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|
Attributes | |
ACN | 253963 |
Time | |
Date | 199310 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : dtw |
State Reference | MI |
Altitude | msl bound lower : 22000 msl bound upper : 22000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zob |
Operator | common carrier : air carrier |
Make Model Name | Widebody, Low Wing, 4 Turbojet Eng |
Navigation In Use | Other Other |
Flight Phase | climbout : intermediate altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : cfi pilot : atp pilot : commercial |
Experience | flight time last 90 days : 82 flight time total : 17305 flight time type : 828 |
ASRS Report | 253963 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : private pilot : flight engineer |
Experience | flight time last 90 days : 106 flight time total : 5746 flight time type : 375 |
ASRS Report | 253965 |
Events | |
Anomaly | non adherence : clearance other anomaly other other spatial deviation |
Independent Detector | aircraft equipment other aircraft equipment : unspecified other flight crewa |
Resolutory Action | 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:
On climb out to FL310, we were cleared (from an assigned radar vector) direct to grb. The first officer was flying. We programmed the FMC to accommodate the new clearance. Neither of us remembered to selected LNAV for the AFDS. The heading change was about 13 degrees. 2 or 3 mins (10-15 mi) later we noticed that we had not done so. Why? 1) with so few rotations and augmented crew operations, I am splitting the flying with my first officer (they too need to fly). I can log an average of 1 1/2 takeoffs and lndgs per month. 2) my first officer is dual qualified (captain on the large transport). The bulk of his practice, therefore, by far, is on an aircraft wherein once one enters 'direct to...' into the FMC, it is automatically entered into the AFDS and acted upon. So few rotations and a dual-qualified first officer...a highly conscientious and deliberate first officer, I might add. No ATC problems or inquiries resulted, to the best of my knowledge. Supplemental information from acn 253965: this was my first flight back on the widebody transport after flying the large transport the previous month. On the large transport this habit pattern (arming LNAV/man navigation) is not required. When programming direct in the large transport fmcg, man navigation (LNAV) always automatic-engages, eliminating this error. I don't think this error represents a significant safety problem. The habit pattern of arming LNAV on widebody transport aircraft is quick to learn and this mistake not likely to be repeated twice by same crew!
Original NASA ASRS Text
Title: FLC OF A WDB ACR ACFT FORGOT TO RESET NEW COURSE IN THE ACFT AFDS SYS RESULTING IN NOT TURNING AT A DESIGNATED ASSIGNED POINT.
Narrative: ON CLBOUT TO FL310, WE WERE CLRED (FROM AN ASSIGNED RADAR VECTOR) DIRECT TO GRB. THE FO WAS FLYING. WE PROGRAMMED THE FMC TO ACCOMMODATE THE NEW CLRNC. NEITHER OF US REMEMBERED TO SELECTED LNAV FOR THE AFDS. THE HDG CHANGE WAS ABOUT 13 DEGS. 2 OR 3 MINS (10-15 MI) LATER WE NOTICED THAT WE HAD NOT DONE SO. WHY? 1) WITH SO FEW ROTATIONS AND AUGMENTED CREW OPS, I AM SPLITTING THE FLYING WITH MY FO (THEY TOO NEED TO FLY). I CAN LOG AN AVERAGE OF 1 1/2 TKOFS AND LNDGS PER MONTH. 2) MY FO IS DUAL QUALIFIED (CAPT ON THE LGT). THE BULK OF HIS PRACTICE, THEREFORE, BY FAR, IS ON AN ACFT WHEREIN ONCE ONE ENTERS 'DIRECT TO...' INTO THE FMC, IT IS AUTOMATICALLY ENTERED INTO THE AFDS AND ACTED UPON. SO FEW ROTATIONS AND A DUAL-QUALIFIED FO...A HIGHLY CONSCIENTIOUS AND DELIBERATE FO, I MIGHT ADD. NO ATC PROBS OR INQUIRIES RESULTED, TO THE BEST OF MY KNOWLEDGE. SUPPLEMENTAL INFO FROM ACN 253965: THIS WAS MY FIRST FLT BACK ON THE WDB AFTER FLYING THE LGT THE PREVIOUS MONTH. ON THE LGT THIS HABIT PATTERN (ARMING LNAV/MAN NAV) IS NOT REQUIRED. WHEN PROGRAMMING DIRECT IN THE LGT FMCG, MAN NAV (LNAV) ALWAYS AUTO-ENGAGES, ELIMINATING THIS ERROR. I DON'T THINK THIS ERROR REPRESENTS A SIGNIFICANT SAFETY PROB. THE HABIT PATTERN OF ARMING LNAV ON WDB ACFT IS QUICK TO LEARN AND THIS MISTAKE NOT LIKELY TO BE REPEATED TWICE BY SAME CREW!
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.