37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 329070 |
Time | |
Date | 199602 |
Day | Tue |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : adm |
State Reference | OK |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : frg |
Operator | common carrier : air carrier |
Make Model Name | Heavy Transport, Low Wing, 4 Turbojet Eng |
Flight Phase | descent other |
Route In Use | arrival other arrival star : star enroute airway : zfw |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 15000 flight time type : 10000 |
ASRS Report | 329070 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial |
Events | |
Anomaly | altitude deviation : overshoot non adherence : published procedure non adherence : clearance other spatial deviation |
Independent Detector | other controllera 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:
Descending on the boids 5 arrival inbound to adm VOR on the 023 degree radial. Supposed to continue to bpr after adm and then turn to 108 degrees for 13 mi to boids. Had the autoplt bug set to turn to 108 degrees, but was using autoplt in turn knob (basically manual) position. When overhead adm engaged autoplt heading select and aircraft turned to 108 degrees. After a few moments I realized I had just passed the adm and bpr vors and was turning 66 mi too early. I disengaged the autoplt and executed a hard right turn. This resulted in a 500 ft climb as well. ATC called and I explained what happened and that I was doing my best to get back to where I belonged. Got back on course and altitude and engaged autoplt. ATC was annoyed but apparently there were no significant problems or traffic conflicts. Landed dfw approximately 20 mins later. I attribute this incident to fatigue. I left my house in massachusetts early in the afternoon on feb/mon/96. Arrived dfw late at night, on mon (commuted). Departed dfw as working crew member almost 4 hours later. Arrived mci and had WX delay and went to hotel about 4 1/2 hours. Departed mci for huf, huf (no hotel) for mci. Departure mci, had course and altitude excursion and arrived dfw early tues night. Hotel by late tues. All in all a pretty long day, but not at all uncommon for us. It just gets harder to do as you get older. Our company's official, unofficial policy is that if WX or other unforeseen circumstance takes you beyond normal flight and duty times, you are expected to get the trip done, period! That being the case and the fact that their position is somewhat supported in the present FARS, it is up to us to be that much more diligent until rule changes occur (if in fact they ever do). If you do not count the commute to work and the 4 1/2 hour hotel break in mci, then duty time did not exceed 16 hours, but the fatigue accumulates nevertheless.
Original NASA ASRS Text
Title: PLT FLYING A DC8 MISINTERPRETED POS AND MADE A TURN ON THE ARR 66 NM EARLY. THE MISTAKE WAS CAUGHT, BUT THE ACFT GAINED 500 FT WHILE THE PF TURNED BACK TO PUBLISHED COURSE USING MANUAL FLT. PF ATTRIBUTES THE ERROR TO FATIGUE.
Narrative: DSNDING ON THE BOIDS 5 ARR INBOUND TO ADM VOR ON THE 023 DEG RADIAL. SUPPOSED TO CONTINUE TO BPR AFTER ADM AND THEN TURN TO 108 DEGS FOR 13 MI TO BOIDS. HAD THE AUTOPLT BUG SET TO TURN TO 108 DEGS, BUT WAS USING AUTOPLT IN TURN KNOB (BASICALLY MANUAL) POS. WHEN OVERHEAD ADM ENGAGED AUTOPLT HDG SELECT AND ACFT TURNED TO 108 DEGS. AFTER A FEW MOMENTS I REALIZED I HAD JUST PASSED THE ADM AND BPR VORS AND WAS TURNING 66 MI TOO EARLY. I DISENGAGED THE AUTOPLT AND EXECUTED A HARD R TURN. THIS RESULTED IN A 500 FT CLB AS WELL. ATC CALLED AND I EXPLAINED WHAT HAPPENED AND THAT I WAS DOING MY BEST TO GET BACK TO WHERE I BELONGED. GOT BACK ON COURSE AND ALT AND ENGAGED AUTOPLT. ATC WAS ANNOYED BUT APPARENTLY THERE WERE NO SIGNIFICANT PROBS OR TFC CONFLICTS. LANDED DFW APPROX 20 MINS LATER. I ATTRIBUTE THIS INCIDENT TO FATIGUE. I LEFT MY HOUSE IN MASSACHUSETTS EARLY IN THE AFTERNOON ON FEB/MON/96. ARRIVED DFW LATE AT NIGHT, ON MON (COMMUTED). DEPARTED DFW AS WORKING CREW MEMBER ALMOST 4 HRS LATER. ARRIVED MCI AND HAD WX DELAY AND WENT TO HOTEL ABOUT 4 1/2 HRS. DEPARTED MCI FOR HUF, HUF (NO HOTEL) FOR MCI. DEP MCI, HAD COURSE AND ALT EXCURSION AND ARRIVED DFW EARLY TUES NIGHT. HOTEL BY LATE TUES. ALL IN ALL A PRETTY LONG DAY, BUT NOT AT ALL UNCOMMON FOR US. IT JUST GETS HARDER TO DO AS YOU GET OLDER. OUR COMPANY'S OFFICIAL, UNOFFICIAL POLICY IS THAT IF WX OR OTHER UNFORESEEN CIRCUMSTANCE TAKES YOU BEYOND NORMAL FLT AND DUTY TIMES, YOU ARE EXPECTED TO GET THE TRIP DONE, PERIOD! THAT BEING THE CASE AND THE FACT THAT THEIR POS IS SOMEWHAT SUPPORTED IN THE PRESENT FARS, IT IS UP TO US TO BE THAT MUCH MORE DILIGENT UNTIL RULE CHANGES OCCUR (IF IN FACT THEY EVER DO). IF YOU DO NOT COUNT THE COMMUTE TO WORK AND THE 4 1/2 HR HOTEL BREAK IN MCI, THEN DUTY TIME DID NOT EXCEED 16 HRS, BUT THE FATIGUE ACCUMULATES NEVERTHELESS.
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.