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Air ambulance flight crew forgets to set outbound course passing over enroute VOR. Heading deviation results.
| Attributes | |
| ACN | 130509 |
| Time | |
| Date | 198912 |
| Day | Tue |
| Local Time Of Day | 1201 To 1800 |
| Place | |
| Locale Reference | atc facility : dpr |
| State Reference | SD |
| Altitude | msl bound lower : 25000 msl bound upper : 25000 |
| Environment | |
| Flight Conditions | VMC |
| Light | Night |
| Aircraft 1 | |
| Controlling Facilities | artcc : zlc |
| Operator | common carrier : air taxi |
| Make Model Name | Small Transport, Low Wing, 2 Turboprop Eng |
| Flight Phase | cruise other |
| Route In Use | enroute airway : j16 |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | Other |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : instrument pilot : commercial pilot : cfi |
| Experience | flight time last 90 days : 30 flight time total : 2800 flight time type : 1000 |
| ASRS Report | 130509 |
| Person 2 | |
| Affiliation | Other |
| Function | flight crew : first officer |
| Qualification | pilot : instrument pilot : commercial |
| Events | |
| Anomaly | non adherence : clearance other spatial deviation |
| Independent Detector | other flight crewa |
| Resolutory Action | flight crew : returned to intended course or assigned course |
| Consequence | Other |
| Supplementary | |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
Lifeguard flight from billings, mt, to allegheny, PA, with fuel stop at roc, mn. Route of flight was billings (patient was actually picked up at big timber mountain), J16, sioux falls, direct rochester. Over dupree VORTAC our course changed from inbound on 271 degree right to outbnd on the 100 degree right. Prior to reaching dupree, I asked center for a frequency change to check on WX at rochester. Simply put, I got busy and didn't change course to the 100 degree right until 17 mi east of dupree. Once I realized my mistake, I correct immediately and got back on course. I let center know I was back on frequency and nothing was ever said by anybody.
Original NASA ASRS Text
Title: AIR AMBULANCE FLT CREW FORGETS TO SET OUTBOUND COURSE PASSING OVER ENROUTE VOR. HEADING DEVIATION RESULTS.
Narrative: LIFEGUARD FLT FROM BILLINGS, MT, TO ALLEGHENY, PA, WITH FUEL STOP AT ROC, MN. ROUTE OF FLT WAS BILLINGS (PATIENT WAS ACTUALLY PICKED UP AT BIG TIMBER MOUNTAIN), J16, SIOUX FALLS, DIRECT ROCHESTER. OVER DUPREE VORTAC OUR COURSE CHANGED FROM INBND ON 271 DEG R TO OUTBND ON THE 100 DEG R. PRIOR TO REACHING DUPREE, I ASKED CENTER FOR A FREQ CHANGE TO CHK ON WX AT ROCHESTER. SIMPLY PUT, I GOT BUSY AND DIDN'T CHANGE COURSE TO THE 100 DEG R UNTIL 17 MI E OF DUPREE. ONCE I REALIZED MY MISTAKE, I CORRECT IMMEDIATELY AND GOT BACK ON COURSE. I LET CENTER KNOW I WAS BACK ON FREQ AND NOTHING WAS EVER SAID BY ANYBODY.
Data retrieved from NASA's ASRS site as of August 2007 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.