Ground crew forgets to close aft cargo door. They return to B737-500 after pushback salute and relea...

Attributes
ACN	690661
Time
Date	200603
Local Time Of Day	1201 To 1800
Place
Locale Reference	airport : zzz.airport
State Reference	US
Altitude	agl single value : 0
Environment
Flight Conditions	VMC
Aircraft 1
Operator	common carrier : air carrier
Make Model Name	B737-500
Operating Under FAR Part	Part 121
Flight Phase	ground : pushback
Flight Plan	IFR
Person 1
Affiliation	company : air carrier
Function	flight crew : captain oversight : pic
Experience	flight time last 90 days : 250 flight time total : 18000 flight time type : 2500
ASRS Report	690661
Person 2
Affiliation	company : air carrier
Function	flight crew : first officer
Events
Anomaly	non adherence : company policies non adherence : published procedure
Independent Detector	aircraft equipment other aircraft equipment : recall doors other flight crewa other flight crewb other other : 3
Resolutory Action	other
Supplementary
Problem Areas	Maintenance Human Performance
Primary Problem	Maintenance Human Performance

Narrative:

After pushback; received salute and release. Captain completed after start flow with 6 pack recall. 6 pack recall illuminated doors. Looked at overhead door lights and all lights indicated out. Did light test and aft cargo lights burnt out. Changed lights in aft cargo lights indicator and lights indicated on. At this time ramp personnel came out waving hands pointing toward aft cargo door. Captain shut down #2 engine. Ramp closed aft cargo door; light went out. Again received salute and release. Talked to operations taxiing and they said ramp forgot to close aft door. Breakdown in ramp SOP.

Original NASA ASRS Text

Title: GND CREW FORGETS TO CLOSE AFT CARGO DOOR. THEY RETURN TO B737-500 AFTER PUSHBACK SALUTE AND RELEASE.

Narrative: AFTER PUSHBACK; RECEIVED SALUTE AND RELEASE. CAPT COMPLETED AFTER START FLOW WITH 6 PACK RECALL. 6 PACK RECALL ILLUMINATED DOORS. LOOKED AT OVERHEAD DOOR LIGHTS AND ALL LIGHTS INDICATED OUT. DID LIGHT TEST AND AFT CARGO LIGHTS BURNT OUT. CHANGED LIGHTS IN AFT CARGO LIGHTS INDICATOR AND LIGHTS INDICATED ON. AT THIS TIME RAMP PERSONNEL CAME OUT WAVING HANDS POINTING TOWARD AFT CARGO DOOR. CAPT SHUT DOWN #2 ENG. RAMP CLOSED AFT CARGO DOOR; LIGHT WENT OUT. AGAIN RECEIVED SALUTE AND RELEASE. TALKED TO OPS TAXIING AND THEY SAID RAMP FORGOT TO CLOSE AFT DOOR. BREAKDOWN IN RAMP SOP.

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.

Ground crew forgets to close aft cargo door. They return to B737-500 after pushback salute and release.