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|
Attributes | |
ACN | 334455 |
Time | |
Date | 199604 |
Day | Sat |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : buj |
State Reference | TX |
Altitude | msl bound lower : 27000 msl bound upper : 27000 |
Environment | |
Flight Conditions | Mixed |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zfw |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise other |
Route In Use | arrival other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : atp pilot : commercial pilot : instrument |
Experience | flight time last 90 days : 200 flight time total : 12000 flight time type : 5000 |
ASRS Report | 334455 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 8779 flight time type : 3775 |
ASRS Report | 334477 |
Events | |
Anomaly | non adherence : far non adherence : published procedure non adherence : clearance other anomaly other other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | other |
Consequence | faa : assigned or threatened penalties |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
During arrival to dfw on the blue ridge 7 arrival, we were cleared to 'connie, hold as published, 15 mi legs approved.' holding was entered at exactly efc and a l-hand turn was initiated. 1/2 way through the turn, ZFW advised us to stop our descent, we had turned the wrong way. There were 4 contributing factors to turning the wrong direction: 1) on a previous leg today into ord, we were cleared 'hold as published, l-hand turns.' this had stuck in both crewmembers' minds. 2) both crewmembers looked at the approach plate and locked in to the depicted l-hand holding pattern chest (blue ridge 059 degree radial, 29 DME), which is located next to connie on the arrival plate. 3) this was the end of a scheduled 12+30 hours duty day, the last day of a 4 day rotation. 4) both crewmembers had difficulty getting to sleep the night before due to noise in the layover hotel, and thus were not as alert as normal. Supplemental information from acn 334447: prevention would have been more likely had the clearance been issued as the first one of the day, 'hold as published, right/left turns.'
Original NASA ASRS Text
Title: FLC ENTERS HOLDING PATTERN BUT TURNS WRONG DIRECTION, ATC INTERVENES AND GETS ACFT BACK IN CORRECT HOLDING PATTERN.
Narrative: DURING ARR TO DFW ON THE BLUE RIDGE 7 ARR, WE WERE CLRED TO 'CONNIE, HOLD AS PUBLISHED, 15 MI LEGS APPROVED.' HOLDING WAS ENTERED AT EXACTLY EFC AND A L-HAND TURN WAS INITIATED. 1/2 WAY THROUGH THE TURN, ZFW ADVISED US TO STOP OUR DSCNT, WE HAD TURNED THE WRONG WAY. THERE WERE 4 CONTRIBUTING FACTORS TO TURNING THE WRONG DIRECTION: 1) ON A PREVIOUS LEG TODAY INTO ORD, WE WERE CLRED 'HOLD AS PUBLISHED, L-HAND TURNS.' THIS HAD STUCK IN BOTH CREWMEMBERS' MINDS. 2) BOTH CREWMEMBERS LOOKED AT THE APCH PLATE AND LOCKED IN TO THE DEPICTED L-HAND HOLDING PATTERN CHEST (BLUE RIDGE 059 DEG RADIAL, 29 DME), WHICH IS LOCATED NEXT TO CONNIE ON THE ARR PLATE. 3) THIS WAS THE END OF A SCHEDULED 12+30 HRS DUTY DAY, THE LAST DAY OF A 4 DAY ROTATION. 4) BOTH CREWMEMBERS HAD DIFFICULTY GETTING TO SLEEP THE NIGHT BEFORE DUE TO NOISE IN THE LAYOVER HOTEL, AND THUS WERE NOT AS ALERT AS NORMAL. SUPPLEMENTAL INFO FROM ACN 334447: PREVENTION WOULD HAVE BEEN MORE LIKELY HAD THE CLRNC BEEN ISSUED AS THE FIRST ONE OF THE DAY, 'HOLD AS PUBLISHED, R/L TURNS.'
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.