft |
Primary Problem | Aircraft |
Narrative:
On final approach we noticed the flaps were not extending; indicating 0 flaps. There was a 1-2 degree split between the flaps in the up position indicated by the gauge. We executed a go around and accomplished the asymmetrical flight control checklist. We landed uneventfully and were unaware of a mistake until after we landed and reviewed the checklist on the ground. We misinterped step 2 and lowered the flaps to 15 degrees. With asymmetric flaps; we should have left the flaps in the original setting. Crew coordination could have been better with assigning tasks giving both pilots the opportunity to review the checklist before accomplishing the checklist. Supplemental information from acn 808646: after reviewing the checklist on the ground after the incident; I realized my error. In retrospect; I realize I rushed myself and did not thoroughly read the checklist which ultimately led to my error. In addition; my decision to begin applying the checklist while the first officer was flying removed him from the process. While it was a good decision to bring him back into the process; I should have had him begin the checklist from the top instead of picking up from where I left off which would have highlighted my mistake. To prevent this problem in the future I will stress good crew checklist discipline and thorough review of the procedures before application of the checklist.
Original NASA ASRS Text
Title: B737 FLT CREW EXPERIENCES FLAP ASYMMETRY DURING APPROACH AND EXECUTES GAR. FLAPS ARE MISTAKENLY LOWERED TO 15 USING ALTERNATE FLAP SWITCH WHILE PERFORMING QRH PROCEDURE.
Narrative: ON FINAL APCH WE NOTICED THE FLAPS WERE NOT EXTENDING; INDICATING 0 FLAPS. THERE WAS A 1-2 DEG SPLIT BTWN THE FLAPS IN THE UP POS INDICATED BY THE GAUGE. WE EXECUTED A GAR AND ACCOMPLISHED THE ASYMMETRICAL FLT CTL CHKLIST. WE LANDED UNEVENTFULLY AND WERE UNAWARE OF A MISTAKE UNTIL AFTER WE LANDED AND REVIEWED THE CHKLIST ON THE GND. WE MISINTERPED STEP 2 AND LOWERED THE FLAPS TO 15 DEGS. WITH ASYMMETRIC FLAPS; WE SHOULD HAVE LEFT THE FLAPS IN THE ORIGINAL SETTING. CREW COORD COULD HAVE BEEN BETTER WITH ASSIGNING TASKS GIVING BOTH PLTS THE OPPORTUNITY TO REVIEW THE CHKLIST BEFORE ACCOMPLISHING THE CHKLIST. SUPPLEMENTAL INFO FROM ACN 808646: AFTER REVIEWING THE CHKLIST ON THE GND AFTER THE INCIDENT; I REALIZED MY ERROR. IN RETROSPECT; I REALIZE I RUSHED MYSELF AND DID NOT THOROUGHLY READ THE CHKLIST WHICH ULTIMATELY LED TO MY ERROR. IN ADDITION; MY DECISION TO BEGIN APPLYING THE CHKLIST WHILE THE FO WAS FLYING REMOVED HIM FROM THE PROCESS. WHILE IT WAS A GOOD DECISION TO BRING HIM BACK INTO THE PROCESS; I SHOULD HAVE HAD HIM BEGIN THE CHKLIST FROM THE TOP INSTEAD OF PICKING UP FROM WHERE I LEFT OFF WHICH WOULD HAVE HIGHLIGHTED MY MISTAKE. TO PREVENT THIS PROB IN THE FUTURE I WILL STRESS GOOD CREW CHKLIST DISCIPLINE AND THOROUGH REVIEW OF THE PROCS BEFORE APPLICATION OF THE CHKLIST.
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.