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|
Attributes | |
ACN | 472298 |
Time | |
Date | 200005 |
Day | Sat |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : mdw.airport |
State Reference | IL |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : taxi ground : pushback |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : instrument pilot : commercial pilot : cfi pilot : atp pilot : multi engine |
Experience | flight time last 90 days : 170 |
ASRS Report | 472298 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : multi engine pilot : instrument |
Events | |
Anomaly | incursion : runway non adherence : clearance non adherence : far other anomaly other |
Independent Detector | other controllera |
Resolutory Action | controller : issued advisory none taken : detected after the fact |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Flight Crew Human Performance Environmental Factor Airport ATC Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Crossed active runway when issued hold short clearance. Classic case of multiple distrs creating a chain of events culminating in a serious situation. Began with taxi in and last min gate change to unfamiliar gate. Visiting with tug driver, he informed me he would push back between X and Y terminal. Cleared to push, informed by ground 'push onto taxiway Y, tail to city.' repeated clearance to tug, but I could tell he was pushing off taxiway Y. Considered trying to correct but thought tower was just trying to expedite us, and tug driver seemed determined he knew what ground wanted. Upon call for taxi, ground informed she wanted us on taxiway Y due to aircraft pushing in alley. I started thinking of memo on capts being in command on pushback when I heard ground clear to runway 31C via taxiway P, taxiway G, and immediately thought 'not sure but think I know where she wants us,' and looked at chart to verify. Missed first officer's readback. Beginning to taxi, saw aircraft roll out on runway 31R and asked first officer about any hold short and he replied none. He was retrieving numbers because he had failed to note them before push. Visually cleared runway 31R and taxied across. 2 distraction pilots. I believe if hold clearance was issued first it would make a difference. Just have to listen to entire clearance.
Original NASA ASRS Text
Title: A B737 FLC FAILS TO HOLD SHORT FROM RWY 31R AS CLRED AT MDW, IL.
Narrative: CROSSED ACTIVE RWY WHEN ISSUED HOLD SHORT CLRNC. CLASSIC CASE OF MULTIPLE DISTRS CREATING A CHAIN OF EVENTS CULMINATING IN A SERIOUS SIT. BEGAN WITH TAXI IN AND LAST MIN GATE CHANGE TO UNFAMILIAR GATE. VISITING WITH TUG DRIVER, HE INFORMED ME HE WOULD PUSH BACK BTWN X AND Y TERMINAL. CLRED TO PUSH, INFORMED BY GND 'PUSH ONTO TXWY Y, TAIL TO CITY.' REPEATED CLRNC TO TUG, BUT I COULD TELL HE WAS PUSHING OFF TXWY Y. CONSIDERED TRYING TO CORRECT BUT THOUGHT TWR WAS JUST TRYING TO EXPEDITE US, AND TUG DRIVER SEEMED DETERMINED HE KNEW WHAT GND WANTED. UPON CALL FOR TAXI, GND INFORMED SHE WANTED US ON TXWY Y DUE TO ACFT PUSHING IN ALLEY. I STARTED THINKING OF MEMO ON CAPTS BEING IN COMMAND ON PUSHBACK WHEN I HEARD GND CLR TO RWY 31C VIA TXWY P, TXWY G, AND IMMEDIATELY THOUGHT 'NOT SURE BUT THINK I KNOW WHERE SHE WANTS US,' AND LOOKED AT CHART TO VERIFY. MISSED FO'S READBACK. BEGINNING TO TAXI, SAW ACFT ROLL OUT ON RWY 31R AND ASKED FO ABOUT ANY HOLD SHORT AND HE REPLIED NONE. HE WAS RETRIEVING NUMBERS BECAUSE HE HAD FAILED TO NOTE THEM BEFORE PUSH. VISUALLY CLRED RWY 31R AND TAXIED ACROSS. 2 DISTR PLTS. I BELIEVE IF HOLD CLRNC WAS ISSUED FIRST IT WOULD MAKE A DIFFERENCE. JUST HAVE TO LISTEN TO ENTIRE CLRNC.
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.