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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 262147 |
| Time | |
| Date | 199401 |
| Day | Tue |
| Local Time Of Day | 1201 To 1800 |
| Place | |
| Locale Reference | atc facility : har |
| State Reference | PA |
| Altitude | msl bound lower : 25000 msl bound upper : 25000 |
| Environment | |
| Flight Conditions | IMC |
| Light | Dusk |
| Aircraft 1 | |
| Controlling Facilities | artcc : zny |
| Operator | common carrier : air carrier |
| Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
| Operating Under FAR Part | Part 121 |
| Navigation In Use | Other Other |
| Flight Phase | cruise other |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| Experience | flight time last 90 days : 210 flight time total : 20226 flight time type : 401 |
| ASRS Report | 262147 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : atp pilot : flight engineer |
| Experience | flight time last 90 days : 300 flight time total : 8000 flight time type : 350 |
| ASRS Report | 262102 |
| Events | |
| Anomaly | aircraft equipment problem : critical non adherence : published procedure |
| Independent Detector | other flight crewa |
| Resolutory Action | flight crew : declared emergency none taken : detected after the fact |
| Consequence | Other |
| Supplementary | |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
| Situations | |
| Publication | Unspecified |
Narrative:
We used the left engine overheat checklist instead of the left engine bleed overheat checklist. Following the engine overheat checklist the engine was shut-down. If the checklist was titled simply l-bleed overheat this error may have been avoided. Supplemental information from acn 262102: we had a left bleed engine bleed out advisory, so I went to engine section and read wrong checklist in engine section. The correct checklist was in the air-conditioning section. Shutdown engine and proceeded to phl for uneventful landing.
Original NASA ASRS Text
Title: WDB FLT CREW USES WRONG CHKLIST DID NOT NEED TO, BUT SHUTDOWN ENG.
Narrative: WE USED THE L ENG OVERHEAT CHKLIST INSTEAD OF THE L ENG BLEED OVERHEAT CHKLIST. FOLLOWING THE ENG OVERHEAT CHKLIST THE ENG WAS SHUT-DOWN. IF THE CHKLIST WAS TITLED SIMPLY L-BLEED OVERHEAT THIS ERROR MAY HAVE BEEN AVOIDED. SUPPLEMENTAL INFO FROM ACN 262102: WE HAD A L BLEED ENG BLEED OUT ADVISORY, SO I WENT TO ENG SECTION AND READ WRONG CHKLIST IN ENG SECTION. THE CORRECT CHKLIST WAS IN THE AIR-CONDITIONING SECTION. SHUTDOWN ENG AND PROCEEDED TO PHL FOR UNEVENTFUL LNDG.
Data retrieved from NASA's ASRS site as of July 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.