37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 358910 |
Time | |
Date | 199701 |
Day | Sat |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : mol |
State Reference | VA |
Altitude | msl bound lower : 17000 msl bound upper : 25000 |
Environment | |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zdc |
Operator | common carrier : air carrier |
Make Model Name | B727-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise other |
Route In Use | enroute airway : j24 enroute other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
ASRS Report | 358910 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : second officer |
Qualification | pilot : commercial pilot : instrument pilot : flight engineer |
ASRS Report | 358909 |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : clearance 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 other |
Narrative:
I was flying using the autoplt in heading mode. We were not using the omega. After crossing mol we were cleared J24 to fak, then direct ric. I'm not sure what happened, but I missed the turn for J24. Center called us when he saw us north of J24. I really cannot tell you exactly why I missed the turn. I knew that I had just crossed mol, but I think I was distraction. We were dispatched with 1 pack at FL250, but only could maintain 4 pounds per square inch differential so we had to maintain 17000 ft. Even at that altitude, we were having a hard time keeping the cabin below 5000 ft. We crossed the VOR. The cabin started climbing again, and I had also picked that time to set up my charts for ewr. I was so busy I was distraction from the most important part -- fly the airplane. I thought I was keeping up with the route but I think I dialed in the ric VOR course instead of the fak course. The pressurization problem created a nonstandard operation, which I know is a critical time. Somehow I missed keeping up. Supplemental information from acn 358909: passing mol, noticed that cabin was climbing and ACARS was printing a message. Supplemental information from acn 358908: the captain proceeded direct to richmond instead of J24 fak as we were cleared. The crew was still working on the pressurization problem and the captain tried to fly and work the problem at the same time. Result was no one watching the store.
Original NASA ASRS Text
Title: RPTR ERROR ADMITTED IN B727 HDG TRACK POS DEV. MISSED TURN AFTER MOL VOR AND WAS IN NON ADHERENCE TO ATC CLRNC.
Narrative: I WAS FLYING USING THE AUTOPLT IN HDG MODE. WE WERE NOT USING THE OMEGA. AFTER XING MOL WE WERE CLRED J24 TO FAK, THEN DIRECT RIC. I'M NOT SURE WHAT HAPPENED, BUT I MISSED THE TURN FOR J24. CTR CALLED US WHEN HE SAW US N OF J24. I REALLY CANNOT TELL YOU EXACTLY WHY I MISSED THE TURN. I KNEW THAT I HAD JUST CROSSED MOL, BUT I THINK I WAS DISTR. WE WERE DISPATCHED WITH 1 PACK AT FL250, BUT ONLY COULD MAINTAIN 4 LBS PER SQUARE INCH DIFFERENTIAL SO WE HAD TO MAINTAIN 17000 FT. EVEN AT THAT ALT, WE WERE HAVING A HARD TIME KEEPING THE CABIN BELOW 5000 FT. WE CROSSED THE VOR. THE CABIN STARTED CLBING AGAIN, AND I HAD ALSO PICKED THAT TIME TO SET UP MY CHARTS FOR EWR. I WAS SO BUSY I WAS DISTR FROM THE MOST IMPORTANT PART -- FLY THE AIRPLANE. I THOUGHT I WAS KEEPING UP WITH THE RTE BUT I THINK I DIALED IN THE RIC VOR COURSE INSTEAD OF THE FAK COURSE. THE PRESSURIZATION PROB CREATED A NONSTANDARD OP, WHICH I KNOW IS A CRITICAL TIME. SOMEHOW I MISSED KEEPING UP. SUPPLEMENTAL INFO FROM ACN 358909: PASSING MOL, NOTICED THAT CABIN WAS CLBING AND ACARS WAS PRINTING A MESSAGE. SUPPLEMENTAL INFO FROM ACN 358908: THE CAPT PROCEEDED DIRECT TO RICHMOND INSTEAD OF J24 FAK AS WE WERE CLRED. THE CREW WAS STILL WORKING ON THE PRESSURIZATION PROB AND THE CAPT TRIED TO FLY AND WORK THE PROB AT THE SAME TIME. RESULT WAS NO ONE WATCHING THE STORE.
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.