37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 304660 |
Time | |
Date | 199505 |
Day | Sun |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : phl |
State Reference | PA |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zny |
Operator | common carrier : air carrier |
Make Model Name | DC-9 30 |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : takeoff ground other : taxi |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 180 flight time total : 9000 flight time type : 950 |
ASRS Report | 304660 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : flight engineer pilot : atp pilot : cfi |
Experience | flight time last 90 days : 210 flight time total : 9600 flight time type : 4600 |
ASRS Report | 304819 |
Events | |
Anomaly | incursion : runway non adherence : clearance non adherence : far other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation other |
Situations | |
Airport | other physical facility |
Narrative:
After a long and frustrating day, we taxied out for the last leg of our day. Runway in use was runway 9L. Taxiing west on taxiway K, before K5, we were cleared into position and hold. Looking towards the end of the runway, I saw the lights of K6. Knowing that there's a taxiway Y that goes around the end of runway 9L, I mistook K6 for that taxiway and entered the runway from K5, thinking it was K6. I didn't realize the mistake until after being cleared for takeoff and initiating the takeoff roll. At some point during takeoff, I realized that I had done this and was now taking off on a runway length of 9000 ft instead of 9500 ft. I knew this would not be a performance problem, and it was not. The real cause of this mistake was my fatigue. I guess the first officer was fatigued too, because he didn't realize what I was doing either. Part of the fatigue was caused by a long day of flying. Also contributing was the fact that morale in my airline is very low, and this shows up in encounters with other employee groups during a day's operation. I don't remember the signage, but it certainly didn't jump out at me. Callback conversation with reporter revealed the following information: the reporter said the aircraft was a DC9-30. The signs were standard but the airport design is unusual in this area. The taxiway after passing K6 leads around the end of runway 9L to runway 9R. An 'end run' so to speak. If the pilot passes K6, the taxiway commits the pilot to runway 9R. Some wording that would indicate 'last chance for runway 9L' or 'if you pass this taxiway you are on your way to runway 9R' would perhaps be helpful.
Original NASA ASRS Text
Title: FLC DEPARTS FROM WRONG INTXN.
Narrative: AFTER A LONG AND FRUSTRATING DAY, WE TAXIED OUT FOR THE LAST LEG OF OUR DAY. RWY IN USE WAS RWY 9L. TAXIING W ON TXWY K, BEFORE K5, WE WERE CLRED INTO POS AND HOLD. LOOKING TOWARDS THE END OF THE RWY, I SAW THE LIGHTS OF K6. KNOWING THAT THERE'S A TXWY Y THAT GOES AROUND THE END OF RWY 9L, I MISTOOK K6 FOR THAT TXWY AND ENTERED THE RWY FROM K5, THINKING IT WAS K6. I DIDN'T REALIZE THE MISTAKE UNTIL AFTER BEING CLRED FOR TKOF AND INITIATING THE TKOF ROLL. AT SOME POINT DURING TKOF, I REALIZED THAT I HAD DONE THIS AND WAS NOW TAKING OFF ON A RWY LENGTH OF 9000 FT INSTEAD OF 9500 FT. I KNEW THIS WOULD NOT BE A PERFORMANCE PROB, AND IT WAS NOT. THE REAL CAUSE OF THIS MISTAKE WAS MY FATIGUE. I GUESS THE FO WAS FATIGUED TOO, BECAUSE HE DIDN'T REALIZE WHAT I WAS DOING EITHER. PART OF THE FATIGUE WAS CAUSED BY A LONG DAY OF FLYING. ALSO CONTRIBUTING WAS THE FACT THAT MORALE IN MY AIRLINE IS VERY LOW, AND THIS SHOWS UP IN ENCOUNTERS WITH OTHER EMPLOYEE GROUPS DURING A DAY'S OP. I DON'T REMEMBER THE SIGNAGE, BUT IT CERTAINLY DIDN'T JUMP OUT AT ME. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE RPTR SAID THE ACFT WAS A DC9-30. THE SIGNS WERE STANDARD BUT THE ARPT DESIGN IS UNUSUAL IN THIS AREA. THE TXWY AFTER PASSING K6 LEADS AROUND THE END OF RWY 9L TO RWY 9R. AN 'END RUN' SO TO SPEAK. IF THE PLT PASSES K6, THE TXWY COMMITS THE PLT TO RWY 9R. SOME WORDING THAT WOULD INDICATE 'LAST CHANCE FOR RWY 9L' OR 'IF YOU PASS THIS TXWY YOU ARE ON YOUR WAY TO RWY 9R' WOULD PERHAPS BE HELPFUL.
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.