37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 225007 |
Time | |
Date | 199201 |
Day | Sat |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : sfo |
State Reference | CA |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Small Transport, Low Wing, 2 Turboprop Eng |
Flight Phase | cruise other ground : preflight |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 240 flight time total : 5025 flight time type : 2400 |
ASRS Report | 225007 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial |
Events | |
Anomaly | aircraft equipment problem : critical inflight encounter : weather other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : unspecified other flight crewa |
Resolutory Action | other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Sometimes, the very procedures which are designed to help us avoid errors in our tasks can actually encourage them in a repetitive environment. An otherwise sharp and professional crew can overlook the obvious, even with the use of a checklist, when things get to be too routine. Our company has based us in a single markets since may. I have been based in redding since june and have flown between rdd and sfo (this is all we do) over 360 times in a row. We used to have some variety, which caused us to think more about each flight rather than simply go through unthinking motions. Today our routine caused me to fail to consider the effects of headwinds and possible holding for our return flight to redding. As a result, we took off without enough fuel to hold, combat headwinds and proceed to an alternate, if needed. So we stopped in sacramento to add more fuel, then we proceeded on to rdd. Had we not done so, we would have been in a tight spot. I wish I had not been in so much of a summertime rut when I planned the fuel needed for the flight. Airlines which have crews that fly only one city pair for up to 8 legs a day, month after month, ought to include something in their training to give pilots the tools necessary to avoid the mistakes of repetition.
Original NASA ASRS Text
Title: AN ACR SMT LANDED ENRTE TO TAKE ON MORE FUEL.
Narrative: SOMETIMES, THE VERY PROCS WHICH ARE DESIGNED TO HELP US AVOID ERRORS IN OUR TASKS CAN ACTUALLY ENCOURAGE THEM IN A REPETITIVE ENVIRONMENT. AN OTHERWISE SHARP AND PROFESSIONAL CREW CAN OVERLOOK THE OBVIOUS, EVEN WITH THE USE OF A CHKLIST, WHEN THINGS GET TO BE TOO ROUTINE. OUR COMPANY HAS BASED US IN A SINGLE MARKETS SINCE MAY. I HAVE BEEN BASED IN REDDING SINCE JUNE AND HAVE FLOWN BTWN RDD AND SFO (THIS IS ALL WE DO) OVER 360 TIMES IN A ROW. WE USED TO HAVE SOME VARIETY, WHICH CAUSED US TO THINK MORE ABOUT EACH FLT RATHER THAN SIMPLY GO THROUGH UNTHINKING MOTIONS. TODAY OUR ROUTINE CAUSED ME TO FAIL TO CONSIDER THE EFFECTS OF HEADWINDS AND POSSIBLE HOLDING FOR OUR RETURN FLT TO REDDING. AS A RESULT, WE TOOK OFF WITHOUT ENOUGH FUEL TO HOLD, COMBAT HEADWINDS AND PROCEED TO AN ALTERNATE, IF NEEDED. SO WE STOPPED IN SACRAMENTO TO ADD MORE FUEL, THEN WE PROCEEDED ON TO RDD. HAD WE NOT DONE SO, WE WOULD HAVE BEEN IN A TIGHT SPOT. I WISH I HAD NOT BEEN IN SO MUCH OF A SUMMERTIME RUT WHEN I PLANNED THE FUEL NEEDED FOR THE FLT. AIRLINES WHICH HAVE CREWS THAT FLY ONLY ONE CITY PAIR FOR UP TO 8 LEGS A DAY, MONTH AFTER MONTH, OUGHT TO INCLUDE SOMETHING IN THEIR TRAINING TO GIVE PLTS THE TOOLS NECESSARY TO AVOID THE MISTAKES OF REPETITION.
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.