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|
Attributes | |
ACN | 340226 |
Time | |
Date | 199606 |
Day | Sat |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : czqx |
State Reference | NF |
Altitude | msl bound lower : 31000 msl bound upper : 31000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : czqx |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise other |
Route In Use | enroute : other oceanic enroute : atlantic |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 180 flight time total : 20000 flight time type : 4000 |
ASRS Report | 340226 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial |
Events | |
Anomaly | non adherence : clearance other spatial deviation |
Independent Detector | other flight crewa |
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:
Inbound aircraft was 1 1/2 hours late arrival snn airport, normal preflight duties were accomplished. First officer initialized omegas, I checked and found correct. While first officer was doing his paperwork I entered computer flight plan oceanic waypoints. We both then checked and crosschecked waypoints, course and distance. I called shanwick control for clearance. Sometime later shanwick came back with our clearance, we all listened and wrote down clearance. It was slightly different from our filed routing. I told the first officer to correct our flight plan and I proceeded to insert new waypoints in omegas. During this time I allowed myself to become distraction due to some maintenance deferrals and never got back to correcting omegas. We took off and proceeded on course normally. We did all the checks as per our navigation manual. Since the first 2 waypoints were the same as original flight plan everything plotted correctly, until after our 20W report. Since I was flying this leg, the first officer gave the position report at 20W and I thought I heard him say '54N/40W next.' after his 54N/30W estimate I also thought I heard shanwick read back the same with a copy to gander. Apparently not so. The 10 mins past plot after 20W was right on course because I probably read wrong north coordinates to first officer. At the 54N/30W position report again I heard what I wanted to hear but something just didn't seem right. I then rechked everything and found we were at 54N/30W instead of 53N/30W. At this time I started correcting toward 53N and called gander for route clarification and to advise them as to what I had done. We were then cleared direct to 53N/40W. Later we were SELCAL'ed and advised that a report would be filed. On ground gander, I telephoned gander oceanic to express my concern and to inquire as to any traffic conflict. There was no other traffic in area. I had just gotten over a fairly bad head cold which I believe may have contributed to my inattn to detail.
Original NASA ASRS Text
Title: WDB ACFT ON OCEANIC FLT ENTERS WRONG INFO INTO OMEGAS RESULTING IN A GROSS NAV ERROR.
Narrative: INBOUND ACFT WAS 1 1/2 HRS LATE ARR SNN ARPT, NORMAL PREFLT DUTIES WERE ACCOMPLISHED. FO INITIALIZED OMEGAS, I CHKED AND FOUND CORRECT. WHILE FO WAS DOING HIS PAPERWORK I ENTERED COMPUTER FLT PLAN OCEANIC WAYPOINTS. WE BOTH THEN CHKED AND XCHKED WAYPOINTS, COURSE AND DISTANCE. I CALLED SHANWICK CTL FOR CLRNC. SOMETIME LATER SHANWICK CAME BACK WITH OUR CLRNC, WE ALL LISTENED AND WROTE DOWN CLRNC. IT WAS SLIGHTLY DIFFERENT FROM OUR FILED ROUTING. I TOLD THE FO TO CORRECT OUR FLT PLAN AND I PROCEEDED TO INSERT NEW WAYPOINTS IN OMEGAS. DURING THIS TIME I ALLOWED MYSELF TO BECOME DISTR DUE TO SOME MAINT DEFERRALS AND NEVER GOT BACK TO CORRECTING OMEGAS. WE TOOK OFF AND PROCEEDED ON COURSE NORMALLY. WE DID ALL THE CHKS AS PER OUR NAV MANUAL. SINCE THE FIRST 2 WAYPOINTS WERE THE SAME AS ORIGINAL FLT PLAN EVERYTHING PLOTTED CORRECTLY, UNTIL AFTER OUR 20W RPT. SINCE I WAS FLYING THIS LEG, THE FO GAVE THE POS RPT AT 20W AND I THOUGHT I HEARD HIM SAY '54N/40W NEXT.' AFTER HIS 54N/30W ESTIMATE I ALSO THOUGHT I HEARD SHANWICK READ BACK THE SAME WITH A COPY TO GANDER. APPARENTLY NOT SO. THE 10 MINS PAST PLOT AFTER 20W WAS RIGHT ON COURSE BECAUSE I PROBABLY READ WRONG N COORDINATES TO FO. AT THE 54N/30W POS RPT AGAIN I HEARD WHAT I WANTED TO HEAR BUT SOMETHING JUST DIDN'T SEEM RIGHT. I THEN RECHKED EVERYTHING AND FOUND WE WERE AT 54N/30W INSTEAD OF 53N/30W. AT THIS TIME I STARTED CORRECTING TOWARD 53N AND CALLED GANDER FOR RTE CLARIFICATION AND TO ADVISE THEM AS TO WHAT I HAD DONE. WE WERE THEN CLRED DIRECT TO 53N/40W. LATER WE WERE SELCAL'ED AND ADVISED THAT A RPT WOULD BE FILED. ON GND GANDER, I TELEPHONED GANDER OCEANIC TO EXPRESS MY CONCERN AND TO INQUIRE AS TO ANY TFC CONFLICT. THERE WAS NO OTHER TFC IN AREA. I HAD JUST GOTTEN OVER A FAIRLY BAD HEAD COLD WHICH I BELIEVE MAY HAVE CONTRIBUTED TO MY INATTN TO DETAIL.
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.