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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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Medium large transport flight crew experience runway change, deice procedures misinterprets departure clearance. Does not comply with noise abatement procedures on SID. Does not comply with SID.
| Attributes | |
| ACN | 366580 |
| Time | |
| Date | 199703 |
| Day | Sun |
| Local Time Of Day | 1801 To 2400 |
| Place | |
| Locale Reference | airport : yyz |
| State Reference | ON |
| Altitude | msl bound lower : 3000 msl bound upper : 5000 |
| Environment | |
| Flight Conditions | IMC |
| Light | Night |
| Aircraft 1 | |
| Controlling Facilities | tracon : yyz |
| Operator | common carrier : air carrier |
| Make Model Name | Commercial Fixed Wing |
| Operating Under FAR Part | Part 121 |
| Flight Phase | climbout : takeoff climbout : initial |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : cfi pilot : atp pilot : flight engineer |
| Experience | flight time last 90 days : 240 flight time total : 18600 flight time type : 2200 |
| ASRS Report | 366580 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : instrument pilot : commercial |
| Events | |
| Anomaly | non adherence : published procedure non adherence : clearance other spatial deviation |
| Independent Detector | other flight crewa |
| Resolutory Action | none taken : detected after the fact |
| Consequence | Other |
| Supplementary | |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
Preparing to depart cyyz, we received ATC clearance which included runway 6R. We were cleared to taxi to runway 6R. After a stop at the deice pad, we continued for runway 6R. During taxi, we were told to hold at runway 33R, and runway 33R was now the departure runway. It was snowing with fog. We were at an unfamiliar airport at night in the snow and had our hands full just finding the txwys. We set up for the new departure runway which had a new SID, and really didn't have enough time to thoroughly prepare. Tower takeoff clearance was 'cleared for takeoff, departure 28.8.' it was not clear from these instructions that I was to initiate frequency change to departure after takeoff. As we passed 2000-3000 ft, I realized what tower had meant. In the midst of frequency change, power setting, deice procedure and establishing contact with dep, I flew through the SID radial. No conflicts, but notably noise abatement problem and departure from SID.
Original NASA ASRS Text
Title: MLG FLC EXPERIENCE RWY CHANGE, DEICE PROCS MISINTERPRETS DEP CLRNC. DOES NOT COMPLY WITH NOISE ABATEMENT PROCS ON SID. DOES NOT COMPLY WITH SID.
Narrative: PREPARING TO DEPART CYYZ, WE RECEIVED ATC CLRNC WHICH INCLUDED RWY 6R. WE WERE CLRED TO TAXI TO RWY 6R. AFTER A STOP AT THE DEICE PAD, WE CONTINUED FOR RWY 6R. DURING TAXI, WE WERE TOLD TO HOLD AT RWY 33R, AND RWY 33R WAS NOW THE DEP RWY. IT WAS SNOWING WITH FOG. WE WERE AT AN UNFAMILIAR ARPT AT NIGHT IN THE SNOW AND HAD OUR HANDS FULL JUST FINDING THE TXWYS. WE SET UP FOR THE NEW DEP RWY WHICH HAD A NEW SID, AND REALLY DIDN'T HAVE ENOUGH TIME TO THOROUGHLY PREPARE. TWR TKOF CLRNC WAS 'CLRED FOR TKOF, DEP 28.8.' IT WAS NOT CLR FROM THESE INSTRUCTIONS THAT I WAS TO INITIATE FREQ CHANGE TO DEP AFTER TKOF. AS WE PASSED 2000-3000 FT, I REALIZED WHAT TWR HAD MEANT. IN THE MIDST OF FREQ CHANGE, PWR SETTING, DEICE PROC AND ESTABLISHING CONTACT WITH dep, I FLEW THROUGH THE SID RADIAL. NO CONFLICTS, BUT NOTABLY NOISE ABATEMENT PROB AND DEP FROM SID.
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.