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|
Attributes | |
ACN | 518010 |
Time | |
Date | 200107 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : clt.airport |
State Reference | NC |
Altitude | msl single value : 31000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : ztl.artcc tracon : pit.tracon |
Operator | common carrier : air carrier |
Make Model Name | DC-9 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise : level |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 8000 flight time type : 2000 |
ASRS Report | 518010 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | non adherence : published procedure non adherence : far non adherence : company policies other anomaly other other spatial deviation |
Independent Detector | atc equipment other atc equipment : radar other controllera |
Resolutory Action | controller : issued alert flight crew : returned to intended or assigned course none taken : detected after the fact |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
En route ZTL asked us if we were proceeding on our cleared route. Controller gave us the route and it was different than what we were doing. I pulled up the pre departure clearance on the ACARS we were given before departure to check what route clearance we were given. It contained the changed route ZTL was asking about. We were flying the original flight plan route. The copilot copies the clearance onto the ATIS form as part of his preflight duties. He had written on the form 'cleared as filed.' the problem was that we weren't cleared as filed. The ACARS clearance showed a different route for the initial part of the flight followed by the original route. I asked the copilot how he had missed the new clearance and he said it was because of fatigue. He told me he had gotten 3 1/2 hours of sleep that night and wasn't thinking straight. Our trip was constructed in a way that almost ensured we would not get a decent night's sleep. The insidious nature of fatigue showed itself in our incident and needs to be addressed by the FAA.
Original NASA ASRS Text
Title: DC9 CREW HAD TRACK DEV IN ZTL CLASS A.
Narrative: ENRTE ZTL ASKED US IF WE WERE PROCEEDING ON OUR CLRED RTE. CTLR GAVE US THE RTE AND IT WAS DIFFERENT THAN WHAT WE WERE DOING. I PULLED UP THE PDC ON THE ACARS WE WERE GIVEN BEFORE DEP TO CHK WHAT RTE CLRNC WE WERE GIVEN. IT CONTAINED THE CHANGED RTE ZTL WAS ASKING ABOUT. WE WERE FLYING THE ORIGINAL FLT PLAN RTE. THE COPLT COPIES THE CLRNC ONTO THE ATIS FORM AS PART OF HIS PREFLT DUTIES. HE HAD WRITTEN ON THE FORM 'CLRED AS FILED.' THE PROB WAS THAT WE WEREN'T CLRED AS FILED. THE ACARS CLRNC SHOWED A DIFFERENT RTE FOR THE INITIAL PART OF THE FLT FOLLOWED BY THE ORIGINAL RTE. I ASKED THE COPLT HOW HE HAD MISSED THE NEW CLRNC AND HE SAID IT WAS BECAUSE OF FATIGUE. HE TOLD ME HE HAD GOTTEN 3 1/2 HRS OF SLEEP THAT NIGHT AND WASN'T THINKING STRAIGHT. OUR TRIP WAS CONSTRUCTED IN A WAY THAT ALMOST ENSURED WE WOULD NOT GET A DECENT NIGHT'S SLEEP. THE INSIDIOUS NATURE OF FATIGUE SHOWED ITSELF IN OUR INCIDENT AND NEEDS TO BE ADDRESSED BY THE FAA.
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.