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|
Attributes | |
ACN | 132382 |
Time | |
Date | 198912 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : hpw |
State Reference | VA |
Altitude | msl bound lower : 33000 msl bound upper : 33000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zdc |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Flight Phase | cruise other |
Route In Use | enroute airway : j191 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : cfi pilot : atp |
Experience | flight time last 90 days : 100 flight time total : 9000 flight time type : 70 |
ASRS Report | 132382 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial |
Events | |
Anomaly | non adherence : clearance other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | flight crew : returned to intended course or assigned course other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Cruising from clt to ewr, upon station passage over hpw, I had the proper course, 036 degree right, set on the HSI. I verified with the first officer, '36 outbnd, correct?' he said 'no, 048 degree outbnd.' I then picked up the map and mistakenly read the 048 degree right off ric as my proper course, as the first officer obviously had also. I reset 048 degrees on my obs and flew that course until warned by ARTCC we would be entering the restr area. I don't know how I could have done this over a route I've flown many times before. I guess that I held too much trust in a new-hire first officer, and just misread my chart. A contributory cause, I believe, is the format of the US7-8 high altitude chart. It is too busy and confusing to read accurately in a busy cockpit environment. The VOR information boxes are too far displaced from their respective VOR's and are often right next to a VOR symbol to which they don't refer. Examples: ood is next to eno's symbol, bwz is next to sbj, and hpw is just above fkn. The information boxes and the arrows which point to the respective station should be a different color than blue.
Original NASA ASRS Text
Title: ACR MLG TRACK HEADING DEVIATION.
Narrative: CRUISING FROM CLT TO EWR, UPON STATION PASSAGE OVER HPW, I HAD THE PROPER COURSE, 036 DEG R, SET ON THE HSI. I VERIFIED WITH THE F/O, '36 OUTBND, CORRECT?' HE SAID 'NO, 048 DEG OUTBND.' I THEN PICKED UP THE MAP AND MISTAKENLY READ THE 048 DEG R OFF RIC AS MY PROPER COURSE, AS THE F/O OBVIOUSLY HAD ALSO. I RESET 048 DEGS ON MY OBS AND FLEW THAT COURSE UNTIL WARNED BY ARTCC WE WOULD BE ENTERING THE RESTR AREA. I DON'T KNOW HOW I COULD HAVE DONE THIS OVER A ROUTE I'VE FLOWN MANY TIMES BEFORE. I GUESS THAT I HELD TOO MUCH TRUST IN A NEW-HIRE F/O, AND JUST MISREAD MY CHART. A CONTRIBUTORY CAUSE, I BELIEVE, IS THE FORMAT OF THE U.S.7-8 HIGH ALT CHART. IT IS TOO BUSY AND CONFUSING TO READ ACCURATELY IN A BUSY COCKPIT ENVIRONMENT. THE VOR INFO BOXES ARE TOO FAR DISPLACED FROM THEIR RESPECTIVE VOR'S AND ARE OFTEN RIGHT NEXT TO A VOR SYMBOL TO WHICH THEY DON'T REFER. EXAMPLES: OOD IS NEXT TO ENO'S SYMBOL, BWZ IS NEXT TO SBJ, AND HPW IS JUST ABOVE FKN. THE INFO BOXES AND THE ARROWS WHICH POINT TO THE RESPECTIVE STATION SHOULD BE A DIFFERENT COLOR THAN BLUE.
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.