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|
Attributes | |
ACN | 215564 |
Time | |
Date | 199207 |
Day | Thu |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : rno |
State Reference | NV |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : rno tower : rno |
Operator | common carrier : air carrier |
Make Model Name | Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other Other |
Flight Phase | climbout : intermediate altitude climbout : takeoff cruise other |
Route In Use | departure other departure sid : sid |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 130 flight time total : 10000 flight time type : 350 |
ASRS Report | 215564 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp pilot : cfi pilot : flight engineer |
Experience | flight time last 90 days : 215 flight time total : 14800 flight time type : 700 |
ASRS Report | 215562 |
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 | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Situations | |
ATC Facility | procedure or policy : unspecified |
Narrative:
Clearance issued an amended departure nugget 1 during pushback and engine start. Copilot monitored ground control and acknowledged. Captain was starting engines and monitoring push crew and had no knowledge of new clearance. Events and checklists followed -- communication between pilots of the new departure never transpired. As a result, captain flew original departure (valley 1) and did not make the heading change. This all could have been avoided if -- controller had clear view of aircraft under push, and could have waited a few mins until a less busy time. Change of departure could have been better timed. Visibility was very clear and safety was never compromised. Supplemental information from acn 215562: flight was issued a revised clearance by reno ground control during engine start. Writer attempted to quickly acknowledge rather than ask ground control to standby. Writer thought captain had heard the readback. He had not. Subsequently, writer was occupied by normal duties, checklist, closeout, etc and failed to review the revised clearance with the captain. As a result, we did not make the 16 degree heading change at 2.4 DME as per the nugget 1 departure. There was no conflict and safety was never compromised.
Original NASA ASRS Text
Title: AMENDED CLRNC RTE CHANGE NOT ADHERED TO BY ACR LGT CREW. HDG TRACK DEV.
Narrative: CLRNC ISSUED AN AMENDED DEP NUGGET 1 DURING PUSHBACK AND ENG START. COPLT MONITORED GND CTL AND ACKNOWLEDGED. CAPT WAS STARTING ENGS AND MONITORING PUSH CREW AND HAD NO KNOWLEDGE OF NEW CLRNC. EVENTS AND CHKLISTS FOLLOWED -- COM BTWN PLTS OF THE NEW DEP NEVER TRANSPIRED. AS A RESULT, CAPT FLEW ORIGINAL DEP (VALLEY 1) AND DID NOT MAKE THE HDG CHANGE. THIS ALL COULD HAVE BEEN AVOIDED IF -- CTLR HAD CLR VIEW OF ACFT UNDER PUSH, AND COULD HAVE WAITED A FEW MINS UNTIL A LESS BUSY TIME. CHANGE OF DEP COULD HAVE BEEN BETTER TIMED. VISIBILITY WAS VERY CLR AND SAFETY WAS NEVER COMPROMISED. SUPPLEMENTAL INFO FROM ACN 215562: FLT WAS ISSUED A REVISED CLRNC BY RENO GND CTL DURING ENG START. WRITER ATTEMPTED TO QUICKLY ACKNOWLEDGE RATHER THAN ASK GND CTL TO STANDBY. WRITER THOUGHT CAPT HAD HEARD THE READBACK. HE HAD NOT. SUBSEQUENTLY, WRITER WAS OCCUPIED BY NORMAL DUTIES, CHKLIST, CLOSEOUT, ETC AND FAILED TO REVIEW THE REVISED CLRNC WITH THE CAPT. AS A RESULT, WE DID NOT MAKE THE 16 DEG HDG CHANGE AT 2.4 DME AS PER THE NUGGET 1 DEP. THERE WAS NO CONFLICT AND SAFETY WAS NEVER COMPROMISED.
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.