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|
Attributes | |
ACN | 318542 |
Time | |
Date | 199509 |
Day | Fri |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : nqm |
State Reference | US |
Altitude | msl bound lower : 29000 msl bound upper : 29000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : rjtg |
Operator | common carrier : air carrier |
Make Model Name | B747 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other |
Flight Phase | cruise other |
Route In Use | enroute : other oceanic enroute : pacific enroute other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 140 flight time total : 800 flight time type : 140 |
ASRS Report | 318542 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : second officer |
Qualification | pilot : flight engineer |
Experience | flight time last 90 days : 0 flight time total : 3100 flight time type : 0 |
ASRS Report | 316951 |
Events | |
Anomaly | non adherence : clearance other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Our IFR clearance out of osaka-kix was kec-ai-miyakejima- organ-renau-OTR17-ferar-mason-milva-N3400.0/E17000- N3100.0/E18000-N2700.0/W17000 syvad. This is what I read back. However, N3200 was skipped in either initial clearance from ATC or in my readback but was never corrected. Therefore we were going direct from N3400.0 to N3100.0, instead of veering to the north to the N3200.0 position. After N3400.0 were re-issued clearance to N3200.0 coordinate. Supplemental information from acn 316951: clearance delivery issued a re-route, which first officer copied and read back twice. Clearance delivery rogered readback. In-flight, ATC asked us to confirm routing (in non-radar environment, our position reports must have clued them in.) routing read back, and ATC revised clearance to include a coordinate originally shown on our first flight plan. Due to lack of automation in this cockpit, pre-departure is a hectic time anyway, what with loading INS's and fuel checks and performance calculations and required briefings and last-minute maintenance. The cockpit environment, and the obvious language problems, contribute to poor communications. It is possible no error was made here, but the point is more that, despite the efforts of a very conscientious crew, mistakes are possible.
Original NASA ASRS Text
Title: NAV DEV.
Narrative: OUR IFR CLRNC OUT OF OSAKA-KIX WAS KEC-AI-MIYAKEJIMA- ORGAN-RENAU-OTR17-FERAR-MASON-MILVA-N3400.0/E17000- N3100.0/E18000-N2700.0/W17000 SYVAD. THIS IS WHAT I READ BACK. HOWEVER, N3200 WAS SKIPPED IN EITHER INITIAL CLRNC FROM ATC OR IN MY READBACK BUT WAS NEVER CORRECTED. THEREFORE WE WERE GOING DIRECT FROM N3400.0 TO N3100.0, INSTEAD OF VEERING TO THE N TO THE N3200.0 POS. AFTER N3400.0 WERE RE-ISSUED CLRNC TO N3200.0 COORDINATE. SUPPLEMENTAL INFO FROM ACN 316951: CLRNC DELIVERY ISSUED A RE-RTE, WHICH FO COPIED AND READ BACK TWICE. CLRNC DELIVERY ROGERED READBACK. INFLT, ATC ASKED US TO CONFIRM ROUTING (IN NON-RADAR ENVIRONMENT, OUR POS RPTS MUST HAVE CLUED THEM IN.) ROUTING READ BACK, AND ATC REVISED CLRNC TO INCLUDE A COORDINATE ORIGINALLY SHOWN ON OUR FIRST FLT PLAN. DUE TO LACK OF AUTOMATION IN THIS COCKPIT, PRE-DEP IS A HECTIC TIME ANYWAY, WHAT WITH LOADING INS'S AND FUEL CHKS AND PERFORMANCE CALCULATIONS AND REQUIRED BRIEFINGS AND LAST-MINUTE MAINT. THE COCKPIT ENVIRONMENT, AND THE OBVIOUS LANGUAGE PROBS, CONTRIBUTE TO POOR COMS. IT IS POSSIBLE NO ERROR WAS MADE HERE, BUT THE POINT IS MORE THAT, DESPITE THE EFFORTS OF A VERY CONSCIENTIOUS CREW, MISTAKES ARE POSSIBLE.
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.