37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 300680 |
Time | |
Date | 199504 |
Day | Sat |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : mia |
State Reference | FL |
Altitude | agl bound lower : 0 agl bound upper : 4000 |
Environment | |
Flight Conditions | Mixed |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : mia |
Operator | common carrier : air carrier |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : intermediate altitude climbout : initial ground : preflight |
Route In Use | departure other departure sid : sid |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 220 flight time total : 8000 flight time type : 4200 |
ASRS Report | 300680 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | non adherence : clearance non adherence : published procedure other anomaly other other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance flight crew : returned to intended course or assigned course other |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Prior to flight, crew briefed new mia 6 departure SID (used for the first time). Both pilots inadvertently dialed mia VOR as departure NAVAID (used on predessor SID) instead of phk VOR as depicted. Omegas also depicted first leg as mia to hedley, reinforcing mistake. On climb out, we were cleared to heading 340 degrees to intercept hedly transition. Both vors and omega appeared to indicate we were 'right on' course although minor deviations for rapidly building cumulus in the area were required and noted to ATC after his first query as to our current heading. A second query from ATC got us reviewing the SID which revealed our mistake, but not in time to prevent a harsh call from departure altering our course approximately 60 degrees and admonishing us not to deviate without informing them. No close calls were noted and flight engineer and captain calculated we were not more than 2-3 mi off course. However, potential for hazards was certainly present. Clearly, our preflight review of the new SID was inadequate and we assumed too much remained the same. Closer review of all revisions is now a high priority with me.
Original NASA ASRS Text
Title: MISREAD PUB. THE FLC REVIEWED THE SID, BUT POORLY. THE DEP CTLR, AFTER SOME STRUGGLE, GOT THEM ON COURSE.
Narrative: PRIOR TO FLT, CREW BRIEFED NEW MIA 6 DEP SID (USED FOR THE FIRST TIME). BOTH PLTS INADVERTENTLY DIALED MIA VOR AS DEP NAVAID (USED ON PREDESSOR SID) INSTEAD OF PHK VOR AS DEPICTED. OMEGAS ALSO DEPICTED FIRST LEG AS MIA TO HEDLEY, REINFORCING MISTAKE. ON CLBOUT, WE WERE CLRED TO HDG 340 DEGS TO INTERCEPT HEDLY TRANSITION. BOTH VORS AND OMEGA APPEARED TO INDICATE WE WERE 'RIGHT ON' COURSE ALTHOUGH MINOR DEVS FOR RAPIDLY BUILDING CUMULUS IN THE AREA WERE REQUIRED AND NOTED TO ATC AFTER HIS FIRST QUERY AS TO OUR CURRENT HDG. A SECOND QUERY FROM ATC GOT US REVIEWING THE SID WHICH REVEALED OUR MISTAKE, BUT NOT IN TIME TO PREVENT A HARSH CALL FROM DEP ALTERING OUR COURSE APPROX 60 DEGS AND ADMONISHING US NOT TO DEVIATE WITHOUT INFORMING THEM. NO CLOSE CALLS WERE NOTED AND FE AND CAPT CALCULATED WE WERE NOT MORE THAN 2-3 MI OFF COURSE. HOWEVER, POTENTIAL FOR HAZARDS WAS CERTAINLY PRESENT. CLRLY, OUR PREFLT REVIEW OF THE NEW SID WAS INADEQUATE AND WE ASSUMED TOO MUCH REMAINED THE SAME. CLOSER REVIEW OF ALL REVISIONS IS NOW A HIGH PRIORITY WITH ME.
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.