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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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Deviation from clearance route. The captain misprogrammed the FMC (wrong destination) and the other crew members did not detect this until 60 mi off course.
| Attributes | |
| ACN | 301289 |
| Time | |
| Date | 199504 |
| Day | Wed |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | atc facility : brs |
| State Reference | FO |
| Altitude | msl bound lower : 33000 msl bound upper : 33000 |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | artcc : sbbs |
| Operator | common carrier : air carrier |
| Make Model Name | B767-300 and 300 ER |
| Operating Under FAR Part | Part 121 |
| Navigation In Use | Other Other |
| Flight Phase | cruise other |
| Route In Use | enroute : direct |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| Experience | flight time last 90 days : 100 flight time total : 15700 flight time type : 1800 |
| ASRS Report | 301289 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : commercial pilot : atp |
| Experience | flight time last 90 days : 210 flight time total : 5000 flight time type : 210 |
| ASRS Report | 300939 |
| Events | |
| Anomaly | non adherence : clearance other anomaly other other spatial deviation |
| Independent Detector | other controllera |
| Resolutory Action | controller : issued new clearance flight crew : became reoriented other |
| Consequence | faa : reviewed incident with flight crew |
| Supplementary | |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
Route jfk-gig was inadvertently put in FMC by captain instead of jfk-gru (route is the same up to brs). At approximately XA30L I was awakened by other crew members and notified of the fact that we were considerably east of course due to flying the erroneously installed route. They had talked to ATC and were correcting back to 'on course' when they were told to proceed direct to cpn VOR. There were no TCASII targets in the area and flight continued as normal. The procedure had broken down in respect to the checks and balances we normally use. The wrong route was installed in the computer and the checking crew members failed to pick up the error both at the gate and overhead the divergent course point. I believe complacency and fatigue played a part in this off-course situation which could have had catastrophic results!
Original NASA ASRS Text
Title: DEV FROM CLRNC RTE. THE CAPT MISPROGRAMMED THE FMC (WRONG DEST) AND THE OTHER CREW MEMBERS DID NOT DETECT THIS UNTIL 60 MI OFF COURSE.
Narrative: RTE JFK-GIG WAS INADVERTENTLY PUT IN FMC BY CAPT INSTEAD OF JFK-GRU (RTE IS THE SAME UP TO BRS). AT APPROX XA30L I WAS AWAKENED BY OTHER CREW MEMBERS AND NOTIFIED OF THE FACT THAT WE WERE CONSIDERABLY E OF COURSE DUE TO FLYING THE ERRONEOUSLY INSTALLED RTE. THEY HAD TALKED TO ATC AND WERE CORRECTING BACK TO 'ON COURSE' WHEN THEY WERE TOLD TO PROCEED DIRECT TO CPN VOR. THERE WERE NO TCASII TARGETS IN THE AREA AND FLT CONTINUED AS NORMAL. THE PROC HAD BROKEN DOWN IN RESPECT TO THE CHKS AND BALS WE NORMALLY USE. THE WRONG RTE WAS INSTALLED IN THE COMPUTER AND THE CHKING CREW MEMBERS FAILED TO PICK UP THE ERROR BOTH AT THE GATE AND OVERHEAD THE DIVERGENT COURSE POINT. I BELIEVE COMPLACENCY AND FATIGUE PLAYED A PART IN THIS OFF-COURSE SIT WHICH COULD HAVE HAD CATASTROPHIC RESULTS!
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.