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|
Attributes | |
ACN | 494143 |
Time | |
Date | 200012 |
Day | Fri |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : bfi.airport |
State Reference | WA |
Altitude | msl single value : 1000 |
Environment | |
Flight Conditions | VMC |
Light | Dawn |
Aircraft 1 | |
Controlling Facilities | tracon : s46.tracon |
Operator | general aviation : corporate |
Make Model Name | Super King Air 200/Huron |
Operating Under FAR Part | Part 135 |
Navigation In Use | Other |
Flight Phase | climbout : vacating altitude |
Route In Use | departure sid : kent 3 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 135 flight time total : 6150 flight time type : 2300 |
ASRS Report | 494143 |
Person 2 | |
Affiliation | company : corporate |
Function | flight crew : first officer |
Qualification | pilot : cfi pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 7100 flight time type : 1900 |
ASRS Report | 494140 |
Events | |
Anomaly | non adherence : published procedure non adherence : clearance other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance |
Consequence | other |
Supplementary | |
Problem Areas | Chart Or Publication Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Incident occurred on the initial climb portion of the kent 3 SID from bfi, seattle, wa. We had been cleared to ccr airport via the kent 3, J-1 to battleground then direct ccr. After takeoff, there was some confusion in the cockpit about the departure heading to intercept J-1 and the aircraft heading inadvertently drifted approximately 30 degrees right from runway heading (130 degrees). Shortly after establishing contact with seattle departure, the controller queried us about our heading and directed a turn to the east to 070 degrees. Departure instructions were verified with the controller and the remainder of the SID was flown without incident. No known traffic conflicts were encountered. Causes: incident was caused by the PIC misreading the departure plate, resulting in the heading confusion and subsequent heading deviation. Factors: the following factors contributed to the incident: 1) lack of familiarity with departure airfield and local environment. 2) pre-sunrise departure. 3) inadequate review and briefing of SID by both crew members. Corrective action: company SOP's reviewed and changed to require SID challenge and response actions from both crew members during predep briefing.
Original NASA ASRS Text
Title: DEPARTING BE20 CREW STARTED TURN ON COURSE INSTEAD OF MAINTAINING RWY HDG.
Narrative: INCIDENT OCCURRED ON THE INITIAL CLB PORTION OF THE KENT 3 SID FROM BFI, SEATTLE, WA. WE HAD BEEN CLRED TO CCR ARPT VIA THE KENT 3, J-1 TO BATTLEGROUND THEN DIRECT CCR. AFTER TKOF, THERE WAS SOME CONFUSION IN THE COCKPIT ABOUT THE DEP HDG TO INTERCEPT J-1 AND THE ACFT HDG INADVERTENTLY DRIFTED APPROX 30 DEGS R FROM RWY HDG (130 DEGS). SHORTLY AFTER ESTABLISHING CONTACT WITH SEATTLE DEP, THE CTLR QUERIED US ABOUT OUR HDG AND DIRECTED A TURN TO THE E TO 070 DEGS. DEP INSTRUCTIONS WERE VERIFIED WITH THE CTLR AND THE REMAINDER OF THE SID WAS FLOWN WITHOUT INCIDENT. NO KNOWN TFC CONFLICTS WERE ENCOUNTERED. CAUSES: INCIDENT WAS CAUSED BY THE PIC MISREADING THE DEP PLATE, RESULTING IN THE HDG CONFUSION AND SUBSEQUENT HDG DEV. FACTORS: THE FOLLOWING FACTORS CONTRIBUTED TO THE INCIDENT: 1) LACK OF FAMILIARITY WITH DEP AIRFIELD AND LCL ENVIRONMENT. 2) PRE-SUNRISE DEP. 3) INADEQUATE REVIEW AND BRIEFING OF SID BY BOTH CREW MEMBERS. CORRECTIVE ACTION: COMPANY SOP'S REVIEWED AND CHANGED TO REQUIRE SID CHALLENGE AND RESPONSE ACTIONS FROM BOTH CREW MEMBERS DURING PREDEP BRIEFING.
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.