37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 136683 |
Time | |
Date | 199002 |
Day | Mon |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : otk |
State Reference | GA |
Altitude | msl bound lower : 27000 msl bound upper : 27000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zjx |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Flight Phase | cruise other descent other |
Route In Use | arrival star : star |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 160 flight time total : 7500 flight time type : 2500 |
ASRS Report | 136683 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 230 flight time total : 15200 flight time type : 195 |
ASRS Report | 136684 |
Events | |
Anomaly | non adherence : published procedure non adherence : clearance other anomaly other other spatial deviation |
Independent Detector | other controllera other flight crewa |
Resolutory Action | controller : issued new clearance flight crew : became reoriented |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We were coming down J-89 to otk and the leese 6 arrival to orlando. Just north of otk I went off the frequency. We were cleared to cross 15 south of otk at FL270. When I came back I asked the captain what the clearance was. He told me. I looked at his CDI and where we were. He had the 170 degree course dialed in. I looked at my approach plate and then asked, aren't we supposed to be on the 126 degree radial out of otk. He agreed and we were in the turn to intercept it when ATC called us and asked us where we were going. He said we were 30 south of otk and tracking away from the arrival. What may have caused the confusion was the clearance to cross '15 south'. More appropriate it should have been 15 southeast of otk. When the captain heard 15 south he saw the 170 degree radial out of amg and put that into his CDI. Imprecise clrncs lead to confusion. Also 2 pilot crews are an added workload. Also both of us were very tired from the trip schedule. I know we don't address crew fatigue but I believe this is the single most important cause of errors.
Original NASA ASRS Text
Title: MLG FLT CREW MISINTERPRETS CLRNC. HEADING DEVIATION.
Narrative: WE WERE COMING DOWN J-89 TO OTK AND THE LEESE 6 ARR TO ORLANDO. JUST N OF OTK I WENT OFF THE FREQ. WE WERE CLRED TO CROSS 15 S OF OTK AT FL270. WHEN I CAME BACK I ASKED THE CAPT WHAT THE CLRNC WAS. HE TOLD ME. I LOOKED AT HIS CDI AND WHERE WE WERE. HE HAD THE 170 DEG COURSE DIALED IN. I LOOKED AT MY APCH PLATE AND THEN ASKED, AREN'T WE SUPPOSED TO BE ON THE 126 DEG RADIAL OUT OF OTK. HE AGREED AND WE WERE IN THE TURN TO INTERCEPT IT WHEN ATC CALLED US AND ASKED US WHERE WE WERE GOING. HE SAID WE WERE 30 S OF OTK AND TRACKING AWAY FROM THE ARR. WHAT MAY HAVE CAUSED THE CONFUSION WAS THE CLRNC TO CROSS '15 SOUTH'. MORE APPROPRIATE IT SHOULD HAVE BEEN 15 SE OF OTK. WHEN THE CAPT HEARD 15 SOUTH HE SAW THE 170 DEG RADIAL OUT OF AMG AND PUT THAT INTO HIS CDI. IMPRECISE CLRNCS LEAD TO CONFUSION. ALSO 2 PLT CREWS ARE AN ADDED WORKLOAD. ALSO BOTH OF US WERE VERY TIRED FROM THE TRIP SCHEDULE. I KNOW WE DON'T ADDRESS CREW FATIGUE BUT I BELIEVE THIS IS THE SINGLE MOST IMPORTANT CAUSE OF ERRORS.
Data retrieved from NASA's ASRS site as of July 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.