37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 274065 |
Time | |
Date | 199406 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : lga |
State Reference | NY |
Altitude | msl bound lower : 3500 msl bound upper : 3500 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : n90 |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure other departure sid : sid enroute airway : n90 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 100 flight time total : 12000 flight time type : 4500 |
ASRS Report | 274065 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Events | |
Anomaly | non adherence : published procedure non adherence : clearance other anomaly other other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance flight crew : became reoriented other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Clearance: takeoff runway 13 lga -- whitestone transition on SID: heading 175 degrees as soon as possible, at 2.5 DME left turn to 040 degrees. Climb to 5000 ft. It was the first officer's leg. I forgot this and made the takeoff, headed 175 degrees and waiting for 2.5 DME. First officer then said, 'are you going to fly it?' I realized the mistake and transferred control to the first officer -- we both missed the 2.5 DME callout which occurred simultaneously with this transfer. We continued south (toward jfk) when departure said, ' turn left or right, but turn.' we chose right turn and were assigned heading 270 degrees. We apologized for the confusion. This is a classic case of being distracted by an unexpected event and allowing procedure to be ignored. I believe we all need to be aware of the ramifications of such occurrences and rigidly refuse to allow anything to interfere with concentration -- especially below 10000 ft.
Original NASA ASRS Text
Title: HDG TRACK DEV DURING DEP PROC. FLC DISTR TASK.
Narrative: CLRNC: TKOF RWY 13 LGA -- WHITESTONE TRANSITION ON SID: HDG 175 DEGS AS SOON AS POSSIBLE, AT 2.5 DME L TURN TO 040 DEGS. CLB TO 5000 FT. IT WAS THE FO'S LEG. I FORGOT THIS AND MADE THE TKOF, HEADED 175 DEGS AND WAITING FOR 2.5 DME. FO THEN SAID, 'ARE YOU GOING TO FLY IT?' I REALIZED THE MISTAKE AND TRANSFERRED CTL TO THE FO -- WE BOTH MISSED THE 2.5 DME CALLOUT WHICH OCCURRED SIMULTANEOUSLY WITH THIS TRANSFER. WE CONTINUED S (TOWARD JFK) WHEN DEP SAID, ' TURN L OR R, BUT TURN.' WE CHOSE R TURN AND WERE ASSIGNED HDG 270 DEGS. WE APOLOGIZED FOR THE CONFUSION. THIS IS A CLASSIC CASE OF BEING DISTRACTED BY AN UNEXPECTED EVENT AND ALLOWING PROC TO BE IGNORED. I BELIEVE WE ALL NEED TO BE AWARE OF THE RAMIFICATIONS OF SUCH OCCURRENCES AND RIGIDLY REFUSE TO ALLOW ANYTHING TO INTERFERE WITH CONCENTRATION -- ESPECIALLY BELOW 10000 FT.
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.