37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 310050 |
Time | |
Date | 199507 |
Day | Thu |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : sts |
State Reference | CA |
Altitude | msl bound lower : 400 msl bound upper : 2000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zoa tower : sts tower : sel |
Operator | general aviation : corporate |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Operating Under FAR Part | Part 91 |
Navigation In Use | Other Other |
Flight Phase | climbout : intermediate altitude climbout : initial |
Route In Use | departure other departure sid : sid |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 70 flight time total : 16300 flight time type : 1050 |
ASRS Report | 310050 |
Person 2 | |
Affiliation | Other |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 250 flight time total : 9000 flight time type : 800 |
ASRS Report | 310061 |
Events | |
Anomaly | non adherence : clearance non adherence : far non adherence : published procedure other spatial deviation |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : returned to intended course or assigned course |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Incorrectly told PF that clearance was a frees 5 instead of a santa rosa 5 departure. A left turn off of runway 19 direct to 'snupy' intersection instead of a right turn was discovered too late to rectify. WX was clear and 40 mi, our TCASII showed no traffic. The problem was caused by reading the wrong departure instructions. A contributing factor was the commercial chart page flipped over to reveal a '5' departure. The 'frees 5' instead of 'santa rosa 5' wasn't caught until too late in the turn. Trying to find 'snupy' on the frees 5 was how I discovered the mistake.
Original NASA ASRS Text
Title: DEV FROM CLRNC RTE. CPR CREW FLEW THE WRONG DEP.
Narrative: INCORRECTLY TOLD PF THAT CLRNC WAS A FREES 5 INSTEAD OF A SANTA ROSA 5 DEP. A L TURN OFF OF RWY 19 DIRECT TO 'SNUPY' INTXN INSTEAD OF A R TURN WAS DISCOVERED TOO LATE TO RECTIFY. WX WAS CLR AND 40 MI, OUR TCASII SHOWED NO TFC. THE PROB WAS CAUSED BY READING THE WRONG DEP INSTRUCTIONS. A CONTRIBUTING FACTOR WAS THE COMMERCIAL CHART PAGE FLIPPED OVER TO REVEAL A '5' DEP. THE 'FREES 5' INSTEAD OF 'SANTA ROSA 5' WASN'T CAUGHT UNTIL TOO LATE IN THE TURN. TRYING TO FIND 'SNUPY' ON THE FREES 5 WAS HOW I DISCOVERED THE MISTAKE.
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.