Narrative:

We finished a series of flts that originated in gum. We flew gum-kix down and upload passenger and cargo. Proceeded from kix to spn, and finished with a spn-gum flight. Our show time was XA20 local and arrived back in gum at XQ10. The captain taxied into the gate and called for the parking checklist. I, as so, turned my seat to the panel and proceeded with my parking check flow and checklist. I then called operations to give our times, etc. We had approximately 5 maintenance write-ups which I then proceeded to enter, as directed by the captain, into the logbook. During this process, I could hear the first officer and captain performing the parking checklist. As I was still entering discrepancies into the logbook, the captain got out of his seat and left the cockpit. The first officer informed me we were supplied by ground power, and I should use the external power for electrical supply and take the demand off the APU. I did so. I was still writing the discrepancies into the log when the captain came back to the cockpit. He noticed we had external power and told me to shut APU down. I complied. The captain signed the logbook and left. The first officer then got out of his seat, gathered his belongings and also left cockpit. I waited for APU to cool down and then shut APU off. I gathered my belongings and exited the aircraft. I caught up to captain and first officer in customs where we were informed all 3 engines were still running on the aircraft. I proceeded, followed by the captain, back to the aircraft where maintenance had already shut down engines. Probable cause: fatigue due to schedules that have 2 or 3 early morning shows followed by evening reports. Most important was the captain's and first officer's neglect with the parking checklist that states fuel levers off. First officer did not check captain, and captain correctly responded, but did not shut down engines. Supplemental information from acn 378818: the crew was tired, both physically and mentally. My schedule began on aug/xa/97 with an aug/xb/97 on-island arrival from california. Although my schedule consisted of all night trips, 1 flight was delayed 9 hours, which adversely impacted my sleep cycle. At the time of the incident, I had flown 36 hours and 20 mins since beginning my schedule. Although I had adequate crew rest, as defined by FARS, my time spent asleep was at an all time low. I considered myself adequately rested when the flight originated, but I was extremely tired when the flight terminated. Crew rest and sleep do not equate to the same thing. I believe fatigue and an obvious checklist error was the primary cause of this incident. Supplemental information from acn 378819: fatigue. On aug/xa/97 I flew gum, spn, hrg, spn, gum. Show time XA40. Arrival XQ10 -- a tiring 16 hour night. I had 2 short day naps then slept 11 hours the night of aug/xb/97. On aug/xc/97 I flew gum, ngo, gum. Show XA40. Arrival XJ48. I slept 5 or 6 hours with a nap prior to an XB20 show for gum, kix, spn, gum. Arrival gum XQ10 aug/xd/97. This was when the incident occurred. Kix was ILS DME runway 24, heavy traffic, but VFR. Spn leg was ILS DME runway 7 with TDZ and rain, but we broke out VFR on final. Guam approach was as described above. While my sleep patterns were irregular, I had legal rest and felt adequately rested for flight duties aug/xd/97. Corrective actions: 1) while doing the parking checklist I actually touched the start levers. They were together in the 'on' position. I think I was so tired at this point, start lever position did not register. 2) if maintenance had contacted me, I am sure they would have noticed the engines were running as they finally did and I would have shut the engines down and this incident would not have occurred.

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Original NASA ASRS Text

Title: AN ACR DC10 FLC PARKED THE ACFT AND DEPARTED THE GATE AREA, BUT LEFT THE ENGS RUNNING. THE MAINT PERSONNEL COMPLETED THE ENG SHUTDOWN. THE FLC WERE FATIGUED.

Narrative: WE FINISHED A SERIES OF FLTS THAT ORIGINATED IN GUM. WE FLEW GUM-KIX DOWN AND UPLOAD PAX AND CARGO. PROCEEDED FROM KIX TO SPN, AND FINISHED WITH A SPN-GUM FLT. OUR SHOW TIME WAS XA20 LCL AND ARRIVED BACK IN GUM AT XQ10. THE CAPT TAXIED INTO THE GATE AND CALLED FOR THE PARKING CHKLIST. I, AS SO, TURNED MY SEAT TO THE PANEL AND PROCEEDED WITH MY PARKING CHK FLOW AND CHKLIST. I THEN CALLED OPS TO GIVE OUR TIMES, ETC. WE HAD APPROX 5 MAINT WRITE-UPS WHICH I THEN PROCEEDED TO ENTER, AS DIRECTED BY THE CAPT, INTO THE LOGBOOK. DURING THIS PROCESS, I COULD HEAR THE FO AND CAPT PERFORMING THE PARKING CHKLIST. AS I WAS STILL ENTERING DISCREPANCIES INTO THE LOGBOOK, THE CAPT GOT OUT OF HIS SEAT AND LEFT THE COCKPIT. THE FO INFORMED ME WE WERE SUPPLIED BY GND PWR, AND I SHOULD USE THE EXTERNAL PWR FOR ELECTRICAL SUPPLY AND TAKE THE DEMAND OFF THE APU. I DID SO. I WAS STILL WRITING THE DISCREPANCIES INTO THE LOG WHEN THE CAPT CAME BACK TO THE COCKPIT. HE NOTICED WE HAD EXTERNAL PWR AND TOLD ME TO SHUT APU DOWN. I COMPLIED. THE CAPT SIGNED THE LOGBOOK AND LEFT. THE FO THEN GOT OUT OF HIS SEAT, GATHERED HIS BELONGINGS AND ALSO LEFT COCKPIT. I WAITED FOR APU TO COOL DOWN AND THEN SHUT APU OFF. I GATHERED MY BELONGINGS AND EXITED THE ACFT. I CAUGHT UP TO CAPT AND FO IN CUSTOMS WHERE WE WERE INFORMED ALL 3 ENGS WERE STILL RUNNING ON THE ACFT. I PROCEEDED, FOLLOWED BY THE CAPT, BACK TO THE ACFT WHERE MAINT HAD ALREADY SHUT DOWN ENGS. PROBABLE CAUSE: FATIGUE DUE TO SCHEDULES THAT HAVE 2 OR 3 EARLY MORNING SHOWS FOLLOWED BY EVENING RPTS. MOST IMPORTANT WAS THE CAPT'S AND FO'S NEGLECT WITH THE PARKING CHKLIST THAT STATES FUEL LEVERS OFF. FO DID NOT CHK CAPT, AND CAPT CORRECTLY RESPONDED, BUT DID NOT SHUT DOWN ENGS. SUPPLEMENTAL INFO FROM ACN 378818: THE CREW WAS TIRED, BOTH PHYSICALLY AND MENTALLY. MY SCHEDULE BEGAN ON AUG/XA/97 WITH AN AUG/XB/97 ON-ISLAND ARR FROM CALIFORNIA. ALTHOUGH MY SCHEDULE CONSISTED OF ALL NIGHT TRIPS, 1 FLT WAS DELAYED 9 HRS, WHICH ADVERSELY IMPACTED MY SLEEP CYCLE. AT THE TIME OF THE INCIDENT, I HAD FLOWN 36 HRS AND 20 MINS SINCE BEGINNING MY SCHEDULE. ALTHOUGH I HAD ADEQUATE CREW REST, AS DEFINED BY FARS, MY TIME SPENT ASLEEP WAS AT AN ALL TIME LOW. I CONSIDERED MYSELF ADEQUATELY RESTED WHEN THE FLT ORIGINATED, BUT I WAS EXTREMELY TIRED WHEN THE FLT TERMINATED. CREW REST AND SLEEP DO NOT EQUATE TO THE SAME THING. I BELIEVE FATIGUE AND AN OBVIOUS CHKLIST ERROR WAS THE PRIMARY CAUSE OF THIS INCIDENT. SUPPLEMENTAL INFO FROM ACN 378819: FATIGUE. ON AUG/XA/97 I FLEW GUM, SPN, HRG, SPN, GUM. SHOW TIME XA40. ARR XQ10 -- A TIRING 16 HR NIGHT. I HAD 2 SHORT DAY NAPS THEN SLEPT 11 HRS THE NIGHT OF AUG/XB/97. ON AUG/XC/97 I FLEW GUM, NGO, GUM. SHOW XA40. ARR XJ48. I SLEPT 5 OR 6 HRS WITH A NAP PRIOR TO AN XB20 SHOW FOR GUM, KIX, SPN, GUM. ARR GUM XQ10 AUG/XD/97. THIS WAS WHEN THE INCIDENT OCCURRED. KIX WAS ILS DME RWY 24, HVY TFC, BUT VFR. SPN LEG WAS ILS DME RWY 7 WITH TDZ AND RAIN, BUT WE BROKE OUT VFR ON FINAL. GUAM APCH WAS AS DESCRIBED ABOVE. WHILE MY SLEEP PATTERNS WERE IRREGULAR, I HAD LEGAL REST AND FELT ADEQUATELY RESTED FOR FLT DUTIES AUG/XD/97. CORRECTIVE ACTIONS: 1) WHILE DOING THE PARKING CHKLIST I ACTUALLY TOUCHED THE START LEVERS. THEY WERE TOGETHER IN THE 'ON' POS. I THINK I WAS SO TIRED AT THIS POINT, START LEVER POS DID NOT REGISTER. 2) IF MAINT HAD CONTACTED ME, I AM SURE THEY WOULD HAVE NOTICED THE ENGS WERE RUNNING AS THEY FINALLY DID AND I WOULD HAVE SHUT THE ENGS DOWN AND THIS INCIDENT WOULD NOT HAVE OCCURRED.

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.