A DC9 FO ADMITS THAT HE AND HIS CAPT DID NOT FOLLOW PROPER RAMP AND ENG START PROCS AT DTW.

Date: 2001-05 · Aircraft: DC-9 Undifferentiated or Other Model · Phase: taxi

Anomalies: deviation-discrepancy-procedural-published-material-policy

Synopsis

A DC9 FO ADMITS THAT HE AND HIS CAPT DID NOT FOLLOW PROPER RAMP AND ENG START PROCS AT DTW.

Narrative

THE DOORS WERE CLOSED AND IT WAS TIME TO PUSH BACK. THE CAPT ASKED FOR PUSHBACK CLRNC; SO I CALLED GND. THE FREQ WAS VERY BUSY AND IT TOOK 3 TRIES TO GET THE CLRNC. UPON RECEIPT OF THE CLRNC; I DID MY PRE-START FLOW AND WAS READY TO READ THE START CHKLIST. JUST THEN; GND CALLED AND MODIFIED OUR CLRNC; DISTRACTING ME FROM THE CHKLIST. THE CAPT TOLD THE PUSHBACK DRIVER TO START THE PUSH. HE SHOULD NOT HAVE DONE THIS UNTIL THE CHKLIST WAS COMPLETED. HE THEN FORGOT TO ASK FOR A START CHKLIST AND I MISSED THE CHKLIST ALSO FROM THE DISTR OF GND CALLING AND THE FACT WE WERE ALREADY PUSHED BACK. THE CAPT COMMENCED STARTING THE #2 ENG; BUT DIDN'T GET IGNITION AT THE APPROPRIATE TIME. HE THEN REALIZED THAT HE FORGOT TO DO HIS PRE-START FLOW ITEMS AND HAD FAILED TO TURN THE IGNITION ON. HE THEN ABORTED THE START AND QUICKLY TURNED ON THE IGNITION AND COMMENCED STARTING THE #1 ENG. HE DIDN'T CLR THE #2 ENG AS COMPANY POLICY DICTATES; BEFORE CONTINUING WITH THE START OF THE OTHER ENG. AFTER STARTING THE #1 ENG; HE THEN ASKED FOR THE CLRING PROC FROM THE ACFT MANUAL AND HE CLRED THE #2 ENG BEFORE STARTING IT. THIS OUT OF SEQUENCE PROC HAS POTENTIAL FOR A HOT START; ESPECIALLY WHEN DONE IN A HURRIED FASHION. IF SOMETHING IS FORGOTTEN (IGNITION; ETC) YOU SHOULD STOP AND ANALYZE THE SIT AND START OVER WITH THE CORRECT PROCS IN THE PROPER SEQUENCE. I THINK THIS OUT OF SEQUENCE PROC COULD HAVE BEEN AVOIDED BY NOT RUSHING SO MUCH AND ALSO MAINTAINING STRICT ADHERENCE TO CHKLIST DISCIPLINE.

Source: NASA Aviation Safety Reporting System (public domain). Reports are voluntary submissions and are not verified by NASA.