37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 420820 |
Time | |
Date | 199811 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : ilvf airport : dal |
State Reference | TX |
Altitude | msl bound lower : 5000 msl bound upper : 5000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : dal tower : sfo |
Operator | general aviation : corporate |
Make Model Name | Light Transport |
Navigation In Use | Other Other |
Flight Phase | climbout : initial climbout : intermediate altitude |
Route In Use | departure other departure sid : sid |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 100 flight time total : 8000 flight time type : 40 |
ASRS Report | 420820 |
Person 2 | |
Affiliation | Other |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial |
Events | |
Anomaly | non adherence : clearance other anomaly other other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | flight crew : returned to intended course or assigned course |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Aircraft departed runway 13L at love field. PF had looked at 'dallas 5' SID earlier, then on taxi out, asked PNF to review it once again. As PNF, I did so, and read him the incorrect runway information for runway 31L not runway 13L. This had us making a right turn to a 360 degree heading, instead of flying runway heading (runway 13L). (The altitudes were the same.) after we departed and were in the turn to 360 degree heading, dallas asked us what we were doing and why. When we realized our error we corrected back and joined the appropriate SID. I believe several factors contributed to this error. The crew had never flown together before, passenger were early and crew felt rushed. Fatigue was a large factor. I was on my 4TH day of working in a row, with several XA00 and XB00 morning wake-ups with long days. This day, I had arisen at XB00 to be work by XD30 and we were scheduled for a maximum duty day of 15+ hours. I believe crews also have to be very careful when dealing with runways with similar numbers, to be sure they are using the appropriate information.
Original NASA ASRS Text
Title: LTT BIZJET DEPARTED RWY 13. THEY FLEW THE SID FOR RWY 31.
Narrative: ACFT DEPARTED RWY 13L AT LOVE FIELD. PF HAD LOOKED AT 'DALLAS 5' SID EARLIER, THEN ON TAXI OUT, ASKED PNF TO REVIEW IT ONCE AGAIN. AS PNF, I DID SO, AND READ HIM THE INCORRECT RWY INFO FOR RWY 31L NOT RWY 13L. THIS HAD US MAKING A R TURN TO A 360 DEG HDG, INSTEAD OF FLYING RWY HDG (RWY 13L). (THE ALTS WERE THE SAME.) AFTER WE DEPARTED AND WERE IN THE TURN TO 360 DEG HDG, DALLAS ASKED US WHAT WE WERE DOING AND WHY. WHEN WE REALIZED OUR ERROR WE CORRECTED BACK AND JOINED THE APPROPRIATE SID. I BELIEVE SEVERAL FACTORS CONTRIBUTED TO THIS ERROR. THE CREW HAD NEVER FLOWN TOGETHER BEFORE, PAX WERE EARLY AND CREW FELT RUSHED. FATIGUE WAS A LARGE FACTOR. I WAS ON MY 4TH DAY OF WORKING IN A ROW, WITH SEVERAL XA00 AND XB00 MORNING WAKE-UPS WITH LONG DAYS. THIS DAY, I HAD ARISEN AT XB00 TO BE WORK BY XD30 AND WE WERE SCHEDULED FOR A MAX DUTY DAY OF 15+ HRS. I BELIEVE CREWS ALSO HAVE TO BE VERY CAREFUL WHEN DEALING WITH RWYS WITH SIMILAR NUMBERS, TO BE SURE THEY ARE USING THE APPROPRIATE INFO.
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.