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|
Attributes | |
ACN | 460660 |
Time | |
Date | 200001 |
Day | Sat |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : sfo.airport |
State Reference | CA |
Altitude | msl single value : 3000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : o90.tracon |
Operator | common carrier : air carrier |
Make Model Name | MD-80 Series (DC-9-80) Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | ils localizer & glide slope : 28l |
Flight Phase | descent : approach |
Route In Use | approach : visual arrival star : tiptoe visual |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | tracon : o90.tracon |
Operator | common carrier : air carrier |
Make Model Name | B747 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | ils localizer & glide slope : 28r |
Flight Phase | descent : approach |
Route In Use | approach : visual |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
ASRS Report | 460660 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : multi engine pilot : instrument |
ASRS Report | 460659 |
Events | |
Anomaly | conflict : airborne less severe non adherence : clearance non adherence : far non adherence : published procedure |
Resolutory Action | flight crew : returned to intended or assigned course none taken : insufficient time |
Supplementary | |
Problem Areas | FAA Airspace Structure ATC Human Performance Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Situations | |
ATC Facility | procedure or policy : sfo.tower |
Airport | procedure or policy : sfo.airport |
Narrative:
Final approach path transgression. Cleared tiptoe visual approach runway 28L sfo. My role as captain with first officer flying. Bay asked that we keep our speed up due to traffic abeam us for runway 28R, a B747 at 180 KTS. Our speed 250 KTS. At 14 DME oak VOR, procedure calls for a 310 degree heading to intercept the runway 28L localizer. After established 310 degree heading, I reached over to tune the localizer and set the course on the first officer navigation head. As I looked up, I could see that the first officer had not led the turn to final and would be hard pressed to not fly through the localizer. I commanded a turn and a 15 degree bank was established. I emphatically commanded a hard turn which was immediately commenced. Nevertheless, we flew through both the runways 28L and 28R finals in front of the B747 which we had by then overtaken. The approach was completely mishandled in spite of the good WX and light wind. ATC made no mention of the incident. The only sure way I can prevent incidents like this is to fly all the legs at least I know what to expect from myself. To brief every contingency might be counter-productive to CRM goals.
Original NASA ASRS Text
Title: MD80 CUT IN FRONT OF A B747 ON THE TIPTOE VISUAL AT SFO.
Narrative: FINAL APCH PATH TRANSGRESSION. CLRED TIPTOE VISUAL APCH RWY 28L SFO. MY ROLE AS CAPT WITH FO FLYING. BAY ASKED THAT WE KEEP OUR SPD UP DUE TO TFC ABEAM US FOR RWY 28R, A B747 AT 180 KTS. OUR SPD 250 KTS. AT 14 DME OAK VOR, PROC CALLS FOR A 310 DEG HDG TO INTERCEPT THE RWY 28L LOC. AFTER ESTABLISHED 310 DEG HDG, I REACHED OVER TO TUNE THE LOC AND SET THE COURSE ON THE FO NAV HEAD. AS I LOOKED UP, I COULD SEE THAT THE FO HAD NOT LED THE TURN TO FINAL AND WOULD BE HARD PRESSED TO NOT FLY THROUGH THE LOC. I COMMANDED A TURN AND A 15 DEG BANK WAS ESTABLISHED. I EMPHATICALLY COMMANDED A HARD TURN WHICH WAS IMMEDIATELY COMMENCED. NEVERTHELESS, WE FLEW THROUGH BOTH THE RWYS 28L AND 28R FINALS IN FRONT OF THE B747 WHICH WE HAD BY THEN OVERTAKEN. THE APCH WAS COMPLETELY MISHANDLED IN SPITE OF THE GOOD WX AND LIGHT WIND. ATC MADE NO MENTION OF THE INCIDENT. THE ONLY SURE WAY I CAN PREVENT INCIDENTS LIKE THIS IS TO FLY ALL THE LEGS AT LEAST I KNOW WHAT TO EXPECT FROM MYSELF. TO BRIEF EVERY CONTINGENCY MIGHT BE COUNTER-PRODUCTIVE TO CRM GOALS.
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.