37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 339524 |
Time | |
Date | 199606 |
Day | Tue |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : bos |
State Reference | MA |
Altitude | msl bound lower : 1200 msl bound upper : 1200 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : bos |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure other departure sid : sid |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 210 flight time total : 9000 flight time type : 2500 |
ASRS Report | 339524 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 240 flight time total : 20000 flight time type : 500 |
ASRS Report | 339527 |
Events | |
Anomaly | non adherence : clearance non adherence : published procedure other anomaly other 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:
Just prior to push, discussion of takeoff runway took place. ATIS said runway 27, but we were too heavy and since aircraft were taking off on runway 33L still, we expected and briefed it. I had my departure plate out and had written out the instructions for runway 33L on my flight plan because it's hard to read the 10-3 plate with all the verbiage. We were then given runway 4R for takeoff along with some amendments to the altitudes. Initially they said amend to 3000 ft versus 5000 ft. Then, just prior to taking the runway they changed the altitude again back to 5000 ft which created some confusion to the cockpit. I then re-briefed the takeoff for runway 33L with emphasis on going to 5000 ft as published on the SID. The captain even re-acknowledged the takeoff clearance to 5000 ft with tower to be sure. (No response from tower.) I then flew the heading profile for runway 33L instead of runway 4R. At 1200-1600 ft in the left turn departure gave us a turn to a proper heading of 90 degrees vice 315 degrees. Preventative ideas: have ATIS accurately reflect what runways are being used for which purpose. ATIS said runway 27 but aircraft were still taking off on runway 33L and we got assigned runway 4R. Have different departure plate for each runway, just like we have approach plates for each individual runway approach. This is especially important at airports that have multiple choices for runway takeoffs. The 10-3 plates are getting too crammed with information that is hard to pick out. Supplemental information from acn 339527: other important factors are 1) I was supposed to be on vacation, instead the company canceled the vacation and required me to fly the trip, 2) thus wife and kids are upset I canceled vacation plans and made it difficult going to work, this day. Bottom line, over a yr ago plans were made. Because of short staffing and 8 hours hand fly the day before it created a snowball effect. Wife and kids didn't want me at work, I didn't want to be here, confusion on the ground at bos, led to a mistake by me.
Original NASA ASRS Text
Title: HEADING DEV AFTER TKOF. FLC BRIEFED FOR DIFFERENT RWY AND FLEW WRONG SID HDG. CAPT RPTR 'OUT OF THE LOOP' BECAUSE HIS YR LONG VACATION PLANS HAD BEEN CANCELED BY HIS COMPANY IN ORDER TO FLY THE TRIP.
Narrative: JUST PRIOR TO PUSH, DISCUSSION OF TKOF RWY TOOK PLACE. ATIS SAID RWY 27, BUT WE WERE TOO HVY AND SINCE ACFT WERE TAKING OFF ON RWY 33L STILL, WE EXPECTED AND BRIEFED IT. I HAD MY DEP PLATE OUT AND HAD WRITTEN OUT THE INSTRUCTIONS FOR RWY 33L ON MY FLT PLAN BECAUSE IT'S HARD TO READ THE 10-3 PLATE WITH ALL THE VERBIAGE. WE WERE THEN GIVEN RWY 4R FOR TKOF ALONG WITH SOME AMENDMENTS TO THE ALTS. INITIALLY THEY SAID AMEND TO 3000 FT VERSUS 5000 FT. THEN, JUST PRIOR TO TAKING THE RWY THEY CHANGED THE ALT AGAIN BACK TO 5000 FT WHICH CREATED SOME CONFUSION TO THE COCKPIT. I THEN RE-BRIEFED THE TKOF FOR RWY 33L WITH EMPHASIS ON GOING TO 5000 FT AS PUBLISHED ON THE SID. THE CAPT EVEN RE-ACKNOWLEDGED THE TKOF CLRNC TO 5000 FT WITH TWR TO BE SURE. (NO RESPONSE FROM TWR.) I THEN FLEW THE HEADING PROFILE FOR RWY 33L INSTEAD OF RWY 4R. AT 1200-1600 FT IN THE L TURN DEP GAVE US A TURN TO A PROPER HDG OF 90 DEGS VICE 315 DEGS. PREVENTATIVE IDEAS: HAVE ATIS ACCURATELY REFLECT WHAT RWYS ARE BEING USED FOR WHICH PURPOSE. ATIS SAID RWY 27 BUT ACFT WERE STILL TAKING OFF ON RWY 33L AND WE GOT ASSIGNED RWY 4R. HAVE DIFFERENT DEP PLATE FOR EACH RWY, JUST LIKE WE HAVE APCH PLATES FOR EACH INDIVIDUAL RWY APCH. THIS IS ESPECIALLY IMPORTANT AT ARPTS THAT HAVE MULTIPLE CHOICES FOR RWY TKOFS. THE 10-3 PLATES ARE GETTING TOO CRAMMED WITH INFO THAT IS HARD TO PICK OUT. SUPPLEMENTAL INFO FROM ACN 339527: OTHER IMPORTANT FACTORS ARE 1) I WAS SUPPOSED TO BE ON VACATION, INSTEAD THE COMPANY CANCELED THE VACATION AND REQUIRED ME TO FLY THE TRIP, 2) THUS WIFE AND KIDS ARE UPSET I CANCELED VACATION PLANS AND MADE IT DIFFICULT GOING TO WORK, THIS DAY. BOTTOM LINE, OVER A YR AGO PLANS WERE MADE. BECAUSE OF SHORT STAFFING AND 8 HRS HAND FLY THE DAY BEFORE IT CREATED A SNOWBALL EFFECT. WIFE AND KIDS DIDN'T WANT ME AT WORK, I DIDN'T WANT TO BE HERE, CONFUSION ON THE GND AT BOS, LED TO A MISTAKE BY ME.
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.