|37000 Feet||Browse and search NASA's
Aviation Safety Reporting System
|Local Time Of Day||0601 To 1200|
|Locale Reference||airport : zzz.airport|
|Altitude||agl single value : 0|
|Operator||common carrier : air carrier|
|Make Model Name||B757-200|
|Operating Under FAR Part||Part 121|
|Flight Phase||ground : parked|
|Affiliation||company : air carrier|
|Function||flight crew : captain|
oversight : pic
|Qualification||pilot : commercial|
pilot : flight engineer
pilot : atp
|Experience||flight time last 90 days : 41|
flight time total : 16989
flight time type : 41
|Affiliation||company : air carrier|
|Function||flight crew : first officer|
|Qualification||pilot : atp|
|Anomaly||non adherence : company policies|
non adherence : published procedure
|Independent Detector||other other : 3|
|Resolutory Action||none taken : detected after the fact|
|Problem Areas||Flight Crew Human Performance|
|Primary Problem||Flight Crew Human Performance|
The event occurred due to being interrupted while starting the shutdown checklist. Being very new to the B757 my main focus has been on the flows. The patterns are different from the last aircraft I flew; that is; the flow after the engines are shut down. I; the captain; taxied into the gate with the APU running. After setting the parking brake; I shut down the left engine. I paused before shutting down the second engine to ensure the APU picked up the load. I went through the rest of the shutdown flow while waiting for the APU to pick up the load from the left engine generator. While starting the shutdown checklist the flight attendant called the first officer about a seat back that would not stay up to enter into the logbook. The first officer relayed the information to me. After the interruption I continued the checklist thinking that both engines had been confirmed shut down. Not realizing the right engine was still running I left the aircraft and walked to operations to check the computer. While there the assistant chief pilot informed me that both engines had not been shut down. I think it would be beneficial if both pilots were actively involved in the shutdown checklist to add another barrier against human error. The gate agent notified the chief pilot. The chief pilot informed me that both engines had not been shut down while I was in the crew room. A mechanic shut down the right engine. At the request of the assistant chief pilot I took a drug and alcohol test. Under company policy the first officer is not required to read the shutdown checklist; taking him out of the loop.
Original NASA ASRS Text
Title: B757 FLT CREW DEPARTED THE ACFT WITH AN ENGINE STILL RUNNING.
Narrative: THE EVENT OCCURRED DUE TO BEING INTERRUPTED WHILE STARTING THE SHUTDOWN CHKLIST. BEING VERY NEW TO THE B757 MY MAIN FOCUS HAS BEEN ON THE FLOWS. THE PATTERNS ARE DIFFERENT FROM THE LAST ACFT I FLEW; THAT IS; THE FLOW AFTER THE ENGS ARE SHUT DOWN. I; THE CAPT; TAXIED INTO THE GATE WITH THE APU RUNNING. AFTER SETTING THE PARKING BRAKE; I SHUT DOWN THE L ENG. I PAUSED BEFORE SHUTTING DOWN THE SECOND ENG TO ENSURE THE APU PICKED UP THE LOAD. I WENT THROUGH THE REST OF THE SHUTDOWN FLOW WHILE WAITING FOR THE APU TO PICK UP THE LOAD FROM THE L ENG GENERATOR. WHILE STARTING THE SHUTDOWN CHKLIST THE FLT ATTENDANT CALLED THE FO ABOUT A SEAT BACK THAT WOULD NOT STAY UP TO ENTER INTO THE LOGBOOK. THE FO RELAYED THE INFO TO ME. AFTER THE INTERRUPTION I CONTINUED THE CHKLIST THINKING THAT BOTH ENGS HAD BEEN CONFIRMED SHUT DOWN. NOT REALIZING THE R ENG WAS STILL RUNNING I LEFT THE ACFT AND WALKED TO OPS TO CHK THE COMPUTER. WHILE THERE THE ASSISTANT CHIEF PLT INFORMED ME THAT BOTH ENGS HAD NOT BEEN SHUT DOWN. I THINK IT WOULD BE BENEFICIAL IF BOTH PLTS WERE ACTIVELY INVOLVED IN THE SHUTDOWN CHKLIST TO ADD ANOTHER BARRIER AGAINST HUMAN ERROR. THE GATE AGENT NOTIFIED THE CHIEF PLT. THE CHIEF PLT INFORMED ME THAT BOTH ENGS HAD NOT BEEN SHUT DOWN WHILE I WAS IN THE CREW ROOM. A MECH SHUT DOWN THE R ENG. AT THE REQUEST OF THE ASSISTANT CHIEF PLT I TOOK A DRUG AND ALCOHOL TEST. UNDER COMPANY POLICY THE FO IS NOT REQUIRED TO READ THE SHUTDOWN CHKLIST; TAKING HIM OUT OF THE LOOP.
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.