37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 514450 |
Time | |
Date | 200106 |
Day | Sat |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : dfw.airport |
State Reference | TX |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : dfw.tower |
Operator | common carrier : air carrier |
Make Model Name | MD-88 |
Operating Under FAR Part | Part 121 |
Navigation In Use | ils localizer & glide slope : 18r other |
Flight Phase | descent : approach |
Route In Use | approach : visual |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | tower : dfw.tower |
Operator | common carrier : air carrier |
Make Model Name | ATR Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | ils localizer & glide slope : 17r |
Flight Phase | descent : approach |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 80 flight time total : 13000 flight time type : 2300 |
ASRS Report | 514450 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 7000 flight time type : 4000 |
Events | |
Anomaly | conflict : airborne less severe non adherence : clearance non adherence : company policies non adherence : published procedure other anomaly other spatial deviation |
Independent Detector | atc equipment other atc equipment : radar aircraft equipment : tcas other controllera other flight crewa |
Resolutory Action | controller : issued advisory flight crew : returned to original clearance flight crew : took precautionary avoidance action |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Flight Crew Human Performance Environmental Factor |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We arrived at dfw from the southwest. The visibility was spectacular and there were a few puffy clouds around 8000 ft. We had the airport in sight from 25 mi out. Approach control asked us to expedite descent on downwind and expect a short approach to runway 18R. We reported the airport in sight and they gave us a turn to 090 degrees and cleared us for the visual, 180 KTS or greater to the marker and turned us over to tower. We were backing up the visual with the ILS and both had the map mode displayed on the navigation display. I was flying from the left seat and performing the right turn to base and final. I have been flying out of dfw for 13 yrs and am intimately familiar with the airport environment. But, somehow, I became focused on runway 17R instead of runway 18R. I am absolutely mystified at how this happened. The only factor I can imagine is that the west complex of runways was bathed in shadows from the higher clouds and the sun was shining brightly on the east complex, making them much more prominently visible. The first officer was apparently focused on the same thing and did not notice me slip right on through the localizer course for runway 18R. We were within a mi of being lined up on runway 17R before the tower controller questioned our runway alignment. We had plenty of room to correct back for a normal landing on runway 18R. But I was in a state of shock and mortified with embarrassment from making such a mistake. I was grateful that the tower controller gave us the heads up and saved us. I have often wondered how someone could land at the wrong airport or runway. But, I nearly did it, in broad daylight with perfect visibility. Supplemental information from acn 514584: we were on the last leg of a 4 day trip fraught with WX and operational challenges. Approach cleared us for a visual approach at about 7 mi on the base leg and switched us to tower as we started a turn to dogleg. I referenced an rj on short final then switched the radio and reported in to tower. I turned my attention back inside and checked the navigation radios, tuned to the runway 18R ILS and then set the appropriate ground frequency in the other VHF for our taxi. When I next looked outside, something seemed amiss. I noticed a normally unseen golf course going below us, and at that moment we received a TA from the TCASII. I started searching below and ahead of our aircraft, thinking it might be a light aircraft, and was surprised to find an ATR above and to our left. I now realized what looked wrong! We had flown through the west (runway 18L/right) complex and were on a dogleg for runway 17R. I don't believe we came closer than 500 ft to the runway 17R centerline, or within 1/2 mi of the ATR. This happened as the result of several factors, chief among them was my failure to mentally fly the aircraft. I distracted myself inside doing unnecessary functions and didn't back up the PF. I also didn't use the information from the ILS that I so carefully tuned, instead used the captain's pure visual approach. Also, the day prior to this we flew a similar approach to dfw and were changed from runway 18R to runway 17C while on base leg, almost at the same position we initiated today's visual. That may have reinforced the visual picture the captain had and helped lead him to focus on the wrong runway. My company's procedures and training are more than adequate to cover this problem -- it was caused by the series of events I described and my failure to stay in the loop on the arrival and landing.
Original NASA ASRS Text
Title: DFW TWR ALERT MD88 FLC WHEN OBSERVED XING INTENDED FINAL APCH COURSE, CONFLICTING WITH AN ATR.
Narrative: WE ARRIVED AT DFW FROM THE SW. THE VISIBILITY WAS SPECTACULAR AND THERE WERE A FEW PUFFY CLOUDS AROUND 8000 FT. WE HAD THE ARPT IN SIGHT FROM 25 MI OUT. APCH CTL ASKED US TO EXPEDITE DSCNT ON DOWNWIND AND EXPECT A SHORT APCH TO RWY 18R. WE RPTED THE ARPT IN SIGHT AND THEY GAVE US A TURN TO 090 DEGS AND CLRED US FOR THE VISUAL, 180 KTS OR GREATER TO THE MARKER AND TURNED US OVER TO TWR. WE WERE BACKING UP THE VISUAL WITH THE ILS AND BOTH HAD THE MAP MODE DISPLAYED ON THE NAV DISPLAY. I WAS FLYING FROM THE L SEAT AND PERFORMING THE R TURN TO BASE AND FINAL. I HAVE BEEN FLYING OUT OF DFW FOR 13 YRS AND AM INTIMATELY FAMILIAR WITH THE ARPT ENVIRONMENT. BUT, SOMEHOW, I BECAME FOCUSED ON RWY 17R INSTEAD OF RWY 18R. I AM ABSOLUTELY MYSTIFIED AT HOW THIS HAPPENED. THE ONLY FACTOR I CAN IMAGINE IS THAT THE W COMPLEX OF RWYS WAS BATHED IN SHADOWS FROM THE HIGHER CLOUDS AND THE SUN WAS SHINING BRIGHTLY ON THE E COMPLEX, MAKING THEM MUCH MORE PROMINENTLY VISIBLE. THE FO WAS APPARENTLY FOCUSED ON THE SAME THING AND DID NOT NOTICE ME SLIP RIGHT ON THROUGH THE LOC COURSE FOR RWY 18R. WE WERE WITHIN A MI OF BEING LINED UP ON RWY 17R BEFORE THE TWR CTLR QUESTIONED OUR RWY ALIGNMENT. WE HAD PLENTY OF ROOM TO CORRECT BACK FOR A NORMAL LNDG ON RWY 18R. BUT I WAS IN A STATE OF SHOCK AND MORTIFIED WITH EMBARRASSMENT FROM MAKING SUCH A MISTAKE. I WAS GRATEFUL THAT THE TWR CTLR GAVE US THE HEADS UP AND SAVED US. I HAVE OFTEN WONDERED HOW SOMEONE COULD LAND AT THE WRONG ARPT OR RWY. BUT, I NEARLY DID IT, IN BROAD DAYLIGHT WITH PERFECT VISIBILITY. SUPPLEMENTAL INFO FROM ACN 514584: WE WERE ON THE LAST LEG OF A 4 DAY TRIP FRAUGHT WITH WX AND OPERATIONAL CHALLENGES. APCH CLRED US FOR A VISUAL APCH AT ABOUT 7 MI ON THE BASE LEG AND SWITCHED US TO TWR AS WE STARTED A TURN TO DOGLEG. I REFED AN RJ ON SHORT FINAL THEN SWITCHED THE RADIO AND RPTED IN TO TWR. I TURNED MY ATTN BACK INSIDE AND CHKED THE NAV RADIOS, TUNED TO THE RWY 18R ILS AND THEN SET THE APPROPRIATE GND FREQ IN THE OTHER VHF FOR OUR TAXI. WHEN I NEXT LOOKED OUTSIDE, SOMETHING SEEMED AMISS. I NOTICED A NORMALLY UNSEEN GOLF COURSE GOING BELOW US, AND AT THAT MOMENT WE RECEIVED A TA FROM THE TCASII. I STARTED SEARCHING BELOW AND AHEAD OF OUR ACFT, THINKING IT MIGHT BE A LIGHT ACFT, AND WAS SURPRISED TO FIND AN ATR ABOVE AND TO OUR L. I NOW REALIZED WHAT LOOKED WRONG! WE HAD FLOWN THROUGH THE W (RWY 18L/R) COMPLEX AND WERE ON A DOGLEG FOR RWY 17R. I DON'T BELIEVE WE CAME CLOSER THAN 500 FT TO THE RWY 17R CTRLINE, OR WITHIN 1/2 MI OF THE ATR. THIS HAPPENED AS THE RESULT OF SEVERAL FACTORS, CHIEF AMONG THEM WAS MY FAILURE TO MENTALLY FLY THE ACFT. I DISTRACTED MYSELF INSIDE DOING UNNECESSARY FUNCTIONS AND DIDN'T BACK UP THE PF. I ALSO DIDN'T USE THE INFO FROM THE ILS THAT I SO CAREFULLY TUNED, INSTEAD USED THE CAPT'S PURE VISUAL APCH. ALSO, THE DAY PRIOR TO THIS WE FLEW A SIMILAR APCH TO DFW AND WERE CHANGED FROM RWY 18R TO RWY 17C WHILE ON BASE LEG, ALMOST AT THE SAME POS WE INITIATED TODAY'S VISUAL. THAT MAY HAVE REINFORCED THE VISUAL PICTURE THE CAPT HAD AND HELPED LEAD HIM TO FOCUS ON THE WRONG RWY. MY COMPANY'S PROCS AND TRAINING ARE MORE THAN ADEQUATE TO COVER THIS PROB -- IT WAS CAUSED BY THE SERIES OF EVENTS I DESCRIBED AND MY FAILURE TO STAY IN THE LOOP ON THE ARR AND LNDG.
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.