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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 835424 |
| Time | |
| Date | 200905 |
| Local Time Of Day | 0601-1200 |
| Place | |
| Locale Reference | LAX.Airport |
| State Reference | CA |
| Aircraft 1 | |
| Make Model Name | Dash 8-400 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | Taxi |
| Flight Plan | IFR |
| Component | |
| Aircraft Component | Parking Brake |
| Person 1 | |
| Function | Pilot Flying Captain |
| Person 2 | |
| Function | Pilot Not Flying First Officer |
| Events | |
| Anomaly | Deviation - Procedural Published Material / Policy Ground Event / Encounter Person / Animal / Bird |
Narrative:
Upon push back completion the ground crew disconnected the tow bar and proceeded to move back from the aircraft without any verbal communication or hand signals. I tried repeatedly to get one of them to give me the correct hand signal confirmation for communication door closed. After they all moved back; I did what is usually done at that point and pushed condition levers to max and moved the power levers up about a half inch. While I was doing this; a ramper; that I did not notice; moved into the area under the nose gear. Since I didn't get the 'push back complete; set brakes' command from the tug driver; I didn't set the brake. The aircraft started to slowly roll forward. At this point; the ramper that had gone under the nose now briskly exited that area. I stopped the aircraft after about a foot or two.
Original NASA ASRS Text
Title: Distracted by a breakdown in SOP dialog between the flight and pushback crews; a Q400 Captain failed to set the parking brake and the aircraft moved forward with an undetected ground crewperson still in harms way.
Narrative: Upon push back completion the ground crew disconnected the tow bar and proceeded to move back from the aircraft without any verbal communication or hand signals. I tried repeatedly to get one of them to give me the correct hand signal confirmation for communication door closed. After they all moved back; I did what is usually done at that point and pushed condition levers to max and moved the power levers up about a half inch. While I was doing this; a ramper; that I did not notice; moved into the area under the nose gear. Since I didn't get the 'push back complete; set brakes' command from the tug driver; I didn't set the brake. The aircraft started to slowly roll forward. At this point; the ramper that had gone under the nose now briskly exited that area. I stopped the aircraft after about a foot or two.
Data retrieved from NASA's ASRS site as of April 2012 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.