37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 242314 |
Time | |
Date | 199305 |
Day | Wed |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : sfo |
State Reference | CA |
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 |
Flight Phase | ground other : taxi |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 180 flight time total : 12000 flight time type : 3900 |
ASRS Report | 242314 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Events | |
Anomaly | non adherence : clearance non adherence : far other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Situations | |
Airport | other physical facility |
Narrative:
Turned prior to runway 10R runup area and had to cross a paved 'infield' area to reach the runway. Feel that lighting, signs and surface marking were contributing factors, along with late night operation and the resulting lack of 'peak awareness.' taxi clearance: to runway 10R via inner taxiway, hold short of 'south'. An air carrier flight was ahead of us and not ready for takeoff approaching the runway. We were cleared to transition to the outer at 'K' and go in front of him to runway 10R. Approaching the runway noted a sign. Thinking the sign was most likely at the end of runway 10R, the area to my right had no lights, it logically seemed to be the runup area. I turned right and discovered we were on a paved 'infield' area. A left turn would have put us uncomfortably close to the above sign. Therefore we continued across the pavement to the runway with no difficulty and made a normal takeoff. I feel that better marking of the txwys for night operations would be in order. The new signs slated for domestic airports might have helped (it would have shown in black that I was on taxiway south rather than my thinking the runup area was to my right). The lack of lighted edge markings in this area also contributed to the 'black hole' effect and 'murphy's law' taking over. Another factor: on the medium large transport the side flood light switches are on the first officer's side of the glare shield. He was preoccupied with insuring the final takeoff data was correct and the lights were off. I was taxiing by the nosewheel light. Late night, 2 man crew, poor signs and a 'maze' taxiway system without edge lights were the factors. In broad daylight I am certain one could easily question how someone could make this mistake. Believe me, it was easy! I thank my lucky stars it was paved!
Original NASA ASRS Text
Title: MLG TAXIES OFF OF TXWY ON WAY TO RWY 10R AT SFO.
Narrative: TURNED PRIOR TO RWY 10R RUNUP AREA AND HAD TO CROSS A PAVED 'INFIELD' AREA TO REACH THE RWY. FEEL THAT LIGHTING, SIGNS AND SURFACE MARKING WERE CONTRIBUTING FACTORS, ALONG WITH LATE NIGHT OP AND THE RESULTING LACK OF 'PEAK AWARENESS.' TAXI CLRNC: TO RWY 10R VIA INNER TXWY, HOLD SHORT OF 'S'. AN ACR FLT WAS AHEAD OF US AND NOT READY FOR TKOF APCHING THE RWY. WE WERE CLRED TO TRANSITION TO THE OUTER AT 'K' AND GO IN FRONT OF HIM TO RWY 10R. APCHING THE RWY NOTED A SIGN. THINKING THE SIGN WAS MOST LIKELY AT THE END OF RWY 10R, THE AREA TO MY R HAD NO LIGHTS, IT LOGICALLY SEEMED TO BE THE RUNUP AREA. I TURNED R AND DISCOVERED WE WERE ON A PAVED 'INFIELD' AREA. A L TURN WOULD HAVE PUT US UNCOMFORTABLY CLOSE TO THE ABOVE SIGN. THEREFORE WE CONTINUED ACROSS THE PAVEMENT TO THE RWY WITH NO DIFFICULTY AND MADE A NORMAL TKOF. I FEEL THAT BETTER MARKING OF THE TXWYS FOR NIGHT OPS WOULD BE IN ORDER. THE NEW SIGNS SLATED FOR DOMESTIC ARPTS MIGHT HAVE HELPED (IT WOULD HAVE SHOWN IN BLACK THAT I WAS ON TXWY S RATHER THAN MY THINKING THE RUNUP AREA WAS TO MY R). THE LACK OF LIGHTED EDGE MARKINGS IN THIS AREA ALSO CONTRIBUTED TO THE 'BLACK HOLE' EFFECT AND 'MURPHY'S LAW' TAKING OVER. ANOTHER FACTOR: ON THE MLG THE SIDE FLOOD LIGHT SWITCHES ARE ON THE F/O'S SIDE OF THE GLARE SHIELD. HE WAS PREOCCUPIED WITH INSURING THE FINAL TKOF DATA WAS CORRECT AND THE LIGHTS WERE OFF. I WAS TAXIING BY THE NOSEWHEEL LIGHT. LATE NIGHT, 2 MAN CREW, POOR SIGNS AND A 'MAZE' TXWY SYS WITHOUT EDGE LIGHTS WERE THE FACTORS. IN BROAD DAYLIGHT I AM CERTAIN ONE COULD EASILY QUESTION HOW SOMEONE COULD MAKE THIS MISTAKE. BELIEVE ME, IT WAS EASY! I THANK MY LUCKY STARS IT WAS PAVED!
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.