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A B757 departing sjc, ca, has a heading deviation because the captain drops the SID plate on the cockpit floor.
| Attributes | |
| ACN | 391600 |
| Time | |
| Date | 199801 |
| Day | Mon |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : sjc |
| State Reference | CA |
| Altitude | msl bound lower : 3000 msl bound upper : 3000 |
| Environment | |
| Flight Conditions | VMC |
| Light | Night |
| Aircraft 1 | |
| Controlling Facilities | tracon : oak |
| Operator | common carrier : air carrier |
| Make Model Name | B757 Undifferentiated or Other Model |
| Operating Under FAR Part | Part 121 |
| Navigation In Use | Other Other |
| Flight Phase | climbout : initial climbout : intermediate altitude |
| Route In Use | departure sid : sid |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : atp pilot : flight engineer pilot : cfi |
| Experience | flight time last 90 days : 150 flight time total : 8000 flight time type : 5 |
| ASRS Report | 391600 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : instrument pilot : commercial pilot : atp pilot : flight engineer |
| Experience | flight time last 90 days : 200 flight time total : 14000 flight time type : 3700 |
| ASRS Report | 391584 |
| Events | |
| Anomaly | non adherence : published procedure other spatial deviation |
| Independent Detector | other controllera other flight crewa |
| Resolutory Action | flight crew : became reoriented other |
| Consequence | Other |
| Supplementary | |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
During SID departure, captain said turn left. I didn't hear ATC give heading. Our departure was runway heading for vectors. I thought I didn't hear ATC vector, so I started gentle turn to left. I think my hesitancy to make turn caused captain to inform ATC of turn. Controller asked why we were turning, as SID was for runway heading. Captain had SID turned over, and was reading wrong SID. We quickly returned to runway heading, with very little deviation from SID. Supplemental information from acn 391584: selected wrong SID and initiated wrong turn out. Several distractions: 1) first time out of sjc. 2) IOE in progress. 3) runway and SID change late in preflight. 4) WX a factor. 5) SID page fell off clip and was turned upside down when replaced. The danville one departure was assigned off runway 12R. Plate fell off captain's clip and inadvertently the altam six departure was placed upside. At 4000 ft I called departure control with our intention of a turn to 300 degrees (incorrect). We were corrected without any conflict. Too many distractions at departure.
Original NASA ASRS Text
Title: A B757 DEPARTING SJC, CA, HAS A HEADING DEV BECAUSE THE CAPT DROPS THE SID PLATE ON THE COCKPIT FLOOR.
Narrative: DURING SID DEP, CAPT SAID TURN L. I DIDN'T HEAR ATC GIVE HEADING. OUR DEP WAS RWY HEADING FOR VECTORS. I THOUGHT I DIDN'T HEAR ATC VECTOR, SO I STARTED GENTLE TURN TO L. I THINK MY HESITANCY TO MAKE TURN CAUSED CAPT TO INFORM ATC OF TURN. CTLR ASKED WHY WE WERE TURNING, AS SID WAS FOR RWY HEADING. CAPT HAD SID TURNED OVER, AND WAS READING WRONG SID. WE QUICKLY RETURNED TO RWY HEADING, WITH VERY LITTLE DEV FROM SID. SUPPLEMENTAL INFO FROM ACN 391584: SELECTED WRONG SID AND INITIATED WRONG TURN OUT. SEVERAL DISTRACTIONS: 1) FIRST TIME OUT OF SJC. 2) IOE IN PROGRESS. 3) RWY AND SID CHANGE LATE IN PREFLT. 4) WX A FACTOR. 5) SID PAGE FELL OFF CLIP AND WAS TURNED UPSIDE DOWN WHEN REPLACED. THE DANVILLE ONE DEP WAS ASSIGNED OFF RWY 12R. PLATE FELL OFF CAPT'S CLIP AND INADVERTENTLY THE ALTAM SIX DEP WAS PLACED UPSIDE. AT 4000 FT I CALLED DEP CTL WITH OUR INTENTION OF A TURN TO 300 DEGS (INCORRECT). WE WERE CORRECTED WITHOUT ANY CONFLICT. TOO MANY DISTRACTIONS AT DEP.
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.