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all managed to interfere with rudder travel. Usually a
visual preflight and a flight control check will detect these
objects prior to takeoff. Flight crews should make sure
that items that go missing during flight are located prior
to turning the aircraft over to the next crew.
It’s All in the 9’s
A B757 Captain described a startling load planning error.
■ My sharp-eyed First Officer found a major error on our
load closeout. Load had listed 99 children on board (there
were only nine). Actual takeoff weight was OFF by 9,270
pounds!
Oops.
...There is a lesson in this for everyone. The Captain is
taxiing out and usually only has a brief second to look at
the reasonableness of the closeout. There is more to look at
other than just the TOGW [Take Off Gross Weight] and the
ZFW [Zero Fuel Weight].
Cockpit Crasher
It’s up to the flight crew on a ferry flight to ensure that
the cabin is secure. Here’s a B737 First Officer’s graphic
description of what can happen when that duty is
neglected.
■ ...My Captain and I...began preparations for our [ferry]
flight. I performed a walkaround inspection then went
back to the cockpit to perform the rest of my preflight
duties. The aircraft had already been de-catered...and
our service rep and another service staff member were
on board finishing cleaning. After the cleaning was
completed, our rep advised us that all services were
completed...My Captain and I performed our normal
cockpit duties and departed. We left the cockpit door
open. The flight was uneventful...The aircraft touched
down smoothly, in the touchdown zone. I applied reverse
thrust upon touchdown, then quickly began reducing
toward idle. The rate of deceleration was very gradual.
At 80 knots, the Captain took control of the aircraft with
reverse at idle, and Autobrakes disengaged. At this point
a catering cart entered the cockpit at an extremely high
velocity and impacted the center console, simultaneously
striking me in the left arm. The cart had temporarily
departed the floor and came over the top of the center
console. Liquid was dispersed all over the cockpit and
we smelled something that appeared to be burning. The
Captain maintained control of the aircraft and exited
the runway at our assigned taxiway. The burning smell
quickly went away. The Captain stopped the aircraft,
set the parking brake, and we assessed the damage. The
panel lighting on the center console was inoperative and
the structure of the console was bent slightly. The cart also
had major structural damage. There was nothing affecting
our safe progression to the gate, so we elected to continue
to parking. Once at the gate, we realized that there was
further structural damage to the center console, as well as
minor damage to 2 cabin seats.
We concluded that the cart had traveled forward from
its housing in the aft galley. This event could have been
prevented if we had inspected the galleys after the flight
attendants and caterers departed the aircraft. It also could
have been prevented if we had secured the flight deck door
prior to departure.
Number 338 February 2008
An ever-growing number of GA aircraft are equipped
with some, or all, of the following advanced cockpit
systems:
• EFIS (Electronic Flight Instrument System), in
which multi-function “glass” displays replace
traditional instruments for providing fl ight and
navigation information
• FMS/FMC (Flight Management System or Flight
Management Computer)
• GPS (Global Positioning System) with moving map
• TCAS (Traffi c Alert and Collision Avoidance
System)
• Integrated autofl ight/autopilot systems for IFR
and VFR fl ight operations.
As use of these technology marvels grows, ASRS is
also seeing more reporting of GA advanced cockpit
systems incidents. It is clear that new technologies
are placing higher demands on single-pilot resource
management – the need to “fl y the airplane” and
effectively use advanced cockpit systems at the
same time.
This month we look at a sample of GA advanced
cockpit incidents reported to ASRS, and identify
common issues in using new technology systems.
These issues include complacency, lack of
advanced systems knowledge, over-reliance on
automated systems, and distraction associated with
programming tasks.
Advanced Cockpit
Complacency
A Bell 407 helicopter pilot was lulled into complacency by
a well-equipped aircraft and a nice day for fl ying.
■ Event:...Aircraft penetrated Class D airspace...without
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