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|
Attributes | |
ACN | 499374 |
Time | |
Date | 200101 |
Day | Sun |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : ric.airport |
State Reference | VA |
Altitude | agl bound lower : 0 agl bound upper : 400 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tower : ric.tower |
Operator | common carrier : air carrier |
Make Model Name | Regional Jet CL65, Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | climbout : takeoff |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time total : 4 |
ASRS Report | 499374 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | incursion : runway non adherence : clearance |
Independent Detector | other controllera |
Resolutory Action | controller : issued advisory none taken : detected after the fact |
Consequence | faa : reviewed incident with flight crew other |
Supplementary | |
Problem Areas | Flight Crew Human Performance FAA Environmental Factor Company ATC Human Performance Airport |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Departed runway 16 when cleared for takeoff runway 20. No other traffic in area. Several possible contributing factors: 1) earlier in the day same crew departing same airport (ric) received taxi clearance to runway 16 and hold short runway 20 and then a subsequent takeoff clearance on runway 20. At the time of the incident the PIC believes crew received same taxi clearance and was then locked into the mindset of departing runway 16 again. 2) first officer announced 'ready for departure at runway 20' which may have changed the controller's initial plan if he did want a runway 16 departure at first. As a result the controller may have given taxi clearance to runway 16 but then a runway 20 takeoff clearance. 3) both runways begin at same point. 4) crew was already 12 hours into a 14 hour duty day and on last leg going home. Possibly a bit of get thereitis. 5) runway 16 is the longest runway, PIC may have been intent on runway 16 departure. Problem was not discovered until aircraft was in a turn climbing out of 400 ft AGL, when the controller informed crew they departed runway 16 instead of runway 20. Controller also indicated that it was not a problem. Potentially this could have been disastrous but since the airport was fairly quiet this wasn't. Most of the blame obviously lies with the PIC but both crew and controller must be more vigilant as to what aircraft is doing. Also runway signage could be more clear where the 2 runway ends coincide although in this case it may not have helped. Shorter duty days for crew would also reduce these type of 'end of the day' mental errors that could lead to bigger problems.
Original NASA ASRS Text
Title: A CL65 FLC, CLRED FOR TKOF ON RWY 20, DEPARTS ON RWY 16 AT RIC, VA.
Narrative: DEPARTED RWY 16 WHEN CLRED FOR TKOF RWY 20. NO OTHER TFC IN AREA. SEVERAL POSSIBLE CONTRIBUTING FACTORS: 1) EARLIER IN THE DAY SAME CREW DEPARTING SAME ARPT (RIC) RECEIVED TAXI CLRNC TO RWY 16 AND HOLD SHORT RWY 20 AND THEN A SUBSEQUENT TKOF CLRNC ON RWY 20. AT THE TIME OF THE INCIDENT THE PIC BELIEVES CREW RECEIVED SAME TAXI CLRNC AND WAS THEN LOCKED INTO THE MINDSET OF DEPARTING RWY 16 AGAIN. 2) FO ANNOUNCED 'READY FOR DEP AT RWY 20' WHICH MAY HAVE CHANGED THE CTLR'S INITIAL PLAN IF HE DID WANT A RWY 16 DEP AT FIRST. AS A RESULT THE CTLR MAY HAVE GIVEN TAXI CLRNC TO RWY 16 BUT THEN A RWY 20 TKOF CLRNC. 3) BOTH RWYS BEGIN AT SAME POINT. 4) CREW WAS ALREADY 12 HRS INTO A 14 HR DUTY DAY AND ON LAST LEG GOING HOME. POSSIBLY A BIT OF GET THEREITIS. 5) RWY 16 IS THE LONGEST RWY, PIC MAY HAVE BEEN INTENT ON RWY 16 DEP. PROB WAS NOT DISCOVERED UNTIL ACFT WAS IN A TURN CLBING OUT OF 400 FT AGL, WHEN THE CTLR INFORMED CREW THEY DEPARTED RWY 16 INSTEAD OF RWY 20. CTLR ALSO INDICATED THAT IT WAS NOT A PROB. POTENTIALLY THIS COULD HAVE BEEN DISASTROUS BUT SINCE THE ARPT WAS FAIRLY QUIET THIS WASN'T. MOST OF THE BLAME OBVIOUSLY LIES WITH THE PIC BUT BOTH CREW AND CTLR MUST BE MORE VIGILANT AS TO WHAT ACFT IS DOING. ALSO RWY SIGNAGE COULD BE MORE CLR WHERE THE 2 RWY ENDS COINCIDE ALTHOUGH IN THIS CASE IT MAY NOT HAVE HELPED. SHORTER DUTY DAYS FOR CREW WOULD ALSO REDUCE THESE TYPE OF 'END OF THE DAY' MENTAL ERRORS THAT COULD LEAD TO BIGGER PROBS.
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.