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|
Attributes | |
ACN | 331800 |
Time | |
Date | 199603 |
Day | Fri |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : flm airport : day |
State Reference | KY |
Altitude | msl bound lower : 13000 msl bound upper : 13000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zid |
Operator | common carrier : air carrier |
Make Model Name | F28 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | descent other |
Route In Use | arrival other arrival star : star |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : cfi pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 150 flight time total : 5400 flight time type : 1100 |
ASRS Report | 331800 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | non adherence : clearance 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 other |
Narrative:
En route from clt to day upon crossing the falmouth VOR commenced to fly the bucke 3 arrival into day. The release had the flm 345 degree radial to intercept the cvg 035 degree radial. This is not what is normally done. Controller caught error and we were given a heading to reintercept the flm at 345 degree radial. Then we were told to expect vectors. Then we were cleared as filed. Once established on the 345 degree radial this was all occurring simultaneously with a frequency change we went through the cvg 035 degree radial. Then the new controller cleared us direct to day VOR. Consistency in routing and arrs would help. I also believe that the first controller, by reestablishing us on the flm 345 degree radial set us up for the second deviation. A heading of 360 degrees for the cvg 055 degree radial would have worked better. By the time we were re-established on the flm 345 degree we were very close to the cvg 055 degree radial. Also it was nearly lunch time and had only a banana and bagel to eat all day since XA30 show time that morning. The lack of food as well as long duty days and 6-8 legs per day causes fatigue which is a factor in such occurrences.
Original NASA ASRS Text
Title: ENRTE TO DAYTON PASSING FLM ON THE BUCKE 3 ARR THE RPTR COMMENCED TRACKING THE ARR RATHER THAN THE 345 DEG RADIAL AMENDMENT THAT HAD BEEN ASSIGNED. ATC TURNED THE RPTR TO 300 DEGS TO 'INTERCEPT THE 345 DEG RADIAL AS FILED EXPECT VECTORS.' THEN THE FLC WENT THROUGH THE PUBLISHED 055 DEG RADIAL DURING A FREQ CHANGE. THE ATC TOLD THE FLC TO GO DIRECT TO DAYTON. THE RPTR HAD NOT EATEN FOR 9 HRS AND HAD SCHEDULED 48 STOPS ON THE 4 DAY TRIP WITH LONG DAYS AND MINIMUM REST ON THE OVERNIGHTS.
Narrative: ENRTE FROM CLT TO DAY UPON XING THE FALMOUTH VOR COMMENCED TO FLY THE BUCKE 3 ARR INTO DAY. THE RELEASE HAD THE FLM 345 DEG RADIAL TO INTERCEPT THE CVG 035 DEG RADIAL. THIS IS NOT WHAT IS NORMALLY DONE. CTLR CAUGHT ERROR AND WE WERE GIVEN A HDG TO REINTERCEPT THE FLM AT 345 DEG RADIAL. THEN WE WERE TOLD TO EXPECT VECTORS. THEN WE WERE CLRED AS FILED. ONCE ESTABLISHED ON THE 345 DEG RADIAL THIS WAS ALL OCCURRING SIMULTANEOUSLY WITH A FREQ CHANGE WE WENT THROUGH THE CVG 035 DEG RADIAL. THEN THE NEW CTLR CLRED US DIRECT TO DAY VOR. CONSISTENCY IN ROUTING AND ARRS WOULD HELP. I ALSO BELIEVE THAT THE FIRST CTLR, BY REESTABLISHING US ON THE FLM 345 DEG RADIAL SET US UP FOR THE SECOND DEV. A HDG OF 360 DEGS FOR THE CVG 055 DEG RADIAL WOULD HAVE WORKED BETTER. BY THE TIME WE WERE RE-ESTABLISHED ON THE FLM 345 DEG WE WERE VERY CLOSE TO THE CVG 055 DEG RADIAL. ALSO IT WAS NEARLY LUNCH TIME AND HAD ONLY A BANANA AND BAGEL TO EAT ALL DAY SINCE XA30 SHOW TIME THAT MORNING. THE LACK OF FOOD AS WELL AS LONG DUTY DAYS AND 6-8 LEGS PER DAY CAUSES FATIGUE WHICH IS A FACTOR IN SUCH OCCURRENCES.
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.