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|
Attributes | |
ACN | 438365 |
Time | |
Date | 199905 |
Day | Sun |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | navaid : bal.vortac |
State Reference | MD |
Altitude | msl single value : 27000 |
Environment | |
Flight Conditions | VMC |
Light | Dusk |
Aircraft 1 | |
Controlling Facilities | artcc : zdc.artcc |
Operator | general aviation : corporate |
Make Model Name | Challenger Jet Undifferentiated or Other Model |
Operating Under FAR Part | Part 91 |
Navigation In Use | other |
Flight Phase | cruise : holding cruise : level |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 100 flight time total : 13000 flight time type : 100 |
ASRS Report | 438365 |
Person 2 | |
Affiliation | company : corporate |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : atp |
Experience | flight time last 90 days : 75 flight time total : 6200 flight time type : 50 |
ASRS Report | 438952 |
Events | |
Anomaly | non adherence : clearance non adherence : published procedure other spatial deviation |
Independent Detector | other controllera other controllerb |
Supplementary | |
Problem Areas | Weather Flight Crew Human Performance Environmental Factor |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
WX at destination went below minimums. I phoned WX service for opinion on when WX would come up. I was just hanging up and discussing situation with flight attendant. ATC issued holding instructions. All I heard was hold at graco intersection. First officer was a new hire, he copied the holding instruction. I brought up the holding page and displayed the hold. I asked for confirmation. When he said it was ok, I executed the hold. After completing the outbound turn, ATC asked us to make the next turn in the hold to the left. The first officer replied that's what he had copied. 2 solutions: 1) have more patience and let the first officer enter the hold. 2) emphasize to first officer that I did not hear the holding instructions. Contributing factors: high speed, unexpected hold, late instruction, far from destination. Supplemental information from acn 438952: he mistakenly programmed the hold with right turns and while checking the hold I failed to catch the error. Contributing factors were: fatigue -- only a 12 1/2 hour day, but was 12 1/2 hours of nonstop flying, 4 legs, 6 approachs -- 2 of them to a miss, 2 of them to minimums. We were tired. Also, I am new to the aircraft which I think contributed to my error in not catching an erroneous hold programmed in the FMS.
Original NASA ASRS Text
Title: A CL64 CPR JET MAKES ITS HOLDING PATTERN TURN IN THE WRONG DIRECTION NEAR GVE, VA.
Narrative: WX AT DEST WENT BELOW MINIMUMS. I PHONED WX SVC FOR OPINION ON WHEN WX WOULD COME UP. I WAS JUST HANGING UP AND DISCUSSING SIT WITH FLT ATTENDANT. ATC ISSUED HOLDING INSTRUCTIONS. ALL I HEARD WAS HOLD AT GRACO INTXN. FO WAS A NEW HIRE, HE COPIED THE HOLDING INSTRUCTION. I BROUGHT UP THE HOLDING PAGE AND DISPLAYED THE HOLD. I ASKED FOR CONFIRMATION. WHEN HE SAID IT WAS OK, I EXECUTED THE HOLD. AFTER COMPLETING THE OUTBOUND TURN, ATC ASKED US TO MAKE THE NEXT TURN IN THE HOLD TO THE L. THE FO REPLIED THAT'S WHAT HE HAD COPIED. 2 SOLUTIONS: 1) HAVE MORE PATIENCE AND LET THE FO ENTER THE HOLD. 2) EMPHASIZE TO FO THAT I DID NOT HEAR THE HOLDING INSTRUCTIONS. CONTRIBUTING FACTORS: HIGH SPD, UNEXPECTED HOLD, LATE INSTRUCTION, FAR FROM DEST. SUPPLEMENTAL INFO FROM ACN 438952: HE MISTAKENLY PROGRAMMED THE HOLD WITH R TURNS AND WHILE CHKING THE HOLD I FAILED TO CATCH THE ERROR. CONTRIBUTING FACTORS WERE: FATIGUE -- ONLY A 12 1/2 HR DAY, BUT WAS 12 1/2 HRS OF NONSTOP FLYING, 4 LEGS, 6 APCHS -- 2 OF THEM TO A MISS, 2 OF THEM TO MINIMUMS. WE WERE TIRED. ALSO, I AM NEW TO THE ACFT WHICH I THINK CONTRIBUTED TO MY ERROR IN NOT CATCHING AN ERRONEOUS HOLD PROGRAMMED IN THE FMS.
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.