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|
Attributes | |
ACN | 441342 |
Time | |
Date | 199906 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | navaid : gup.vortac |
State Reference | NM |
Altitude | msl single value : 31000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zab.artcc |
Operator | common carrier : air carrier |
Make Model Name | B737-200 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other vortac |
Flight Phase | cruise : level |
Route In Use | arrival star : fossil 4 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 210 flight time total : 20000 flight time type : 12000 |
ASRS Report | 441342 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : cfi pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 10000 flight time type : 5000 |
ASRS Report | 441140 |
Events | |
Anomaly | non adherence : clearance non adherence : published procedure other anomaly other other spatial deviation |
Independent Detector | other controllera other flight crewa |
Resolutory Action | controller : separated traffic controller : issued new clearance flight crew : returned to original clearance |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Just joining the fossl 4 arrival into phx, first officer tuned in wrong outbound radial from gallup while I had left the flight deck to use the restroom. Tuned 242 degree radial instead of 222 degree radial from gallup to intercept the 242 degree radial off on zuni VOR. I believe the mistake was mostly a result of pilot fatigue and compounded by no xchk, as I was still away from my seat. This was the third week of the same 4 day trip. Short overnights followed by early reports have consistently produced fatigue on this trip. The short layovers have been a result of WX, mechanics and scheduling problems. This was one of many small errors made during the last 3 weeks of this schedule. The other errors were caught during the xchk by the other pilot before any deviation or situation occurred. One or both pilots would catch the mistake during normal xchking. This error wasn't noticed until I returned to the flight deck and asked about our position. ZAB asked about our filed routing and turned us left 50 degrees for traffic. Pilot xchk is critical in fatigue sits!
Original NASA ASRS Text
Title: PF SET RADIOS INCORRECTLY FOR ARR WHILE PNF WAS OUT OF THE COCKPIT. TRACK ERROR DISCOVERED BY CTLR AND PNF UPON HIS RETURN TO COCKPIT.
Narrative: JUST JOINING THE FOSSL 4 ARR INTO PHX, FO TUNED IN WRONG OUTBOUND RADIAL FROM GALLUP WHILE I HAD LEFT THE FLT DECK TO USE THE RESTROOM. TUNED 242 DEG RADIAL INSTEAD OF 222 DEG RADIAL FROM GALLUP TO INTERCEPT THE 242 DEG RADIAL OFF ON ZUNI VOR. I BELIEVE THE MISTAKE WAS MOSTLY A RESULT OF PLT FATIGUE AND COMPOUNDED BY NO XCHK, AS I WAS STILL AWAY FROM MY SEAT. THIS WAS THE THIRD WK OF THE SAME 4 DAY TRIP. SHORT OVERNIGHTS FOLLOWED BY EARLY RPTS HAVE CONSISTENTLY PRODUCED FATIGUE ON THIS TRIP. THE SHORT LAYOVERS HAVE BEEN A RESULT OF WX, MECHS AND SCHEDULING PROBS. THIS WAS ONE OF MANY SMALL ERRORS MADE DURING THE LAST 3 WKS OF THIS SCHEDULE. THE OTHER ERRORS WERE CAUGHT DURING THE XCHK BY THE OTHER PLT BEFORE ANY DEV OR SIT OCCURRED. ONE OR BOTH PLTS WOULD CATCH THE MISTAKE DURING NORMAL XCHKING. THIS ERROR WASN'T NOTICED UNTIL I RETURNED TO THE FLT DECK AND ASKED ABOUT OUR POS. ZAB ASKED ABOUT OUR FILED ROUTING AND TURNED US L 50 DEGS FOR TFC. PLT XCHK IS CRITICAL IN FATIGUE SITS!
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.