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Attributes | |
ACN | 314193 |
Time | |
Date | 199508 |
Day | Wed |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : ffu airport : slc |
State Reference | UT |
Altitude | msl bound lower : 17000 msl bound upper : 17000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : slc |
Operator | common carrier : air carrier |
Make Model Name | B737-500 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | descent other |
Route In Use | enroute : on vectors enroute airway : slc |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 12000 flight time type : 2500 |
ASRS Report | 314193 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 10000 flight time type : 2500 |
ASRS Report | 314190 |
Events | |
Anomaly | non adherence : clearance non adherence : far other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance other |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
During descent into slc, I left the ATC frequency to pick up ATIS on second radio. During this time approach control issued instructions to 'maintain present heading' (280 degrees). The other pilot did not hear the instruction and did not read it back. When I returned to ATC frequency we turned north toward slc as we crossed ffu VOR. Approach control asked us what our heading was and I responded. He told us our last instruction was to maintain present heading, not to turn. I acknowledged this and a new heading was assigned. On the ground we called approach to discuss the event. He stated he was busy and didn't notice that his instructions had not been read back. ATIS was difficult to hear, we were close to slc and needed the information to plan our approach in a timely manner -- that's why I turned the ATC radio down and concentrated entirely on collecting the ATIS information. This situation removed me from the loop, leaving no redundancy in the cockpit. The other pilot was aware that I was off frequency yet in the confusion of flying, operating radar (thunderstorm avoidance) and heavy radio traffic, the assigned heading call was missed. Approach was very busy and missed our lack of readback. Aside from all parties listening closer, I think the only real way to avoid all similar occurrences in the future is to have ATIS information put in electronic format and available through ACARS. Supplemental information from acn 314190: after ffu VOR we made a 90 degree right turn as per the flight plan routing. We were queried as to our heading. That is when we found out they wanted us to be on a west heading. We then asked what heading do they now want us on, and we complied. I could have listened up a little better for the radio call that they said I missed, but I feel that the controller should have listened for my reply that I did not make.
Original NASA ASRS Text
Title: B737-500 FLC FAILED TO HEAR AN ATC CLRNC OR CONSEQUENTLY, COMPLY. CTLR INTERVENED.
Narrative: DURING DSCNT INTO SLC, I LEFT THE ATC FREQ TO PICK UP ATIS ON SECOND RADIO. DURING THIS TIME APCH CTL ISSUED INSTRUCTIONS TO 'MAINTAIN PRESENT HDG' (280 DEGS). THE OTHER PLT DID NOT HEAR THE INSTRUCTION AND DID NOT READ IT BACK. WHEN I RETURNED TO ATC FREQ WE TURNED N TOWARD SLC AS WE CROSSED FFU VOR. APCH CTL ASKED US WHAT OUR HDG WAS AND I RESPONDED. HE TOLD US OUR LAST INSTRUCTION WAS TO MAINTAIN PRESENT HDG, NOT TO TURN. I ACKNOWLEDGED THIS AND A NEW HDG WAS ASSIGNED. ON THE GND WE CALLED APCH TO DISCUSS THE EVENT. HE STATED HE WAS BUSY AND DIDN'T NOTICE THAT HIS INSTRUCTIONS HAD NOT BEEN READ BACK. ATIS WAS DIFFICULT TO HEAR, WE WERE CLOSE TO SLC AND NEEDED THE INFO TO PLAN OUR APCH IN A TIMELY MANNER -- THAT'S WHY I TURNED THE ATC RADIO DOWN AND CONCENTRATED ENTIRELY ON COLLECTING THE ATIS INFO. THIS SIT REMOVED ME FROM THE LOOP, LEAVING NO REDUNDANCY IN THE COCKPIT. THE OTHER PLT WAS AWARE THAT I WAS OFF FREQ YET IN THE CONFUSION OF FLYING, OPERATING RADAR (TSTM AVOIDANCE) AND HVY RADIO TFC, THE ASSIGNED HDG CALL WAS MISSED. APCH WAS VERY BUSY AND MISSED OUR LACK OF READBACK. ASIDE FROM ALL PARTIES LISTENING CLOSER, I THINK THE ONLY REAL WAY TO AVOID ALL SIMILAR OCCURRENCES IN THE FUTURE IS TO HAVE ATIS INFO PUT IN ELECTRONIC FORMAT AND AVAILABLE THROUGH ACARS. SUPPLEMENTAL INFO FROM ACN 314190: AFTER FFU VOR WE MADE A 90 DEG RIGHT TURN AS PER THE FLT PLAN ROUTING. WE WERE QUERIED AS TO OUR HDG. THAT IS WHEN WE FOUND OUT THEY WANTED US TO BE ON A W HDG. WE THEN ASKED WHAT HDG DO THEY NOW WANT US ON, AND WE COMPLIED. I COULD HAVE LISTENED UP A LITTLE BETTER FOR THE RADIO CALL THAT THEY SAID I MISSED, BUT I FEEL THAT THE CTLR SHOULD HAVE LISTENED FOR MY REPLY THAT I DID NOT MAKE.
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.