B737-300 FLT CREW DEPARTS WITHOUT FINAL WTS THAT SUBSEQUENTLY ARRIVE VIA ACARS 32 MINS AFTER DEP.

Date: 2006-09 · Aircraft: B737-300

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

Synopsis

B737-300 FLT CREW DEPARTS WITHOUT FINAL WTS THAT SUBSEQUENTLY ARRIVE VIA ACARS 32 MINS AFTER DEP.

Narrative

FAILED TO GET FINAL WTS PRIOR TO TKOF. THE FLT INTO DEN WAS LATE DUE TO EQUIP PROBS PRIOR TO US GETTING THE PLANE. WE TURNED IT QUICKLY; PUSHED BACK; GOT BEHIND A B757 AND WAITED. WE MOVED AROUND HIM AND CONTINUED ON 1 ENG TO RWY 8. I STARTED THE SECOND ENG (#1) APCHING TXWY ED. THE TWR GAVE US TKOF CLRNC SHORTLY AFTER 'ROLL BACK' ON THE #1 ENG. I WENT THROUGH THE BEFORE TKOF CHKLIST AND THOUGHT I HAD JUST FORGOTTEN TO TYPE IN THE SPDS. SO I DID THAT BASED ON THE PLANNED WT MANIFEST AND CONTINUED WITH THE CHKLIST. I HAD FORGOTTEN THAT I HAD NOT RECEIVED THE FINAL WTS. WE TOOK OFF AND JUST 2 MINS LATER WE GOT THE ACARS NOTE 'WTS PRINTED' STILL I THOUGHT I HAD JUST SOMEHOW HIT AN ACARS BUTTON CAUSING IT TO PRINT THE WTS AGAIN. I WOULDN'T SAY I WAS EVER RUSHED OR DISTR. I JUST MISSED THE FACT THAT WE NEVER GOT THE FINAL WTS. ONCE WE GOT AROUND THE B757 THE TIMING WAS 'SPIRITED' WITH TWR CLRING US FOR TKOF ABOUT ROLLBACK AND BEFORE TXWY Z IN DENVER; BUT I DON'T THINK THAT WAS THE ROOT CAUSE. WE HAD A LOT OF THINGS GOING ON WITH THE RAMP EXIT AT A NONSTANDARD POINT; THE NEW MAINT RELEASE AND RELEASE VERIFY; AND THE QUICK CLRNC FOR TKOF. WE HAD LOTS OF TIME BTWN PUSHBACK AND TKOF (15 MINS) DURING WHICH THE CENTRALIZED LOAD PLANNING 'ALWAYS' SENDS US THE FINAL WTS. AS YOU WILL UNDOUBTEDLY LOOK UP; THE ZERO FUEL WT CHANGED FROM 100854 LBS PLANNED TO 100616 LBS ACTUAL AND THE TRIM CHANGED FROM 4.4 DEGS TO 4.6 DEGS. THE COUNT CHANGED BY ONLY 1 PERSON SO THE WTS WRITTEN ON THE PLANNED WT MANIFEST WERE AS THEY WERE EXPECTED TO BE; AND DID NOT CAUSE ANY DISCUSSION ABOUT HOW THE FINAL WTS WOULD BE SIGNIFICANT. IN CONCLUSION: IN HINDSIGHT; THERE WERE PLENTY OF TRIGGERS FOR EACH OF US TO CATCH THE LACK OF FINAL WTS. NO PROCS NEED TO BE CHANGED. I SIMPLY MISSED THE FACT THAT THEY WERE NOT PRINTED AND INSTALLED. THE CAPT MISSED THE SAME THING DURING THE 'TRIM WTS AND SPDS' CHKLIST ITEM BECAUSE ANOTHER PIECE OF PAPER (THE ATIS PRINTOUT) WAS IN THE 'NORMAL' PLACE ON THE THROTTLE QUADRANT FOR THE FINAL WTS AND IT WAS DARK. SUPPLEMENTAL INFO FROM ACN 710099: DUE TO LATE INBOUND WE DEPARTED DEN 54 MINS LATE. THE RAMP WAS CONGESTED BUT WE FINALLY WERE CLRED TO RWY 8 VIA TXWY L. ONCE ON TXWY L WE SAW THERE WAS NO LINE SO FO BEGAN START OF #1 ENG. I HADN'T NOTICED IF WTS HAD COME AND WAS ABOUT TO ASK BUT JUST THEN WE WERE SWITCHED TO TWR QUICKLY FOLLOWED BY CUTOUT ON #1. I DON'T FEEL THIS MISTAKE WAS ALL ABOUT RUSHING. THIS WAS A SERIOUS MISTAKE NEITHER OF US IMAGINED WE'D EVER MAKE AND WE DIDN'T HAVE THE HABIT PATTERNS IN PLACE TO CATCH IT. WE DO NOW!

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