Large transport given departure change along with takeoff clearance. Heading deviation.

Attributes
ACN	223308
Time
Date	199209
Day	Mon
Local Time Of Day	1801 To 2400
Place
Locale Reference	airport : jfk
State Reference	NY
Altitude	msl bound lower : 0 msl bound upper : 5000
Environment
Flight Conditions	VMC
Light	Night
Aircraft 1
Controlling Facilities	tower : jfk
Operator	common carrier : air carrier
Make Model Name	Large Transport, Low Wing, 3 Turbojet Eng
Flight Phase	climbout : initial climbout : takeoff
Route In Use	departure other 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 : 100 flight time total : 12000 flight time type : 1000
ASRS Report	223308
Person 2
Affiliation	company : air carrier
Function	flight crew : first officer
Qualification	pilot : atp
Events
Anomaly	non adherence : clearance non adherence other other anomaly other other spatial deviation
Independent Detector	other controllera
Resolutory Action	controller : issued new clearance flight crew : became reoriented flight crew : returned to intended course or assigned course
Consequence	Other
Supplementary
Primary Problem	Flight Crew Human Performance
Air Traffic Incident	Pilot Deviation

Narrative:

ATC 'last min' change and my failure to demand time for 'complete' crew coordination contribute to major navigation error. Taxiing into position, cleared for takeoff runway 31L jfk (kennedy 6 departure -- canarsie climb) first officer's leg. Tower now changes departure to bridge climb. We advise ATC we will need delay to review new departure. ATC sounding confused and hurried volunteers NDB frequency of 414 KHZ, then heading of 220 degrees. Quick tune of ADF by first officer and I shows ADF needles point strongly to 070 degrees bts. Assuming first officer idents NDB, I scan departure text. 'Direct ogy NDB then fly 220 degrees, maintain 5000 ft.' I miss 'turn left' to right of transition name. After handoff to departure control, ATC advises aircraft heading wrong direction. I re-tune ADF from approximately 408 KHZ and identify. Error and situation now obvious. ATC assigns 070 degree heading. No conflict occurred but potential obvious. This incident reminded me of other departures and many arrs when last min changes created an environment for a major error. The arrival being the most ripe for disaster. Example: ATIS reference of expected approach is briefed by crew and subsequently changed by approach control (or, in some cases, the control tower) making a complete briefing and mind set change by crew difficult at best. I have made the essential changes in my procedures as captain to never allow this kind of thing to happen again.

Original NASA ASRS Text

Title: LGT GIVEN DEP CHANGE ALONG WITH TKOF CLRNC. HDG DEV.

Narrative: ATC 'LAST MIN' CHANGE AND MY FAILURE TO DEMAND TIME FOR 'COMPLETE' CREW COORD CONTRIBUTE TO MAJOR NAV ERROR. TAXIING INTO POS, CLRED FOR TKOF RWY 31L JFK (KENNEDY 6 DEP -- CANARSIE CLB) FO'S LEG. TWR NOW CHANGES DEP TO BRIDGE CLB. WE ADVISE ATC WE WILL NEED DELAY TO REVIEW NEW DEP. ATC SOUNDING CONFUSED AND HURRIED VOLUNTEERS NDB FREQ OF 414 KHZ, THEN HDG OF 220 DEGS. QUICK TUNE OF ADF BY FO AND I SHOWS ADF NEEDLES POINT STRONGLY TO 070 DEGS BTS. ASSUMING FO IDENTS NDB, I SCAN DEP TEXT. 'DIRECT OGY NDB THEN FLY 220 DEGS, MAINTAIN 5000 FT.' I MISS 'TURN L' TO R OF TRANSITION NAME. AFTER HDOF TO DEP CTL, ATC ADVISES ACFT HDG WRONG DIRECTION. I RE-TUNE ADF FROM APPROX 408 KHZ AND IDENT. ERROR AND SITUATION NOW OBVIOUS. ATC ASSIGNS 070 DEG HDG. NO CONFLICT OCCURRED BUT POTENTIAL OBVIOUS. THIS INCIDENT REMINDED ME OF OTHER DEPS AND MANY ARRS WHEN LAST MIN CHANGES CREATED AN ENVIRONMENT FOR A MAJOR ERROR. THE ARR BEING THE MOST RIPE FOR DISASTER. EXAMPLE: ATIS REF OF EXPECTED APCH IS BRIEFED BY CREW AND SUBSEQUENTLY CHANGED BY APCH CTL (OR, IN SOME CASES, THE CTL TWR) MAKING A COMPLETE BRIEFING AND MIND SET CHANGE BY CREW DIFFICULT AT BEST. I HAVE MADE THE ESSENTIAL CHANGES IN MY PROCS AS CAPT TO NEVER ALLOW THIS KIND OF THING TO HAPPEN AGAIN.

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.