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Attributes | |
ACN | 452770 |
Time | |
Date | 199910 |
Day | Sun |
Local Time Of Day | 0601 To 1200 |
Place | |
State Reference | FO |
Altitude | msl single value : 17000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B747 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : vacating altitude ground : parked |
Route In Use | departure sid : anpu.two |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : multi engine pilot : instrument pilot : atp |
Experience | flight time last 90 days : 180 flight time total : 20000 flight time type : 1800 |
ASRS Report | 452770 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | conflict : airborne less severe non adherence : published procedure non adherence : clearance other spatial deviation |
Independent Detector | other controllera other flight crewa |
Resolutory Action | controller : issued new clearance |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Airspace Structure Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Situations | |
Chart | sid : anpu.two |
Narrative:
Our flight was filed direct to anpu A-1 venus rjaa. The clearance was anpu 2, kikit transition, flight plan route, etc. We departed runway 6 from taipei and at 17 mi on the SID made a right turn to 080 degrees and mistakenly intercepted the airway on A-1 (our filed route) instead of a right turn to 090 degrees to intercept anpu 072 degree radial, our clearance for the kikit transition. We intercepted the anpu 052 degree radial (A-1) at 10 DME instead of the anpu 072 degree radial. At the time of intercept we were 6 mi from the anpu 072 degree radial. We had only established track when taipei departure asked our heading. We advised 050 degrees. Taipei departure asked which departure we were on. We advised the kikit. Realizing our error, we immediately initiated a right turn to intercept the anpu 072 degree radial. While we were in the turn, taipei issued vectors of 090 degrees to avoid traffic. Contributing factors: the crew was very tired from a minimum overnight rest. The captain indicated he had only slept 4-5 hours. The first officer had completed 5 transpacific flts in a row. The anpu 2 departure is a complex, 2-PAGE fold-out that is very cluttered and confusing with multiple xovers. The schematic was simply misread. The crew has flown the anpu 2 kikit transition many times. Corrective action: create 3 or more departures on separate pages: anpu 1, anpu 2, anpu 3, etc, with the respective transitions applicable to a specific departure. Avoid all the xovers and clutter with the troublesome schematic with the anpu 2.
Original NASA ASRS Text
Title: A B757 CAPT, ON THE ANPU 2 DEP FROM RCTP, INTERCEPTED THE WRONG RADIAL, CAUSING TAIPEI TO ISSUE VECTORS AROUND OTHER TFC.
Narrative: OUR FLT WAS FILED DIRECT TO ANPU A-1 VENUS RJAA. THE CLRNC WAS ANPU 2, KIKIT TRANSITION, FLT PLAN RTE, ETC. WE DEPARTED RWY 6 FROM TAIPEI AND AT 17 MI ON THE SID MADE A R TURN TO 080 DEGS AND MISTAKENLY INTERCEPTED THE AIRWAY ON A-1 (OUR FILED RTE) INSTEAD OF A R TURN TO 090 DEGS TO INTERCEPT ANPU 072 DEG RADIAL, OUR CLRNC FOR THE KIKIT TRANSITION. WE INTERCEPTED THE ANPU 052 DEG RADIAL (A-1) AT 10 DME INSTEAD OF THE ANPU 072 DEG RADIAL. AT THE TIME OF INTERCEPT WE WERE 6 MI FROM THE ANPU 072 DEG RADIAL. WE HAD ONLY ESTABLISHED TRACK WHEN TAIPEI DEP ASKED OUR HDG. WE ADVISED 050 DEGS. TAIPEI DEP ASKED WHICH DEP WE WERE ON. WE ADVISED THE KIKIT. REALIZING OUR ERROR, WE IMMEDIATELY INITIATED A R TURN TO INTERCEPT THE ANPU 072 DEG RADIAL. WHILE WE WERE IN THE TURN, TAIPEI ISSUED VECTORS OF 090 DEGS TO AVOID TFC. CONTRIBUTING FACTORS: THE CREW WAS VERY TIRED FROM A MINIMUM OVERNIGHT REST. THE CAPT INDICATED HE HAD ONLY SLEPT 4-5 HRS. THE FO HAD COMPLETED 5 TRANSPACIFIC FLTS IN A ROW. THE ANPU 2 DEP IS A COMPLEX, 2-PAGE FOLD-OUT THAT IS VERY CLUTTERED AND CONFUSING WITH MULTIPLE XOVERS. THE SCHEMATIC WAS SIMPLY MISREAD. THE CREW HAS FLOWN THE ANPU 2 KIKIT TRANSITION MANY TIMES. CORRECTIVE ACTION: CREATE 3 OR MORE DEPS ON SEPARATE PAGES: ANPU 1, ANPU 2, ANPU 3, ETC, WITH THE RESPECTIVE TRANSITIONS APPLICABLE TO A SPECIFIC DEP. AVOID ALL THE XOVERS AND CLUTTER WITH THE TROUBLESOME SCHEMATIC WITH THE ANPU 2.
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.