37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 138536 |
Time | |
Date | 199002 |
Day | Sun |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : bty |
State Reference | NV |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : las tower : rno |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other Other |
Flight Phase | climbout : intermediate altitude cruise other |
Route In Use | departure other departure sid : sid enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 37 flight time total : 8000 flight time type : 4000 |
ASRS Report | 138536 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial |
Events | |
Anomaly | non adherence : clearance other anomaly other 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:
On the las oasis departure, we were given a heading to intercept the beatty 126 degree right. The FMC was programmed and everything verified. I plugged hiden intersection into the FMC to see where it was on the EFIS map. At that time we had a frequency change to center. As I was changing the radios and checking in the first officer changed some data in his FMC and executed the entry. This also executed my hiden intersection entry and the aircraft turned toward hiden. By the time we realized what happened, started the turn to our original heading, went from automatic-tuning to manually tuning bty, switched from map mode to VOR and the 126 degree right, we had crossed the radial by 5.0 mi as shown on the FMC. The time lag, when a computer flown aircraft does something, to when the crew notices, idents and corrects the problem, may be enough to compromise safety.
Original NASA ASRS Text
Title: HEADING AND TRACK DEVIATION OCCURS WHEN FLT CREW ACTIVATED AN UNWANTED WAYPOINT IN THE FMC.
Narrative: ON THE LAS OASIS DEP, WE WERE GIVEN A HDG TO INTERCEPT THE BEATTY 126 DEG R. THE FMC WAS PROGRAMMED AND EVERYTHING VERIFIED. I PLUGGED HIDEN INTXN INTO THE FMC TO SEE WHERE IT WAS ON THE EFIS MAP. AT THAT TIME WE HAD A FREQ CHANGE TO CENTER. AS I WAS CHANGING THE RADIOS AND CHKING IN THE F/O CHANGED SOME DATA IN HIS FMC AND EXECUTED THE ENTRY. THIS ALSO EXECUTED MY HIDEN INTXN ENTRY AND THE ACFT TURNED TOWARD HIDEN. BY THE TIME WE REALIZED WHAT HAPPENED, STARTED THE TURN TO OUR ORIGINAL HDG, WENT FROM AUTO-TUNING TO MANUALLY TUNING BTY, SWITCHED FROM MAP MODE TO VOR AND THE 126 DEG R, WE HAD CROSSED THE RADIAL BY 5.0 MI AS SHOWN ON THE FMC. THE TIME LAG, WHEN A COMPUTER FLOWN ACFT DOES SOMETHING, TO WHEN THE CREW NOTICES, IDENTS AND CORRECTS THE PROB, MAY BE ENOUGH TO COMPROMISE SAFETY.
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.