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Attributes | |
ACN | 414290 |
Time | |
Date | 199809 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : ont |
State Reference | CA |
Altitude | msl bound lower : 500 msl bound upper : 500 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : ont tower : prc |
Operator | general aviation : corporate |
Make Model Name | Super King Air 200/Huron |
Operating Under FAR Part | Part 91 |
Navigation In Use | Other Other |
Flight Phase | descent : approach |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | B737 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : takeoff ground : holding |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : single pilot |
Qualification | pilot : instrument pilot : cfi pilot : commercial |
Experience | flight time last 90 days : 30 flight time total : 7000 flight time type : 25 |
ASRS Report | 414290 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | conflict : airborne less severe non adherence : clearance other anomaly other other spatial deviation |
Independent Detector | other controllera other flight crewa other other : unspecified |
Resolutory Action | flight crew : became reoriented flight crew : returned to intended course or assigned course |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Descending into ont on the ziggy 3 arrival, we were given radar vectors for the ILS runway 26L ont. We intercepted the ILS runway 26L localizer and proceeded inbound on the ILS. I was very busy running checklists and doublechking that I had the EFIS set up correctly, as this was my third flight and first ILS in this new airplane. On short final, tower cleared a flight for takeoff on runway 26R. I looked up to verify I was on the correct runway and to see the B737. When I did this, I realized I was lined up for runway 26R instead of runway 26L. At this point, on short final, I still had plenty of room to sidestep to runway 26L and land. The tower controller and B737 crew realized I was lined up for runway 26R at about the same time I did and there was no conflict between airplanes. After landing, I verified that I had indeed had the ILS runway 26L approach plate out and the localizer frequency of 109.7 in the navigation radio. After discussing this with the tower, I learned that the frequency for the ILS runway 26L had been changed to 111.35 sometime in the preceding 6 months and that I had used an out-of-date approach plate. This problem came about because I was in a new airplane equipped with EFIS and FMS that I was just becoming familiar with. I spent too much time checking to make sure I had the EFIS set up correctly and neglected to identify the localizer. After landing, I found that when I had revised my approach plates I had not removed the old one and just inserted the new ones behind them. Because the 3 of us involved (myself, the tower controller and the B737 crew) were aware of what was happening around us, safety was never compromised during this event, but I have learned that little things, such as current approach plates or identify a frequency, can keep things from getting to that point in a high workload environment.
Original NASA ASRS Text
Title: PLT OF BE20 LINED UP WITH THE WRONG RWY DURING AN ILS APCH DUE TO USING AN OUTDATED CHART. HE, THE TWR CTLR AND THE CREW OF A B737 WAITING TKOF, NOTICED HIS MISTAKE IN TIME FOR A SIDESTEP TO THE ASSIGNED PARALLEL RWY.
Narrative: DSNDING INTO ONT ON THE ZIGGY 3 ARR, WE WERE GIVEN RADAR VECTORS FOR THE ILS RWY 26L ONT. WE INTERCEPTED THE ILS RWY 26L LOC AND PROCEEDED INBOUND ON THE ILS. I WAS VERY BUSY RUNNING CHKLISTS AND DOUBLECHKING THAT I HAD THE EFIS SET UP CORRECTLY, AS THIS WAS MY THIRD FLT AND FIRST ILS IN THIS NEW AIRPLANE. ON SHORT FINAL, TWR CLRED A FLT FOR TKOF ON RWY 26R. I LOOKED UP TO VERIFY I WAS ON THE CORRECT RWY AND TO SEE THE B737. WHEN I DID THIS, I REALIZED I WAS LINED UP FOR RWY 26R INSTEAD OF RWY 26L. AT THIS POINT, ON SHORT FINAL, I STILL HAD PLENTY OF ROOM TO SIDESTEP TO RWY 26L AND LAND. THE TWR CTLR AND B737 CREW REALIZED I WAS LINED UP FOR RWY 26R AT ABOUT THE SAME TIME I DID AND THERE WAS NO CONFLICT BTWN AIRPLANES. AFTER LNDG, I VERIFIED THAT I HAD INDEED HAD THE ILS RWY 26L APCH PLATE OUT AND THE LOC FREQ OF 109.7 IN THE NAV RADIO. AFTER DISCUSSING THIS WITH THE TWR, I LEARNED THAT THE FREQ FOR THE ILS RWY 26L HAD BEEN CHANGED TO 111.35 SOMETIME IN THE PRECEDING 6 MONTHS AND THAT I HAD USED AN OUT-OF-DATE APCH PLATE. THIS PROB CAME ABOUT BECAUSE I WAS IN A NEW AIRPLANE EQUIPPED WITH EFIS AND FMS THAT I WAS JUST BECOMING FAMILIAR WITH. I SPENT TOO MUCH TIME CHKING TO MAKE SURE I HAD THE EFIS SET UP CORRECTLY AND NEGLECTED TO IDENT THE LOC. AFTER LNDG, I FOUND THAT WHEN I HAD REVISED MY APCH PLATES I HAD NOT REMOVED THE OLD ONE AND JUST INSERTED THE NEW ONES BEHIND THEM. BECAUSE THE 3 OF US INVOLVED (MYSELF, THE TWR CTLR AND THE B737 CREW) WERE AWARE OF WHAT WAS HAPPENING AROUND US, SAFETY WAS NEVER COMPROMISED DURING THIS EVENT, BUT I HAVE LEARNED THAT LITTLE THINGS, SUCH AS CURRENT APCH PLATES OR IDENT A FREQ, CAN KEEP THINGS FROM GETTING TO THAT POINT IN A HIGH WORKLOAD ENVIRONMENT.
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.