<< >> NASA ASRS Report 303527, May 1995

Cockpit management problem. A series of events improperly managed by the flight crew leads them to attempt a no flaps takeoff. An aborted takeoff results.

Attributes
ACN	303527
Time
Date	199505
Day	Tue
Local Time Of Day	0601 To 1200
Place
Locale Reference	airport : ewr
State Reference	NJ
Altitude	agl bound lower : 0 agl bound upper : 0
Environment
Flight Conditions	Marginal
Light	Daylight
Aircraft 1
Operator	common carrier : air carrier
Make Model Name	B737-500
Operating Under FAR Part	Part 121
Navigation In Use	Other Other
Flight Phase	climbout : takeoff ground : preflight ground other : taxi
Flight Plan	IFR
Person 1
Affiliation	company : air carrier
Function	flight crew : captain oversight : pic
Qualification	pilot : atp pilot : instrument pilot : commercial
Experience	flight time last 90 days : 240 flight time total : 16000 flight time type : 2000
ASRS Report	303527
Person 2
Affiliation	company : air carrier
Function	flight crew : first officer
Qualification	pilot : commercial pilot : instrument
Events
Anomaly	aircraft equipment problem : critical non adherence : published procedure non adherence : far other anomaly other
Independent Detector	aircraft equipment other aircraft equipment : unspecified
Resolutory Action	flight crew : rejected takeoff other other
Consequence	Other
Supplementary
Primary Problem	Flight Crew Human Performance
Air Traffic Incident	Pilot Deviation

Narrative:

Early arrival to ewr from cle at XA30 EST. Had 30 mins to obtain next dispatch release and walked to next aircraft, began preflight checks. First officer had completed walk around. Premature push begun before alignment of IRS's complete. Required repos twice with long realignment due to ramp control desires to move aircraft. A malfunctioning master caution system plus ramp control interruption and ATC coordination for amended release times broke the taxi checklist and flaps were omitted. The checklist was not completed in entirety until on the runway an aural takeoff warning occurred. Cleared the runway and configured properly with complete rejected takeoff and taxi before takeoff checklists. Subsequent takeoff without further difficulty.

Related reports:

• Flight crew in an MD80 descends below their assigned altitud...
• Cockpit management - captain allows a flight service station...
• Cockpit management - the first officer did not tell the capt...
• Lack of crew coordination and cockpit management contribute ...
• Phraseology. Cockpit resource management. Air carrier is imp...
• Unstable approach. No crew cockpit resource management.

	Enter your search terms Submit search form
	Web www.37000feet.com

Original NASA ASRS Text

Title: COCKPIT MGMNT PROBLEM. A SERIES OF EVENTS IMPROPERLY MANAGED BY THE FLC LEADS THEM TO ATTEMPT A NO FLAPS TKOF. AN ABORTED TKOF RESULTS.

Narrative: EARLY ARR TO EWR FROM CLE AT XA30 EST. HAD 30 MINS TO OBTAIN NEXT DISPATCH RELEASE AND WALKED TO NEXT ACFT, BEGAN PREFLT CHKS. FO HAD COMPLETED WALK AROUND. PREMATURE PUSH BEGUN BEFORE ALIGNMENT OF IRS'S COMPLETE. REQUIRED REPOS TWICE WITH LONG REALIGNMENT DUE TO RAMP CTL DESIRES TO MOVE ACFT. A MALFUNCTIONING MASTER CAUTION SYS PLUS RAMP CTL INTERRUPTION AND ATC COORD FOR AMENDED RELEASE TIMES BROKE THE TAXI CHKLIST AND FLAPS WERE OMITTED. THE CHKLIST WAS NOT COMPLETED IN ENTIRETY UNTIL ON THE RWY AN AURAL TKOF WARNING OCCURRED. CLRED THE RWY AND CONFIGURED PROPERLY WITH COMPLETE REJECTED TKOF AND TAXI BEFORE TKOF CHKLISTS. SUBSEQUENT TKOF WITHOUT FURTHER DIFFICULTY.

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.