<< >> NASA ASRS Report 423066, December 1998

A B737-300 was dispatched 10000 pounds short of the required fuel load caused by the fueler using the wrong fuel slip and the flight crew not checking fueling paperwork prior to flight. Flight crew made en route fuel stop.

Attributes
ACN	423066
Time
Date	199812
Day	Thu
Local Time Of Day	1201 To 1800
Place
Locale Reference	airport : msp
State Reference	MN
Altitude	agl bound lower : 0 agl bound upper : 0
Environment
Flight Conditions	VMC
Light	Daylight
Aircraft 1
Controlling Facilities	tower : spg
Operator	common carrier : air carrier
Make Model Name	B737-300
Navigation In Use	Other
Flight Phase	ground : preflight ground : parked
Flight Plan	IFR
Person 1
Affiliation	company : air carrier
Function	flight crew : first officer
Qualification	pilot : commercial
ASRS Report	423066
Person 2
Affiliation	company : air carrier
Function	flight crew : captain oversight : pic
Experience	flight time last 90 days : 200 flight time total : 15000 flight time type : 3000
ASRS Report	423245
Events
Anomaly	aircraft equipment problem : critical non adherence : published procedure non adherence : far
Independent Detector	other flight crewa
Resolutory Action	other
Consequence	Other
Supplementary
Air Traffic Incident	other

Narrative:

Stopped in msp on scheduled refueling stop from pit en route to sea. An excellent array of fail-safe procedures to prevent unwanted fuel loads all broke down. As a consequence we departed with enough fuel for the msp leg to sea but insufficient holding reserves. The company recently switched to a new computer, changing dispatch, WX and fuel paperwork. The fuelers misunderstood the load (via operations) and fueled to 25000 pounds (rather than the 35000 pounds desired) and gave us an accurate fuel slip for 25000 pounds. Our pit to sea dispatch was for 25000 pounds and was inadvertently left on the glareshield, handwritten on it in bold (25,0/) to be used to verify fuel at before start, ACARS loading and before takeoff. A quick turn, rushing, new format, delayed ACARS weights including wrong runway which had to be corrected, similar 25 versus 35 loads, late paperwork, huge volume of paperwork and an exponential murphy's law effect all contributed.

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Original NASA ASRS Text

Title: A B737-300 WAS DISPATCHED 10000 LBS SHORT OF THE REQUIRED FUEL LOAD CAUSED BY THE FUELER USING THE WRONG FUEL SLIP AND THE FLC NOT CHKING FUELING PAPERWORK PRIOR TO FLT. FLC MADE ENRTE FUEL STOP.

Narrative: STOPPED IN MSP ON SCHEDULED REFUELING STOP FROM PIT ENRTE TO SEA. AN EXCELLENT ARRAY OF FAIL-SAFE PROCS TO PREVENT UNWANTED FUEL LOADS ALL BROKE DOWN. AS A CONSEQUENCE WE DEPARTED WITH ENOUGH FUEL FOR THE MSP LEG TO SEA BUT INSUFFICIENT HOLDING RESERVES. THE COMPANY RECENTLY SWITCHED TO A NEW COMPUTER, CHANGING DISPATCH, WX AND FUEL PAPERWORK. THE FUELERS MISUNDERSTOOD THE LOAD (VIA OPS) AND FUELED TO 25000 LBS (RATHER THAN THE 35000 LBS DESIRED) AND GAVE US AN ACCURATE FUEL SLIP FOR 25000 LBS. OUR PIT TO SEA DISPATCH WAS FOR 25000 LBS AND WAS INADVERTENTLY LEFT ON THE GLARESHIELD, HANDWRITTEN ON IT IN BOLD (25,0/) TO BE USED TO VERIFY FUEL AT BEFORE START, ACARS LOADING AND BEFORE TKOF. A QUICK TURN, RUSHING, NEW FORMAT, DELAYED ACARS WTS INCLUDING WRONG RWY WHICH HAD TO BE CORRECTED, SIMILAR 25 VERSUS 35 LOADS, LATE PAPERWORK, HUGE VOLUME OF PAPERWORK AND AN EXPONENTIAL MURPHY'S LAW EFFECT ALL CONTRIBUTED.

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.