37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 295289 |
Time | |
Date | 199502 |
Day | Fri |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : oed airport : mfr |
State Reference | OR |
Altitude | msl bound lower : 9000 msl bound upper : 11000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : mfr |
Operator | general aviation : personal |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Operating Under FAR Part | Part 91 |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure sid : sid |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : single pilot |
Qualification | pilot : instrument pilot : cfi pilot : commercial |
Experience | flight time last 90 days : 20 flight time total : 960 flight time type : 600 |
ASRS Report | 295289 |
Person 2 | |
Affiliation | government : faa |
Function | controller : departure |
Qualification | controller : radar |
Events | |
Anomaly | altitude deviation : undershoot non adherence : clearance non adherence : far other spatial deviation |
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:
The problem occurred due to a misunderstanding of the departure clearance mostly because of lack of familiarity of the area and departure procedures and also the length and complexity of the clearance. The flight was cleared for the gnats #2 departure with talem transition from medford with the restr of 11000 ft crossing the 181 degree radial on the 15 DME ATC. The clearance was misunderstood to mean to intercept the 15 DME ATC on the 181 degree radial and therefore the flight crossed the fix below 11000 ft. The problem was noticed by departure radar. The problem could have been avoided by better familiarization and having taken more time to clarify the details of the clearance.
Original NASA ASRS Text
Title: ALTDEV, HDG DEV ON DEP.
Narrative: THE PROB OCCURRED DUE TO A MISUNDERSTANDING OF THE DEP CLRNC MOSTLY BECAUSE OF LACK OF FAMILIARITY OF THE AREA AND DEP PROCS AND ALSO THE LENGTH AND COMPLEXITY OF THE CLRNC. THE FLT WAS CLRED FOR THE GNATS #2 DEP WITH TALEM TRANSITION FROM MEDFORD WITH THE RESTR OF 11000 FT XING THE 181 DEG RADIAL ON THE 15 DME ATC. THE CLRNC WAS MISUNDERSTOOD TO MEAN TO INTERCEPT THE 15 DME ATC ON THE 181 DEG RADIAL AND THEREFORE THE FLT CROSSED THE FIX BELOW 11000 FT. THE PROB WAS NOTICED BY DEP RADAR. THE PROB COULD HAVE BEEN AVOIDED BY BETTER FAMILIARIZATION AND HAVING TAKEN MORE TIME TO CLARIFY THE DETAILS OF THE CLRNC.
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.