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|
Attributes | |
ACN | 319664 |
Time | |
Date | 199510 |
Day | Sat |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : czeg |
State Reference | AB |
Altitude | msl bound lower : 31000 msl bound upper : 31000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : czeg |
Operator | common carrier : air carrier |
Make Model Name | B747-400 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | cruise other |
Route In Use | enroute other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : flight engineer pilot : commercial pilot : instrument |
Experience | flight time last 90 days : 150 flight time total : 15000 flight time type : 1500 |
ASRS Report | 319664 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : commercial pilot : flight engineer pilot : instrument pilot : atp |
Experience | flight time total : 20000 |
ASRS Report | 319663 |
Events | |
Anomaly | non adherence : clearance non adherence other other anomaly other other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | none taken : detected after the fact |
Consequence | faa : investigated faa : reviewed incident with flight crew |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Canadian ATC asked our position passing 110W (after re- establishing radio contact through ACARS). They reported we crossed at 56N and 110W instead of 56.30N 110W. The waypoint was checked numerous times by both pilots according to company standards. In doing so, as we crossed our previous waypoint we checked 56N 110W on our FMC's independently. The flight plan 'point' was called 56N 110W but the real position was 56.30N 110W. Looking down into the scratch pad we thought we saw the correct position and the mileage checked good. The 'legs' page shows the position as 56N 110W. When brought down into the scratch pad it would show as 5630.0N 110.000W. Apparently the error was not caught and 56.000N 110.000W was loaded into the CDU. We were reported off course and a navigation error report would be filed. The wrong waypoint was loaded on the ground but not caught in the sopa check (time and distance were good) by both pilots. Radio's were intermittent en route and were advised too late of our drifting off course. After radio contact, we were too late to correct within tolerances. Canadian ATC advised us of our situation and we corrected to course. During our 'checks' our eyes saw what our minds wanted us to see especially since the time and mileage were correct or appeared correct. The random route system over northern canada is new and the ATC system should be more proactive when an aircraft in radar contact seems to be diverting off course. We were advised after the waypoint, 30 mi off course or 30 mins. Surely they could have helped us earlier.
Original NASA ASRS Text
Title: FLC TECHNIQUE NAV INADEQUATE. HDG TRACK POS DEV IN A GROSS NAV ERROR.
Narrative: CANADIAN ATC ASKED OUR POS PASSING 110W (AFTER RE- ESTABLISHING RADIO CONTACT THROUGH ACARS). THEY RPTED WE CROSSED AT 56N AND 110W INSTEAD OF 56.30N 110W. THE WAYPOINT WAS CHKED NUMEROUS TIMES BY BOTH PLTS ACCORDING TO COMPANY STANDARDS. IN DOING SO, AS WE CROSSED OUR PREVIOUS WAYPOINT WE CHKED 56N 110W ON OUR FMC'S INDEPENDENTLY. THE FLT PLAN 'POINT' WAS CALLED 56N 110W BUT THE REAL POS WAS 56.30N 110W. LOOKING DOWN INTO THE SCRATCH PAD WE THOUGHT WE SAW THE CORRECT POS AND THE MILEAGE CHKED GOOD. THE 'LEGS' PAGE SHOWS THE POS AS 56N 110W. WHEN BROUGHT DOWN INTO THE SCRATCH PAD IT WOULD SHOW AS 5630.0N 110.000W. APPARENTLY THE ERROR WAS NOT CAUGHT AND 56.000N 110.000W WAS LOADED INTO THE CDU. WE WERE RPTED OFF COURSE AND A NAV ERROR RPT WOULD BE FILED. THE WRONG WAYPOINT WAS LOADED ON THE GND BUT NOT CAUGHT IN THE SOPA CHK (TIME AND DISTANCE WERE GOOD) BY BOTH PLTS. RADIO'S WERE INTERMITTENT ENRTE AND WERE ADVISED TOO LATE OF OUR DRIFTING OFF COURSE. AFTER RADIO CONTACT, WE WERE TOO LATE TO CORRECT WITHIN TOLERANCES. CANADIAN ATC ADVISED US OF OUR SIT AND WE CORRECTED TO COURSE. DURING OUR 'CHKS' OUR EYES SAW WHAT OUR MINDS WANTED US TO SEE ESPECIALLY SINCE THE TIME AND MILEAGE WERE CORRECT OR APPEARED CORRECT. THE RANDOM RTE SYS OVER NORTHERN CANADA IS NEW AND THE ATC SYS SHOULD BE MORE PROACTIVE WHEN AN ACFT IN RADAR CONTACT SEEMS TO BE DIVERTING OFF COURSE. WE WERE ADVISED AFTER THE WAYPOINT, 30 MI OFF COURSE OR 30 MINS. SURELY THEY COULD HAVE HELPED US EARLIER.
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.