37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 292377 |
Time | |
Date | 199412 |
Day | Mon |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : fsd |
State Reference | SD |
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 | Any Unknown or Unlisted Aircraft Manufacturer |
Operating Under FAR Part | Part 121 |
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 : 190 flight time total : 15000 flight time type : 2500 |
ASRS Report | 292377 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Events | |
Anomaly | incursion : runway non adherence : clearance |
Independent Detector | other flight crewa |
Resolutory Action | none taken : anomaly accepted none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We departed gate 6 and got instructions to taxi to runway 21. I turned right onto taxiway 'a' from the ramp area. I failed to turn right again at 'B' and instead continued straight ahead along 'a' and crossed runway 3-21 without a clearance. Approaching the end of 'a' the copilot asked me where I was going. I said I was going out to runway 21 and looked at the directional gyro expecting to see 030 degrees (I assumed the taxiway 'a' was parallel to runway 21). The directional gyroscope said 330 degrees. My first reaction was that the taxiway was not parallel to runway 21, but it began to dawn on me that although this was true the larger problem was that I had been disoriented without realizing it. The reader has by now figured out that I was not a native of foss field. A few other factors contributed to this incident. There was no traffic, surface or airborne, to provide cues or a focal point for one's attention during our taxi out and takeoff. The night was clear but daytime visibility may have prevented not only tunnel vision but also tunnel consciousness. There had been a problem in the cabin that took up most of time available to me before gate departure that was not spent on the necessities of checklists and coordination with ground handling crew. The major contributing factor was the fact that a loss of orientation like this had never happened to me before without my being aware of it. This is at once the most exculpating -- and the most damning - - fact that can be brought to light concerning my aeronautical behavior now and in the future. We had asked for more specific instructions than were initially given taxiing in and the ground controller express regret that more specific instructions were not provided taxiing out. But the fault for the blunder was mine. I am grateful the immediate results were inconsequential. In the future I will adjust some personal behavior patterns when taxiing at unfamiliar airports and continue in general to be as careful as I can.
Original NASA ASRS Text
Title: CAPT OF SCHEDULED AIR CARRIER DISORIENTED WHILE TAXIING AND INADVERTENTLY CROSSED ACTIVE RWY WITHOUT CLRNC.
Narrative: WE DEPARTED GATE 6 AND GOT INSTRUCTIONS TO TAXI TO RWY 21. I TURNED R ONTO TXWY 'A' FROM THE RAMP AREA. I FAILED TO TURN R AGAIN AT 'B' AND INSTEAD CONTINUED STRAIGHT AHEAD ALONG 'A' AND CROSSED RWY 3-21 WITHOUT A CLRNC. APCHING THE END OF 'A' THE COPLT ASKED ME WHERE I WAS GOING. I SAID I WAS GOING OUT TO RWY 21 AND LOOKED AT THE DIRECTIONAL GYRO EXPECTING TO SEE 030 DEGS (I ASSUMED THE TXWY 'A' WAS PARALLEL TO RWY 21). THE DIRECTIONAL GYROSCOPE SAID 330 DEGS. MY FIRST REACTION WAS THAT THE TXWY WAS NOT PARALLEL TO RWY 21, BUT IT BEGAN TO DAWN ON ME THAT ALTHOUGH THIS WAS TRUE THE LARGER PROB WAS THAT I HAD BEEN DISORIENTED WITHOUT REALIZING IT. THE READER HAS BY NOW FIGURED OUT THAT I WAS NOT A NATIVE OF FOSS FIELD. A FEW OTHER FACTORS CONTRIBUTED TO THIS INCIDENT. THERE WAS NO TFC, SURFACE OR AIRBORNE, TO PROVIDE CUES OR A FOCAL POINT FOR ONE'S ATTN DURING OUR TAXI OUT AND TKOF. THE NIGHT WAS CLR BUT DAYTIME VISIBILITY MAY HAVE PREVENTED NOT ONLY TUNNEL VISION BUT ALSO TUNNEL CONSCIOUSNESS. THERE HAD BEEN A PROB IN THE CABIN THAT TOOK UP MOST OF TIME AVAILABLE TO ME BEFORE GATE DEP THAT WAS NOT SPENT ON THE NECESSITIES OF CHKLISTS AND COORD WITH GND HANDLING CREW. THE MAJOR CONTRIBUTING FACTOR WAS THE FACT THAT A LOSS OF ORIENTATION LIKE THIS HAD NEVER HAPPENED TO ME BEFORE WITHOUT MY BEING AWARE OF IT. THIS IS AT ONCE THE MOST EXCULPATING -- AND THE MOST DAMNING - - FACT THAT CAN BE BROUGHT TO LIGHT CONCERNING MY AERONAUTICAL BEHAVIOR NOW AND IN THE FUTURE. WE HAD ASKED FOR MORE SPECIFIC INSTRUCTIONS THAN WERE INITIALLY GIVEN TAXIING IN AND THE GND CTLR EXPRESS REGRET THAT MORE SPECIFIC INSTRUCTIONS WERE NOT PROVIDED TAXIING OUT. BUT THE FAULT FOR THE BLUNDER WAS MINE. I AM GRATEFUL THE IMMEDIATE RESULTS WERE INCONSEQUENTIAL. IN THE FUTURE I WILL ADJUST SOME PERSONAL BEHAVIOR PATTERNS WHEN TAXIING AT UNFAMILIAR ARPTS AND CONTINUE IN GENERAL TO BE AS CAREFUL AS I CAN.
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.