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|
Attributes | |
ACN | 147236 |
Time | |
Date | 199006 |
Day | Sat |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : clt |
State Reference | NC |
Altitude | msl bound lower : 10000 msl bound upper : 11000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : ztl tower : lax |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure sid : sid |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : cfi pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 100 flight time total : 11000 flight time type : 3000 |
ASRS Report | 147236 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp pilot : commercial pilot : instrument |
Events | |
Anomaly | non adherence : published procedure non adherence : clearance other anomaly |
Independent Detector | other controllera |
Resolutory Action | other |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
This was my first flight into charlotte since a new departure procedure became effective. (Hornet one departure). Procedure calls for maintaining 250 KTS until advised by ATC. I am a check airman. I was giving initial line experience to a brand new first officer who flew the leg. Prior to departure my first officer discovered that his newly issued manual did not include the new departure procedure. I loaned him mine and made a mental note about the 250 KT restriction. After takeoff my first officer did a nice job of flying the approved procedure and when he passed through 10000' MSL he began to accelerate to normal climb speed. I completely forgot the new restriction (as did the new first officer). ATC inquired about our speed shortly afterward (we had reached 300 KTS) and only then did I remember the restriction. I told the truth, and apologized for the mistake. At the request of ATC we reduced as rapidly as possible to 250 KTS. I know of no traffic conflict that happened as a result of the speed over-run. In thinking about the event, it occurs to me that when a change in a procedure calls for a significant departure from an established normal action (it is natural to accelerate out of 10000'), perhaps flight crews should be reminded of the new procedure for a significant time period after implementation of the change. This could easily be done with a short statement on ATIS or by departure control.
Original NASA ASRS Text
Title: MLG FLT CREW FLYING NEW DEP PROC FORGETS SPEED RESTRICTION. SPEED DEVIATION.
Narrative: THIS WAS MY FIRST FLT INTO CHARLOTTE SINCE A NEW DEP PROC BECAME EFFECTIVE. (HORNET ONE DEP). PROC CALLS FOR MAINTAINING 250 KTS UNTIL ADVISED BY ATC. I AM A CHK AIRMAN. I WAS GIVING INITIAL LINE EXPERIENCE TO A BRAND NEW F/O WHO FLEW THE LEG. PRIOR TO DEP MY F/O DISCOVERED THAT HIS NEWLY ISSUED MANUAL DID NOT INCLUDE THE NEW DEP PROC. I LOANED HIM MINE AND MADE A MENTAL NOTE ABOUT THE 250 KT RESTRICTION. AFTER TKOF MY F/O DID A NICE JOB OF FLYING THE APPROVED PROC AND WHEN HE PASSED THROUGH 10000' MSL HE BEGAN TO ACCELERATE TO NORMAL CLB SPD. I COMPLETELY FORGOT THE NEW RESTRICTION (AS DID THE NEW F/O). ATC INQUIRED ABOUT OUR SPD SHORTLY AFTERWARD (WE HAD REACHED 300 KTS) AND ONLY THEN DID I REMEMBER THE RESTRICTION. I TOLD THE TRUTH, AND APOLOGIZED FOR THE MISTAKE. AT THE REQUEST OF ATC WE REDUCED AS RAPIDLY AS POSSIBLE TO 250 KTS. I KNOW OF NO TFC CONFLICT THAT HAPPENED AS A RESULT OF THE SPD OVER-RUN. IN THINKING ABOUT THE EVENT, IT OCCURS TO ME THAT WHEN A CHANGE IN A PROC CALLS FOR A SIGNIFICANT DEP FROM AN ESTABLISHED NORMAL ACTION (IT IS NATURAL TO ACCELERATE OUT OF 10000'), PERHAPS FLT CREWS SHOULD BE REMINDED OF THE NEW PROC FOR A SIGNIFICANT TIME PERIOD AFTER IMPLEMENTATION OF THE CHANGE. THIS COULD EASILY BE DONE WITH A SHORT STATEMENT ON ATIS OR BY DEP CTL.
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.