37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 96000 |
Time | |
Date | 198810 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : new |
State Reference | LA |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | general aviation : corporate |
Make Model Name | Light Transport, Low Wing, 2 Turbojet Eng |
Flight Phase | climbout : takeoff ground other : taxi |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 78 flight time total : 7330 flight time type : 1460 |
ASRS Report | 96000 |
Person 2 | |
Affiliation | Other |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | none taken : insufficient time |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
I missed the flap setting for takeoff and the PF failed to catch it. The reason for the report is the recent interest in this item and 'it couldn't happen to me.' I'm the chief pilot for our company and the PF and I have 60+ yrs in airplanes. The problem was started when we began to taxi and run checklist. Partway through the checklist our clearance came through. I put the checklist down to copy the clearance. When I picked up the checklist I resumed at a spot beyond where I stopped, missing 'flaps'. We both discovered the oversight at rotation! Our jet is the most forgiving in the sky and we were light and the runway was long, and I'm happy to be writing to you. On studying this I believe a factor to this oversight was subtle fatigue. I had 12 hours off since my last flight, but the arrival was after midnight and I only had 4 hours of sleep. The other pilot had the previous day off, but alas, he and our other pilot don't check me (the boss) as closely as they should. Our electronic checklist would have shown me where I stopped, but it was inoperative. They are a wonderful tool for this situation.
Original NASA ASRS Text
Title: FLAPS NOT SET FOR TKOF AND MISSED BY CHECKLIST.
Narrative: I MISSED THE FLAP SETTING FOR TKOF AND THE PF FAILED TO CATCH IT. THE REASON FOR THE RPT IS THE RECENT INTEREST IN THIS ITEM AND 'IT COULDN'T HAPPEN TO ME.' I'M THE CHIEF PLT FOR OUR COMPANY AND THE PF AND I HAVE 60+ YRS IN AIRPLANES. THE PROB WAS STARTED WHEN WE BEGAN TO TAXI AND RUN CHKLIST. PARTWAY THROUGH THE CHKLIST OUR CLRNC CAME THROUGH. I PUT THE CHKLIST DOWN TO COPY THE CLRNC. WHEN I PICKED UP THE CHKLIST I RESUMED AT A SPOT BEYOND WHERE I STOPPED, MISSING 'FLAPS'. WE BOTH DISCOVERED THE OVERSIGHT AT ROTATION! OUR JET IS THE MOST FORGIVING IN THE SKY AND WE WERE LIGHT AND THE RWY WAS LONG, AND I'M HAPPY TO BE WRITING TO YOU. ON STUDYING THIS I BELIEVE A FACTOR TO THIS OVERSIGHT WAS SUBTLE FATIGUE. I HAD 12 HRS OFF SINCE MY LAST FLT, BUT THE ARR WAS AFTER MIDNIGHT AND I ONLY HAD 4 HRS OF SLEEP. THE OTHER PLT HAD THE PREVIOUS DAY OFF, BUT ALAS, HE AND OUR OTHER PLT DON'T CHK ME (THE BOSS) AS CLOSELY AS THEY SHOULD. OUR ELECTRONIC CHKLIST WOULD HAVE SHOWN ME WHERE I STOPPED, BUT IT WAS INOP. THEY ARE A WONDERFUL TOOL FOR THIS SITUATION.
Data retrieved from NASA's ASRS site as of August 2007 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.