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|
Attributes | |
ACN | 401793 |
Time | |
Date | 199805 |
Day | Mon |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : lga |
State Reference | NY |
Altitude | msl bound lower : 5000 msl bound upper : 5000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : n90 |
Operator | common carrier : air carrier |
Make Model Name | B737-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : intermediate altitude cruise other |
Route In Use | departure other departure sid : sid enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 19000 |
ASRS Report | 401793 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 150 flight time total : 10500 flight time type : 5000 |
ASRS Report | 401795 |
Events | |
Anomaly | non adherence : clearance non adherence : published procedure 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:
We departed lga runway 13. The clearance was to accomplish the coney climb of the lga 8 departure SID, except change heading to 180 degrees. Instead, we briefed and executed the whitestone climb. As we were in the left turn, departure control asked us about our clearance, at which time we realized our mistake. In the future, I will make it a practice to confirm the departure SID, as that does not appear either on our printed release or the ACARS pre departure clearance display. Supplemental information from acn 401795: the clearance was received via ACARS, except that the climb assignment was to be issued by clearance delivery. Unfortunately, for reasons not entirely clear, I mentally reverted to the much more common whitestone climb. During the departure review/briefing, though I stated we were cleared via the coney climb using a 180 degree heading, I briefed and subsequently flew the whitestone climb with a 180 degree heading. The error was detected and brought to our attention by the departure controller (frequency 120.4) when we started our turn to the northeast instead of intercepting the cri 043 degree radial as required by the coney climb. The immediate question is, what caused my lapse of attention? The 2 main causes were haste and my failure to completely review all the data on the lga 8 SID. The haste came about as the result of a late departure from the gate caused by a minor maintenance item. Repair of a faulty standby horizon required mechanics to occupy the cockpit until after scheduled departure. This, in turn, caused an expedited before start checklist and a shortened review of the SID. The whitestone climb is far more commonly flown in our operation, because most of our departures are to the west and southwest for which the whitestone is typically used. As a result I failed to seek out the text of the coney climb, not did I note the 'coney climb' note in the graphic adjacent to cri VOR. This note is separated from the coney altitude note. In addition, the text descriptions of the various climbs are not co-located on the SID chart. The coney climb text is on the folding panel to the right of the graphic and may have been folded out of view when I reviewed the graphic. It does, however, point out one danger of putting so much information, densely presented, in a single chart. While I appreciate the economy of using a single page, the utility of this approach is questionable.
Original NASA ASRS Text
Title: A B737-200 FLC SUFFERS A HDG TRACK DEV WHEN THE FO BRIEFS AND FLIES THE WHITESTONE CLB VERSUS THE CONEY CLB. ATC CATCHES ERROR.
Narrative: WE DEPARTED LGA RWY 13. THE CLRNC WAS TO ACCOMPLISH THE CONEY CLB OF THE LGA 8 DEP SID, EXCEPT CHANGE HDG TO 180 DEGS. INSTEAD, WE BRIEFED AND EXECUTED THE WHITESTONE CLB. AS WE WERE IN THE L TURN, DEP CTL ASKED US ABOUT OUR CLRNC, AT WHICH TIME WE REALIZED OUR MISTAKE. IN THE FUTURE, I WILL MAKE IT A PRACTICE TO CONFIRM THE DEP SID, AS THAT DOES NOT APPEAR EITHER ON OUR PRINTED RELEASE OR THE ACARS PDC DISPLAY. SUPPLEMENTAL INFO FROM ACN 401795: THE CLRNC WAS RECEIVED VIA ACARS, EXCEPT THAT THE CLB ASSIGNMENT WAS TO BE ISSUED BY CLRNC DELIVERY. UNFORTUNATELY, FOR REASONS NOT ENTIRELY CLR, I MENTALLY REVERTED TO THE MUCH MORE COMMON WHITESTONE CLB. DURING THE DEP REVIEW/BRIEFING, THOUGH I STATED WE WERE CLRED VIA THE CONEY CLB USING A 180 DEG HDG, I BRIEFED AND SUBSEQUENTLY FLEW THE WHITESTONE CLB WITH A 180 DEG HDG. THE ERROR WAS DETECTED AND BROUGHT TO OUR ATTN BY THE DEP CTLR (FREQ 120.4) WHEN WE STARTED OUR TURN TO THE NE INSTEAD OF INTERCEPTING THE CRI 043 DEG RADIAL AS REQUIRED BY THE CONEY CLB. THE IMMEDIATE QUESTION IS, WHAT CAUSED MY LAPSE OF ATTN? THE 2 MAIN CAUSES WERE HASTE AND MY FAILURE TO COMPLETELY REVIEW ALL THE DATA ON THE LGA 8 SID. THE HASTE CAME ABOUT AS THE RESULT OF A LATE DEP FROM THE GATE CAUSED BY A MINOR MAINT ITEM. REPAIR OF A FAULTY STANDBY HORIZON REQUIRED MECHS TO OCCUPY THE COCKPIT UNTIL AFTER SCHEDULED DEP. THIS, IN TURN, CAUSED AN EXPEDITED BEFORE START CHKLIST AND A SHORTENED REVIEW OF THE SID. THE WHITESTONE CLB IS FAR MORE COMMONLY FLOWN IN OUR OP, BECAUSE MOST OF OUR DEPS ARE TO THE W AND SW FOR WHICH THE WHITESTONE IS TYPICALLY USED. AS A RESULT I FAILED TO SEEK OUT THE TEXT OF THE CONEY CLB, NOT DID I NOTE THE 'CONEY CLB' NOTE IN THE GRAPHIC ADJACENT TO CRI VOR. THIS NOTE IS SEPARATED FROM THE CONEY ALT NOTE. IN ADDITION, THE TEXT DESCRIPTIONS OF THE VARIOUS CLBS ARE NOT CO-LOCATED ON THE SID CHART. THE CONEY CLB TEXT IS ON THE FOLDING PANEL TO THE R OF THE GRAPHIC AND MAY HAVE BEEN FOLDED OUT OF VIEW WHEN I REVIEWED THE GRAPHIC. IT DOES, HOWEVER, POINT OUT ONE DANGER OF PUTTING SO MUCH INFO, DENSELY PRESENTED, IN A SINGLE CHART. WHILE I APPRECIATE THE ECONOMY OF USING A SINGLE PAGE, THE UTILITY OF THIS APCH IS QUESTIONABLE.
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.