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Heading track position deviation when air carrier first officer, PF, fails to adhere to holding procedure holding pattern location. Holding traffic account terminal area WX at destination airport and surface wind conditions.
| Attributes | |
| ACN | 244766 |
| Time | |
| Date | 199306 |
| Day | Sat |
| Local Time Of Day | 0001 To 0600 |
| Place | |
| Locale Reference | atc facility : sps |
| State Reference | TX |
| Altitude | msl bound lower : 28000 msl bound upper : 28000 |
| Environment | |
| Flight Conditions | Marginal |
| Light | Night |
| Aircraft 1 | |
| Controlling Facilities | artcc : zfw |
| Operator | common carrier : air carrier |
| Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
| Navigation In Use | Other Other |
| Flight Phase | other |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : instrument pilot : commercial pilot : atp pilot : flight engineer |
| Experience | flight time last 90 days : 140 flight time total : 9000 flight time type : 4200 |
| ASRS Report | 244766 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : atp |
| Events | |
| Anomaly | non adherence : clearance non adherence : published procedure other spatial deviation |
| Independent Detector | other flight crewa |
| Resolutory Action | flight crew : returned to intended course or assigned course flight crew : became reoriented |
| Consequence | Other |
| Supplementary | |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
First officer flying aircraft for entire leg after very long day. Sign in at XA53L. One leg to lbb, WX delay from XB00L to XB45L, takeoff to return dfw, enter hold at sps due wind shear dfw. We had been holding correctly for 40 mins and I was involved with dispatch for possible divert when I noticed first officer had flown through fix inbound and had proceeded approximately 15 NM south out of holding pattern. Returned to pattern with no call from ATC. First officer had become disoriented after station passage and was establishing himself south vice north of station. Fatigue and no meals contributing factors.
Original NASA ASRS Text
Title: HDG TRACK POS DEV WHEN ACR FO, PF, FAILS TO ADHERE TO HOLDING PROC HOLDING PATTERN LOCATION. HOLDING TFC ACCOUNT TERMINAL AREA WX AT DEST ARPT AND SURFACE WIND CONDITIONS.
Narrative: FO FLYING ACFT FOR ENTIRE LEG AFTER VERY LONG DAY. SIGN IN AT XA53L. ONE LEG TO LBB, WX DELAY FROM XB00L TO XB45L, TKOF TO RETURN DFW, ENTER HOLD AT SPS DUE WIND SHEAR DFW. WE HAD BEEN HOLDING CORRECTLY FOR 40 MINS AND I WAS INVOLVED WITH DISPATCH FOR POSSIBLE DIVERT WHEN I NOTICED FO HAD FLOWN THROUGH FIX INBOUND AND HAD PROCEEDED APPROX 15 NM S OUT OF HOLDING PATTERN. RETURNED TO PATTERN WITH NO CALL FROM ATC. FO HAD BECOME DISORIENTED AFTER STATION PASSAGE AND WAS ESTABLISHING HIMSELF S VICE N OF STATION. FATIGUE AND NO MEALS CONTRIBUTING FACTORS.
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.