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|
Attributes | |
ACN | 238711 |
Time | |
Date | 199304 |
Day | Tue |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : mem |
State Reference | TN |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other Other |
Flight Phase | ground other : taxi |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 100 flight time total : 7000 flight time type : 100 |
ASRS Report | 238711 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : flight engineer pilot : instrument pilot : atp pilot : cfi |
Experience | flight time last 90 days : 180 flight time total : 6000 flight time type : 1200 |
ASRS Report | 238705 |
Events | |
Anomaly | incursion : runway non adherence : clearance other anomaly other |
Independent Detector | other flight crewa |
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 |
Situations | |
Airport | other physical facility |
Narrative:
We were cleared by memphis ground control to taxi from cargo ramp by 'taxiway C to runway 18L.' being unfamiliar with memphis, I doublechked what I needed to be looking out for to turn right from taxiway C to runway 18L threshold. I determined from the airport diagram that I needed to look for txwys M and B. While taxiing north on taxiway C, both first officer and I missed txwys M and B. We did not realize this at the time and continued north on taxiway C. Upon reaching runway 9/27, we visually cleared ourselves and crossed runway 9/27. After crossing, I realized we must have gone too far north on taxiway C, stopped the aircraft, and we called ground control to tell them we were lost. They gave us progressive taxi instruction to runway 18R. Causes: 1) inadequate signs/markings to indicate txwys M and B to aircraft taxiing north on taxiway C. 2) inadequate signs/markings to indicate direction to threshold of runway 18L to aircraft taxiing north on taxiway C. 3) ATC phraseology used to give taxi clrncs to aircraft 'to taxi to runway 18L.' I understood this to mean 'cleared to cross all runways and txwys' between me and runway 18L. This is why I did not seek specific clearance to cross runway 9/27 when I reached it. Not realizing that runway 9/17 was not between the cargo ramp and runway 18L, I assumed I had already been cleared to cross it. 4) night, dark conditions. 5) unfamiliar with airport layout. 6) fatigue. Solutions: 1) lighted signs/markings as described in 1) and 2) above. 2) change ATC phraseology and meaning of 'cleared to runway xyz.; this should never imply aircraft is cleared to cross any runway. As is standard procedure now, this phrase sometimes does and some does not mean pilots can assume runway crossing clrncs. This causes unnecessary confusion and undermines safety. 3) pilots should take particular note as to whether any runways lie between them and where they are cleared to go. Had I taken into account that I did not need to cross any runways to go from cargo ramp to runway 18L, I would have asked for specific clearance before crossing any, or I would have, at the least, realized my mistake before crossing any runways. As it was, I was still looking for txwys M and B and thinking, since I hadn't yet seen them, I was still going in the right direction, when in fact I had already passed them.
Original NASA ASRS Text
Title: UNAUTH UNCOORD RWY ENTRY XING IN A NIGHT OP. RPTR SUGGESTS THAT ARPT PROB TXWY MARKING GUIDANCE WAS A FACTOR.
Narrative: WE WERE CLRED BY MEMPHIS GND CTL TO TAXI FROM CARGO RAMP BY 'TXWY C TO RWY 18L.' BEING UNFAMILIAR WITH MEMPHIS, I DOUBLECHKED WHAT I NEEDED TO BE LOOKING OUT FOR TO TURN R FROM TXWY C TO RWY 18L THRESHOLD. I DETERMINED FROM THE ARPT DIAGRAM THAT I NEEDED TO LOOK FOR TXWYS M AND B. WHILE TAXIING N ON TXWY C, BOTH FO AND I MISSED TXWYS M AND B. WE DID NOT REALIZE THIS AT THE TIME AND CONTINUED N ON TXWY C. UPON REACHING RWY 9/27, WE VISUALLY CLRED OURSELVES AND CROSSED RWY 9/27. AFTER XING, I REALIZED WE MUST HAVE GONE TOO FAR N ON TXWY C, STOPPED THE ACFT, AND WE CALLED GND CTL TO TELL THEM WE WERE LOST. THEY GAVE US PROGRESSIVE TAXI INSTRUCTION TO RWY 18R. CAUSES: 1) INADEQUATE SIGNS/MARKINGS TO INDICATE TXWYS M AND B TO ACFT TAXIING N ON TXWY C. 2) INADEQUATE SIGNS/MARKINGS TO INDICATE DIRECTION TO THRESHOLD OF RWY 18L TO ACFT TAXIING N ON TXWY C. 3) ATC PHRASEOLOGY USED TO GIVE TAXI CLRNCS TO ACFT 'TO TAXI TO RWY 18L.' I UNDERSTOOD THIS TO MEAN 'CLRED TO CROSS ALL RWYS AND TXWYS' BTWN ME AND RWY 18L. THIS IS WHY I DID NOT SEEK SPECIFIC CLRNC TO CROSS RWY 9/27 WHEN I REACHED IT. NOT REALIZING THAT RWY 9/17 WAS NOT BTWN THE CARGO RAMP AND RWY 18L, I ASSUMED I HAD ALREADY BEEN CLRED TO CROSS IT. 4) NIGHT, DARK CONDITIONS. 5) UNFAMILIAR WITH ARPT LAYOUT. 6) FATIGUE. SOLUTIONS: 1) LIGHTED SIGNS/MARKINGS AS DESCRIBED IN 1) AND 2) ABOVE. 2) CHANGE ATC PHRASEOLOGY AND MEANING OF 'CLRED TO RWY XYZ.; THIS SHOULD NEVER IMPLY ACFT IS CLRED TO CROSS ANY RWY. AS IS STANDARD PROC NOW, THIS PHRASE SOMETIMES DOES AND SOME DOES NOT MEAN PLTS CAN ASSUME RWY XING CLRNCS. THIS CAUSES UNNECESSARY CONFUSION AND UNDERMINES SAFETY. 3) PLTS SHOULD TAKE PARTICULAR NOTE AS TO WHETHER ANY RWYS LIE BTWN THEM AND WHERE THEY ARE CLRED TO GO. HAD I TAKEN INTO ACCOUNT THAT I DID NOT NEED TO CROSS ANY RWYS TO GO FROM CARGO RAMP TO RWY 18L, I WOULD HAVE ASKED FOR SPECIFIC CLRNC BEFORE XING ANY, OR I WOULD HAVE, AT THE LEAST, REALIZED MY MISTAKE BEFORE XING ANY RWYS. AS IT WAS, I WAS STILL LOOKING FOR TXWYS M AND B AND THINKING, SINCE I HADN'T YET SEEN THEM, I WAS STILL GOING IN THE RIGHT DIRECTION, WHEN IN FACT I HAD ALREADY PASSED THEM.
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.