37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 271368 |
Time | |
Date | 199405 |
Day | Fri |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : orw |
State Reference | CT |
Altitude | msl bound lower : 9000 msl bound upper : 9000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air taxi |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 135 |
Flight Phase | other |
Route In Use | enroute airway : vi6 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air taxi |
Function | flight crew : first officer |
Qualification | pilot : cfi pilot : instrument pilot : atp |
Experience | flight time last 90 days : 160 flight time total : 3800 flight time type : 900 |
ASRS Report | 271368 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | non adherence : published procedure non adherence : clearance other anomaly other other spatial deviation |
Independent Detector | other controllera other flight crewa |
Resolutory Action | flight crew : returned to intended course or assigned course other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Due to arrival delays en route to bos airport we were instructed to hold at orw VOR to the southwest as published at 9000 ft. The captain was handling communications and then looked up the correct inbound radial and told it to me. Normally we are given holding fix at woons intersection northeast along the airway to bos and it has become routine to expect holding at woons. Having never been issued a holding clearance at orw I failed to realize that what I was expected to do was different. The fact that the inbound course at woons is only 1 degree different than that at orw may have been a contributing factor to my confusion. Upon reaching orw I continued along the airway to woons for 7 mi before the captain realized I missed the turn. I immediately entered a left turn when ATC also noticed I was off course. ATC provided vectors and we were back where we were supposed to be without incident. I believe the problem could have been avoided with better cockpit communication and also with emphasis from ATC when a clearance issued is unusual or new to pilots who may regularly fly the same route and may become complacent.
Original NASA ASRS Text
Title: FO OF LTT OVERSHOT HOLDING FIX AND WAS GIVEN VECTORS BY ATC BACK TO THE HOLDING FIX.
Narrative: DUE TO ARR DELAYS ENRTE TO BOS ARPT WE WERE INSTRUCTED TO HOLD AT ORW VOR TO THE SW AS PUBLISHED AT 9000 FT. THE CAPT WAS HANDLING COMS AND THEN LOOKED UP THE CORRECT INBOUND RADIAL AND TOLD IT TO ME. NORMALLY WE ARE GIVEN HOLDING FIX AT WOONS INTXN NE ALONG THE AIRWAY TO BOS AND IT HAS BECOME ROUTINE TO EXPECT HOLDING AT WOONS. HAVING NEVER BEEN ISSUED A HOLDING CLRNC AT ORW I FAILED TO REALIZE THAT WHAT I WAS EXPECTED TO DO WAS DIFFERENT. THE FACT THAT THE INBOUND COURSE AT WOONS IS ONLY 1 DEG DIFFERENT THAN THAT AT ORW MAY HAVE BEEN A CONTRIBUTING FACTOR TO MY CONFUSION. UPON REACHING ORW I CONTINUED ALONG THE AIRWAY TO WOONS FOR 7 MI BEFORE THE CAPT REALIZED I MISSED THE TURN. I IMMEDIATELY ENTERED A L TURN WHEN ATC ALSO NOTICED I WAS OFF COURSE. ATC PROVIDED VECTORS AND WE WERE BACK WHERE WE WERE SUPPOSED TO BE WITHOUT INCIDENT. I BELIEVE THE PROB COULD HAVE BEEN AVOIDED WITH BETTER COCKPIT COM AND ALSO WITH EMPHASIS FROM ATC WHEN A CLRNC ISSUED IS UNUSUAL OR NEW TO PLTS WHO MAY REGULARLY FLY THE SAME RTE AND MAY BECOME COMPLACENT.
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.