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|
Attributes | |
ACN | 414660 |
Time | |
Date | 199809 |
Day | Mon |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : sna |
State Reference | CA |
Altitude | msl bound lower : 5000 msl bound upper : 5000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : lax |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | climbout : intermediate altitude cruise other |
Route In Use | departure : noise abatement departure other enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : instrument pilot : atp pilot : commercial |
Experience | flight time last 90 days : 200 flight time total : 15000 flight time type : 3000 |
ASRS Report | 414660 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 6100 flight time type : 1500 |
ASRS Report | 414659 |
Events | |
Anomaly | aircraft equipment problem : less severe non adherence : clearance other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | flight crew : returned to intended course or assigned course other |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Situations | |
Airport | procedure or policy : unspecified |
Narrative:
Flight departed sna. Socal RAPCON instructed flight to head 200 degree vector. Copilot accurately read back 200 degrees and inserted 200 degrees in flight director MCP. Captain misheard 200 degrees as 270 degrees and began turn. Ensuing cockpit activity allowed 270 degree turn to be completed and socal RAPCON issued a traffic alert and called for immediate left turn. Traffic was visually acquired and departure continued. Upon arrival in las, captain called socal and was informed of no conflict of safety which required reporting. Conclusion: air carrier management should be taken to task for 90+ flight hour schedules, often 'back side of clock' and ensuing fatigue, illness and inattn by flight deck crew members. Safety should be other than 'lip service' by major airline management! Supplemental information from acn 414659: the noise abatement procedure out of sna is complex and demanding. The airspace surrounding the west coast is crowded with VFR aircraft, requiring a constant outside scan. Also, after being given the 200 degree heading, the flight director guidance bars disengaged causing a momentary distraction.
Original NASA ASRS Text
Title: A B737-300 OVERSHOT ITS ASSIGNED HDG DURING A VECTORED DEP PROC FROM SNA.
Narrative: FLT DEPARTED SNA. SOCAL RAPCON INSTRUCTED FLT TO HEAD 200 DEG VECTOR. COPLT ACCURATELY READ BACK 200 DEGS AND INSERTED 200 DEGS IN FLT DIRECTOR MCP. CAPT MISHEARD 200 DEGS AS 270 DEGS AND BEGAN TURN. ENSUING COCKPIT ACTIVITY ALLOWED 270 DEG TURN TO BE COMPLETED AND SOCAL RAPCON ISSUED A TFC ALERT AND CALLED FOR IMMEDIATE L TURN. TFC WAS VISUALLY ACQUIRED AND DEP CONTINUED. UPON ARR IN LAS, CAPT CALLED SOCAL AND WAS INFORMED OF NO CONFLICT OF SAFETY WHICH REQUIRED RPTING. CONCLUSION: ACR MGMNT SHOULD BE TAKEN TO TASK FOR 90+ FLT HR SCHEDULES, OFTEN 'BACK SIDE OF CLOCK' AND ENSUING FATIGUE, ILLNESS AND INATTN BY FLT DECK CREW MEMBERS. SAFETY SHOULD BE OTHER THAN 'LIP SVC' BY MAJOR AIRLINE MGMNT! SUPPLEMENTAL INFO FROM ACN 414659: THE NOISE ABATEMENT PROC OUT OF SNA IS COMPLEX AND DEMANDING. THE AIRSPACE SURROUNDING THE WEST COAST IS CROWDED WITH VFR ACFT, REQUIRING A CONSTANT OUTSIDE SCAN. ALSO, AFTER BEING GIVEN THE 200 DEG HDG, THE FLT DIRECTOR GUIDANCE BARS DISENGAGED CAUSING A MOMENTARY DISTR.
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.