37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 296347 |
Time | |
Date | 199502 |
Day | Fri |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : las |
State Reference | NV |
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 | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | ground other : taxi |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : flight engineer pilot : cfi |
Experience | flight time last 90 days : 180 flight time total : 8000 flight time type : 1000 |
ASRS Report | 296347 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : cfi pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 270 flight time total : 10800 flight time type : 45 |
ASRS Report | 296339 |
Events | |
Anomaly | non adherence : clearance other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : returned to intended course or assigned course flight crew : became reoriented |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
I misinterpreted the assigned taxi route. Even though the first officer pointed out my mistake twice, and I could see the taxiway designator signs, I could not realize my mistake. We went 100-200 ft past a taxiway we were supposed to turn on. The cause of this problem was a high level of fatigue brought on by a lengthy duty period (11 hours, 15 min schedule). At the time of the incident we were 7 hours into the duty period and my body time was XX12 am. Red-eye flying duty periods need to be restr differently than those scheduled in concert with a crew member's circadian cycles. 11 hours is too long. Supplemental information from acn 296339: the crew had flown 1 leg from mem to las. The crew started the trip feb/xx/95 at XA00 pm. Flew from mem to las. Crew sat on the ground for 3 hours. I feel the captain was accustomed to using B-5 to taxi to runway 25R in his previous GPS at las. Also the time of day and fatigue may have played a part in the misunderstanding of the taxi clearance. I also believe our company cockpit resource management training worked here, where my assertiveness got his attention, that there may be a problem. And we took appropriate action to resolve the problem.
Original NASA ASRS Text
Title: TAXI CLRNC INTERP CAUSES A NEAR TAXI ERROR. TAXIING TFC.
Narrative: I MISINTERPRETED THE ASSIGNED TAXI RTE. EVEN THOUGH THE FO POINTED OUT MY MISTAKE TWICE, AND I COULD SEE THE TXWY DESIGNATOR SIGNS, I COULD NOT REALIZE MY MISTAKE. WE WENT 100-200 FT PAST A TXWY WE WERE SUPPOSED TO TURN ON. THE CAUSE OF THIS PROB WAS A HIGH LEVEL OF FATIGUE BROUGHT ON BY A LENGTHY DUTY PERIOD (11 HRS, 15 MIN SCHEDULE). AT THE TIME OF THE INCIDENT WE WERE 7 HRS INTO THE DUTY PERIOD AND MY BODY TIME WAS XX12 AM. RED-EYE FLYING DUTY PERIODS NEED TO BE RESTR DIFFERENTLY THAN THOSE SCHEDULED IN CONCERT WITH A CREW MEMBER'S CIRCADIAN CYCLES. 11 HRS IS TOO LONG. SUPPLEMENTAL INFO FROM ACN 296339: THE CREW HAD FLOWN 1 LEG FROM MEM TO LAS. THE CREW STARTED THE TRIP FEB/XX/95 AT XA00 PM. FLEW FROM MEM TO LAS. CREW SAT ON THE GND FOR 3 HRS. I FEEL THE CAPT WAS ACCUSTOMED TO USING B-5 TO TAXI TO RWY 25R IN HIS PREVIOUS GPS AT LAS. ALSO THE TIME OF DAY AND FATIGUE MAY HAVE PLAYED A PART IN THE MISUNDERSTANDING OF THE TAXI CLRNC. I ALSO BELIEVE OUR COMPANY COCKPIT RESOURCE MGMNT TRAINING WORKED HERE, WHERE MY ASSERTIVENESS GOT HIS ATTN, THAT THERE MAY BE A PROB. AND WE TOOK APPROPRIATE ACTION TO RESOLVE THE PROB.
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.