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|
Attributes | |
ACN | 200768 |
Time | |
Date | 199202 |
Day | Sat |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : phx |
State Reference | AZ |
Altitude | msl bound lower : 1000 msl bound upper : 1000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : phx |
Operator | common carrier : air carrier |
Make Model Name | Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other Other |
Flight Phase | climbout : initial |
Route In Use | departure sid : sid |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 100 flight time total : 4800 flight time type : 100 |
ASRS Report | 200768 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | non adherence : clearance non adherence : published procedure other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | none taken : detected after the fact |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Copilot for large transport buckeye 9 SID runway 8L at kphx. Aircraft had just gotten airborne, was on autoplt and in managed (computer) navigation. Problem: aircraft turned 4 NM east of kphx (runway) vice 4 NM east of pxr (VOR) to 190 degree heading as required by SID. Obvious mistake, controller questioned turn, immediate investigation by pilots saw error and made apology. Controller replied 'no problem' in the future use pxr vice phx for referencing turn to south. Rest of SID flown without incident. In reconstruction of why computer navigation made turn, only conclusion drawn was that database when selecting buckeye 9 SID at kphx, provided all points and course legs but pxr navigation point was not in flight management control unit flight plan page as a point. Reason for omission is unknown. Navigation display 'looked' correct (plan form) when visually compared to commercial chart. In fact, turn occurred so quick that proper referencing to VOR (raw data) was not done. Aircraft flew what was in the computer but what was in the computer (flight plan) was wrong. Again reason for omission of pxr point is unknown. Fundamentally, large transport air crews only have to be absolutely 100% sure that each leg of FMC flight plan is correct from 'point to next point.' no safety of flight concern arose from this situation.
Original NASA ASRS Text
Title: ACR ACFT WITH AUTOMATED COCKPIT TURNS EARLY ON SID. CTLR CATCHES ERROR.
Narrative: COPLT FOR LGT BUCKEYE 9 SID RWY 8L AT KPHX. ACFT HAD JUST GOTTEN AIRBORNE, WAS ON AUTOPLT AND IN MANAGED (COMPUTER) NAV. PROBLEM: ACFT TURNED 4 NM E OF KPHX (RWY) VICE 4 NM E OF PXR (VOR) TO 190 DEG HDG AS REQUIRED BY SID. OBVIOUS MISTAKE, CTLR QUESTIONED TURN, IMMEDIATE INVESTIGATION BY PLTS SAW ERROR AND MADE APOLOGY. CTLR REPLIED 'NO PROBLEM' IN THE FUTURE USE PXR VICE PHX FOR REFING TURN TO S. REST OF SID FLOWN WITHOUT INCIDENT. IN RECONSTRUCTION OF WHY COMPUTER NAV MADE TURN, ONLY CONCLUSION DRAWN WAS THAT DATABASE WHEN SELECTING BUCKEYE 9 SID AT KPHX, PROVIDED ALL POINTS AND COURSE LEGS BUT PXR NAV POINT WAS NOT IN FLT MGMNT CTL UNIT FLT PLAN PAGE AS A POINT. REASON FOR OMISSION IS UNKNOWN. NAV DISPLAY 'LOOKED' CORRECT (PLAN FORM) WHEN VISUALLY COMPARED TO COMMERCIAL CHART. IN FACT, TURN OCCURRED SO QUICK THAT PROPER REFING TO VOR (RAW DATA) WAS NOT DONE. ACFT FLEW WHAT WAS IN THE COMPUTER BUT WHAT WAS IN THE COMPUTER (FLT PLAN) WAS WRONG. AGAIN REASON FOR OMISSION OF PXR POINT IS UNKNOWN. FUNDAMENTALLY, LGT AIR CREWS ONLY HAVE TO BE ABSOLUTELY 100% SURE THAT EACH LEG OF FMC FLT PLAN IS CORRECT FROM 'POINT TO NEXT POINT.' NO SAFETY OF FLT CONCERN AROSE FROM THIS SITUATION.
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.