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|
Attributes | |
ACN | 405187 |
Time | |
Date | 199805 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : cgn airport : cdg |
State Reference | FO |
Altitude | agl bound lower : 1500 agl bound upper : 1500 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : cdg |
Operator | common carrier : air carrier |
Make Model Name | B777 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | climbout : takeoff climbout : initial |
Route In Use | departure : noise abatement departure other departure sid : sid |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 200 flight time total : 11000 flight time type : 200 |
ASRS Report | 405187 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : commercial pilot : instrument pilot : atp |
Experience | flight time last 90 days : 160 flight time total : 18000 flight time type : 700 |
ASRS Report | 403830 |
Events | |
Anomaly | non adherence : clearance non adherence : published procedure 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:
Departing charles de gaulle runway 27, bne 8D departure. After takeoff from cdg, runway 27, we began a slow right turn to intercept the bt 331 degree radial as per the written instructions on the SID. Passing approximately 2000 ft, ATC advised us to turn to a heading of 270 degrees because 'we had turned early.' after reaching cruise altitude, we examined the procedure and the arrows/lines on the SID diagram showed a turn at 1.5 DME. To our knowledge there was no traffic conflict. Factors that contributed to this include reliance on the direction of the 'magenta line' on the FMC/EFIS which showed direct to the 8.5 mi fix of the bt 331 degree radial. Another major contributing factor was the lack of written instruction not to turn prior to 1.5 DME, and the fact that the symbol used to show this point on the SID diagram is easily mistaken as the symbol for a noise monitoring point. Callback conversation with reporter revealed the following information: the first officer had offered a copy of the chart which is not available to analyst. First officer admitted that he was fairly new to the international operation. He would like the chart producer to review this SID to better define the departure procedure and when to make the turn within the written text. Supplemental information from acn 403830: there was no danger, but we may have caused a noise problem on the ground. During preflight we had line selected the bne 8A departure, but the first officer, in an effort to verify the identify of the 08.5 bt waypoint, may have then deleted the cgn and or cgn 1.5 waypoints. On the end of the runway, seeing the magenta line turn right near the departure end of the runway, I asked if there was any reason to fly straight ahead for a ways before turning, but he checked, and not seeing a runway heading instruction, we made the mistake of following an LNAV track without a raw data backup. Also, after trying to identify the departure waypoints, we should have reselected the SID to protect against an inadvertent change like he must have made. Navigation error.
Original NASA ASRS Text
Title: A B777 FLC FAILS TO FOLLOW THE SID AS PORTRAYED ON THE DEP CHART. THEY EXPERIENCE A HDG TRACK POS DEV JUST W OF CDG. FO COMPLAINS OF CHART DESIGN AND PRESENTATION.
Narrative: DEPARTING CHARLES DE GAULLE RWY 27, BNE 8D DEP. AFTER TKOF FROM CDG, RWY 27, WE BEGAN A SLOW R TURN TO INTERCEPT THE BT 331 DEG RADIAL AS PER THE WRITTEN INSTRUCTIONS ON THE SID. PASSING APPROX 2000 FT, ATC ADVISED US TO TURN TO A HDG OF 270 DEGS BECAUSE 'WE HAD TURNED EARLY.' AFTER REACHING CRUISE ALT, WE EXAMINED THE PROC AND THE ARROWS/LINES ON THE SID DIAGRAM SHOWED A TURN AT 1.5 DME. TO OUR KNOWLEDGE THERE WAS NO TFC CONFLICT. FACTORS THAT CONTRIBUTED TO THIS INCLUDE RELIANCE ON THE DIRECTION OF THE 'MAGENTA LINE' ON THE FMC/EFIS WHICH SHOWED DIRECT TO THE 8.5 MI FIX OF THE BT 331 DEG RADIAL. ANOTHER MAJOR CONTRIBUTING FACTOR WAS THE LACK OF WRITTEN INSTRUCTION NOT TO TURN PRIOR TO 1.5 DME, AND THE FACT THAT THE SYMBOL USED TO SHOW THIS POINT ON THE SID DIAGRAM IS EASILY MISTAKEN AS THE SYMBOL FOR A NOISE MONITORING POINT. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE FO HAD OFFERED A COPY OF THE CHART WHICH IS NOT AVAILABLE TO ANALYST. FO ADMITTED THAT HE WAS FAIRLY NEW TO THE INTL OP. HE WOULD LIKE THE CHART PRODUCER TO REVIEW THIS SID TO BETTER DEFINE THE DEP PROC AND WHEN TO MAKE THE TURN WITHIN THE WRITTEN TEXT. SUPPLEMENTAL INFO FROM ACN 403830: THERE WAS NO DANGER, BUT WE MAY HAVE CAUSED A NOISE PROB ON THE GND. DURING PREFLT WE HAD LINE SELECTED THE BNE 8A DEP, BUT THE FO, IN AN EFFORT TO VERIFY THE IDENT OF THE 08.5 BT WAYPOINT, MAY HAVE THEN DELETED THE CGN AND OR CGN 1.5 WAYPOINTS. ON THE END OF THE RWY, SEEING THE MAGENTA LINE TURN RIGHT NEAR THE DEP END OF THE RWY, I ASKED IF THERE WAS ANY REASON TO FLY STRAIGHT AHEAD FOR A WAYS BEFORE TURNING, BUT HE CHECKED, AND NOT SEEING A RWY HDG INSTRUCTION, WE MADE THE MISTAKE OF FOLLOWING AN LNAV TRACK WITHOUT A RAW DATA BACKUP. ALSO, AFTER TRYING TO IDENT THE DEP WAYPOINTS, WE SHOULD HAVE RESELECTED THE SID TO PROTECT AGAINST AN INADVERTENT CHANGE LIKE HE MUST HAVE MADE. NAV ERROR.
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.