37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 491100 |
Time | |
Date | 200011 |
Day | Mon |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : sfo.airport |
State Reference | CA |
Altitude | msl single value : 4000 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : o90.tracon |
Operator | common carrier : air carrier |
Make Model Name | Large Transport |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : vacating altitude |
Route In Use | departure other departure sid : cuit 2. rebas filed |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time type : 174 |
ASRS Report | 491100 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time type : 402 |
ASRS Report | 491103 |
Events | |
Anomaly | non adherence : company policies non adherence : published procedure non adherence : clearance other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance none taken : detected after the fact none taken : anomaly accepted |
Supplementary | |
Problem Areas | Company Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Aircraft showed late to gate. 30 min cockpit preparation, trouble loading released flight plan in FMC, slowed crew down, but was loaded correctly as per the flight plan including the sfo 8 departure off runway 1L. The pre departure clearance showed no revised segments, however, the cuit 2 departure was shown in the filed route in disagreement with the released flight plan. The flight crew failed to catch the discrepancy and flew the sfo 8 departure. Out of 4000 ft, the departure controller vectored the flight off of the sfo 8 indicating the confusion over which departure was being flown. No traffic conflicts were noted and the remainder of the flight was normal.
Original NASA ASRS Text
Title: FLC FLEW RELEASE FLT PLAN SID INSTEAD OF FILED SID.
Narrative: ACFT SHOWED LATE TO GATE. 30 MIN COCKPIT PREPARATION, TROUBLE LOADING RELEASED FLT PLAN IN FMC, SLOWED CREW DOWN, BUT WAS LOADED CORRECTLY AS PER THE FLT PLAN INCLUDING THE SFO 8 DEP OFF RWY 1L. THE PDC SHOWED NO REVISED SEGMENTS, HOWEVER, THE CUIT 2 DEP WAS SHOWN IN THE FILED RTE IN DISAGREEMENT WITH THE RELEASED FLT PLAN. THE FLC FAILED TO CATCH THE DISCREPANCY AND FLEW THE SFO 8 DEP. OUT OF 4000 FT, THE DEP CTLR VECTORED THE FLT OFF OF THE SFO 8 INDICATING THE CONFUSION OVER WHICH DEP WAS BEING FLOWN. NO TFC CONFLICTS WERE NOTED AND THE REMAINDER OF THE FLT WAS NORMAL.
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.