A fatigued B777-200 pilot reports several SOP failures: rvsm check missed; early brake release on pushback; and taxied in with ground equipment in sterile area.

Home

Browse by month

Random

Latest

About

Contact

Attributes
ACN	673335
Time
Date	200510
Local Time Of Day	1201 To 1800
Place
Locale Reference	airport : sfo.airport
State Reference	CA
Altitude	agl single value : 0
Aircraft 1
Operator	common carrier : air carrier
Make Model Name	B777-200
Operating Under FAR Part	Part 121
Flight Phase	ground : preflight ground : pushback ground : parked
Flight Plan	IFR
Person 1
Affiliation	company : air carrier
Function	flight crew : captain
Experience	flight time last 90 days : 50 flight time total : 15000 flight time type : 800
ASRS Report	673335
Person 2
Affiliation	company : air carrier
Function	flight crew : first officer
Events
Anomaly	non adherence : company policies non adherence : far non adherence : published procedure
Independent Detector	other flight crewa
Resolutory Action	flight crew : exited adverse environment none taken : anomaly accepted none taken : detected after the fact
Supplementary
Problem Areas	Airport Flight Crew Human Performance
Primary Problem	Flight Crew Human Performance

Narrative:

On routine flight sfo-ord and realized after the fact that an rvsm check had not been completed. Additionally had a problem on pushback with being hurried and released brakes prior (with ramper's consent) to completion of checklist. Then at ord we were marshaled into ramp area with several baggage carts in quarantine area. Tried to get folks to move out of way to no avail. Tail of aircraft was blocking major taxiway and had multiple thumbs up from ramp folks and taxied in without issue. Fatigue: XA20 show; rushed; and distrs interfered with SOP compliance.

Original NASA ASRS Text

Title: A FATIGUED B777-200 PLT RPTS SEVERAL SOP FAILURES: RVSM CHK MISSED; EARLY BRAKE RELEASE ON PUSHBACK; AND TAXIED IN WITH GND EQUIP IN STERILE AREA.

Narrative: ON ROUTINE FLT SFO-ORD AND REALIZED AFTER THE FACT THAT AN RVSM CHK HAD NOT BEEN COMPLETED. ADDITIONALLY HAD A PROB ON PUSHBACK WITH BEING HURRIED AND RELEASED BRAKES PRIOR (WITH RAMPER'S CONSENT) TO COMPLETION OF CHKLIST. THEN AT ORD WE WERE MARSHALED INTO RAMP AREA WITH SEVERAL BAGGAGE CARTS IN QUARANTINE AREA. TRIED TO GET FOLKS TO MOVE OUT OF WAY TO NO AVAIL. TAIL OF ACFT WAS BLOCKING MAJOR TXWY AND HAD MULTIPLE THUMBS UP FROM RAMP FOLKS AND TAXIED IN WITHOUT ISSUE. FATIGUE: XA20 SHOW; RUSHED; AND DISTRS INTERFERED WITH SOP COMPLIANCE.

Data retrieved from NASA's ASRS site as of January 2009 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.