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|
Attributes | |
ACN | 294260 |
Time | |
Date | 199501 |
Day | Wed |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : pom airport : ont |
State Reference | CA |
Altitude | msl bound lower : 8000 msl bound upper : 10400 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : ord |
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 : initial ground : preflight |
Route In Use | departure other departure sid : sid enroute airway : ont |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : instrument pilot : atp pilot : cfi pilot : commercial pilot : flight engineer |
Experience | flight time last 90 days : 210 flight time total : 14213 flight time type : 918 |
ASRS Report | 294260 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial |
Events | |
Anomaly | altitude deviation : overshoot altitude deviation : excursion from assigned altitude altitude deviation : crossing restriction not met non adherence : clearance non adherence : published procedure |
Independent Detector | other controllera |
Resolutory Action | other |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Clearance was pomona 6 departure, maintain 14000 ft. We both heard it, and put 14000 ft in the altitude alerter. As it was a beautiful VFR morning, I briefed the hand flown takeoff, climb, and clearance. Although I had the pomona 6 in front of me, with the crossing restr of 8000 ft at pomona VOR highlighted, I failed to brief it. I did brief that I was going to keep our climb speed back at 210 KIAS since we were taking off in the wrong direction, and that I wanted a 'VFR climb' over the mountains. My first officer had not done a VFR climb request and was not familiar with: 1) what it was, 2) how to ask for it, and 3) restrs imposed, such as maintaining our own terrain clearance and altitude restrs. This was my first of a series of mistakes leading to the bust. The second was my use (improper) of the automated cockpit. The pom 6 departure was loaded into the FMC correctly, with the 8000 ft restr at pomona. Our company procedures are to climb to 3000 ft AGL at clean minimum maneuvering airspeed, then accelerate to 250 KIAS. I improperly shut off the flight director out of 4000 ft MSL on the climb, as it was commanding nose down to accelerate to 250 KIAS, which I did not want to do. (I should have programmed 210 KIAS into FMC until 14000 ft.) by doing this, I shut off the only way I had of complying with the 8000 ft restr over the pomona VOR. (I will now put all restrs into the altitude alerter, even if lower than our clearance. I will also brief this prior to departure.) as we passed the VOR, the controller asked us about the 8000 ft restr, as we climbed out of 10400 ft. I leveled off the aircraft, but we had passed the VOR.
Original NASA ASRS Text
Title: ACR LGT CREW FLEW RIGHT THROUGH A SID RESTR.
Narrative: CLRNC WAS POMONA 6 DEP, MAINTAIN 14000 FT. WE BOTH HEARD IT, AND PUT 14000 FT IN THE ALT ALERTER. AS IT WAS A BEAUTIFUL VFR MORNING, I BRIEFED THE HAND FLOWN TKOF, CLB, AND CLRNC. ALTHOUGH I HAD THE POMONA 6 IN FRONT OF ME, WITH THE XING RESTR OF 8000 FT AT POMONA VOR HIGHLIGHTED, I FAILED TO BRIEF IT. I DID BRIEF THAT I WAS GOING TO KEEP OUR CLB SPD BACK AT 210 KIAS SINCE WE WERE TAKING OFF IN THE WRONG DIRECTION, AND THAT I WANTED A 'VFR CLB' OVER THE MOUNTAINS. MY FO HAD NOT DONE A VFR CLB REQUEST AND WAS NOT FAMILIAR WITH: 1) WHAT IT WAS, 2) HOW TO ASK FOR IT, AND 3) RESTRS IMPOSED, SUCH AS MAINTAINING OUR OWN TERRAIN CLRNC AND ALT RESTRS. THIS WAS MY FIRST OF A SERIES OF MISTAKES LEADING TO THE BUST. THE SECOND WAS MY USE (IMPROPER) OF THE AUTOMATED COCKPIT. THE POM 6 DEP WAS LOADED INTO THE FMC CORRECTLY, WITH THE 8000 FT RESTR AT POMONA. OUR COMPANY PROCS ARE TO CLB TO 3000 FT AGL AT CLEAN MINIMUM MANEUVERING AIRSPD, THEN ACCELERATE TO 250 KIAS. I IMPROPERLY SHUT OFF THE FLT DIRECTOR OUT OF 4000 FT MSL ON THE CLB, AS IT WAS COMMANDING NOSE DOWN TO ACCELERATE TO 250 KIAS, WHICH I DID NOT WANT TO DO. (I SHOULD HAVE PROGRAMMED 210 KIAS INTO FMC UNTIL 14000 FT.) BY DOING THIS, I SHUT OFF THE ONLY WAY I HAD OF COMPLYING WITH THE 8000 FT RESTR OVER THE POMONA VOR. (I WILL NOW PUT ALL RESTRS INTO THE ALT ALERTER, EVEN IF LOWER THAN OUR CLRNC. I WILL ALSO BRIEF THIS PRIOR TO DEP.) AS WE PASSED THE VOR, THE CTLR ASKED US ABOUT THE 8000 FT RESTR, AS WE CLBED OUT OF 10400 FT. I LEVELED OFF THE ACFT, BUT WE HAD PASSED THE VOR.
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.