37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 421186 |
Time | |
Date | 199811 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : las airport : las |
State Reference | NV |
Altitude | msl bound lower : 4000 msl bound upper : 8000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : las tower : las |
Operator | common carrier : air carrier |
Make Model Name | Widebody, Low Wing, 3 Turbojet Eng |
Navigation In Use | Other |
Flight Phase | climbout : initial climbout : intermediate altitude |
Route In Use | departure other departure sid : sid enroute : on vectors |
Flight Plan | IFR |
Aircraft 2 | |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : second officer |
Qualification | pilot : flight engineer pilot : atp pilot : cfi |
Experience | flight time last 90 days : 100 flight time total : 5400 flight time type : 215 |
ASRS Report | 421186 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | conflict : nmac non adherence : clearance other anomaly other other spatial deviation |
Independent Detector | other controllera other flight crewa |
Resolutory Action | controller : issued new clearance flight crew : took evasive action other |
Consequence | Other |
Miss Distance | vertical : 500 |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Per our pre departure clearance, the ATC cleared route included a SID but a few lines below our cleared route, in a different paragraph, we were instructed to disregard the 'dp/SID' and fly runway heading. None of the crew members caught this and without being assigned a heading with our takeoff clearance, the flight crew executed the SID. After contacting departure control, we were told of our mistake and given a heading and continued our climb to 7000 ft MSL. After leveling at 7000 ft MSL, departure said 'expedite climb to 8000 ft.' shortly after leveling at 8000 ft, departure told us to climb to 15000 ft and said he previously told us 3 times to climb to 15000 ft -- a clearance which we never heard. After initiating a climb, we received an RA telling us to 'monitor vertical speed and climb at 300 FPM.' the pre departure clearance was a contributing factor as our route contained a SID and in another part of the pre departure clearance the clearance was to disregard the SID. Also, not being assigned a heading with our takeoff clearance was a factor. After realizing our mistake of flying the SID we did our absolute best as a crew to comply with ATC instructions. Also, I feel that the use of excellent CRM by our crew helped this event have a positive outcome.
Original NASA ASRS Text
Title: DC10 CREW FLEW DEP SID VERSUS RWY HDG ON DEP AT LAS. THEY HAD AN NMAC WITH ANOTHER ACFT.
Narrative: PER OUR PDC, THE ATC CLRED RTE INCLUDED A SID BUT A FEW LINES BELOW OUR CLRED RTE, IN A DIFFERENT PARAGRAPH, WE WERE INSTRUCTED TO DISREGARD THE 'DP/SID' AND FLY RWY HDG. NONE OF THE CREW MEMBERS CAUGHT THIS AND WITHOUT BEING ASSIGNED A HDG WITH OUR TKOF CLRNC, THE FLC EXECUTED THE SID. AFTER CONTACTING DEP CTL, WE WERE TOLD OF OUR MISTAKE AND GIVEN A HDG AND CONTINUED OUR CLB TO 7000 FT MSL. AFTER LEVELING AT 7000 FT MSL, DEP SAID 'EXPEDITE CLB TO 8000 FT.' SHORTLY AFTER LEVELING AT 8000 FT, DEP TOLD US TO CLB TO 15000 FT AND SAID HE PREVIOUSLY TOLD US 3 TIMES TO CLB TO 15000 FT -- A CLRNC WHICH WE NEVER HEARD. AFTER INITIATING A CLB, WE RECEIVED AN RA TELLING US TO 'MONITOR VERT SPD AND CLB AT 300 FPM.' THE PDC WAS A CONTRIBUTING FACTOR AS OUR RTE CONTAINED A SID AND IN ANOTHER PART OF THE PDC THE CLRNC WAS TO DISREGARD THE SID. ALSO, NOT BEING ASSIGNED A HDG WITH OUR TKOF CLRNC WAS A FACTOR. AFTER REALIZING OUR MISTAKE OF FLYING THE SID WE DID OUR ABSOLUTE BEST AS A CREW TO COMPLY WITH ATC INSTRUCTIONS. ALSO, I FEEL THAT THE USE OF EXCELLENT CRM BY OUR CREW HELPED THIS EVENT HAVE A POSITIVE OUTCOME.
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.