37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 518673 |
Time | |
Date | 200107 |
Day | Mon |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : pdx.airport |
State Reference | OR |
Altitude | msl single value : 3000 |
Environment | |
Flight Conditions | IMC |
Aircraft 1 | |
Controlling Facilities | tracon : p80.tracon |
Operator | common carrier : air carrier |
Make Model Name | B737-700 |
Operating Under FAR Part | Part 121 |
Navigation In Use | ils localizer only : 28r other |
Flight Phase | descent : approach |
Route In Use | arrival : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : commercial pilot : flight engineer pilot : instrument pilot : multi engine pilot : cfi |
Experience | flight time last 90 days : 60 flight time total : 15000 flight time type : 3000 |
ASRS Report | 518673 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer instruction : trainee |
ASRS Report | 518676 |
Events | |
Anomaly | non adherence : clearance non adherence : published procedure other anomaly other other spatial deviation |
Independent Detector | other flight crewa |
Resolutory Action | controller : issued new clearance flight crew : became reoriented flight crew : returned to intended or assigned course |
Supplementary | |
Problem Areas | Flight Crew Human Performance ATC Human Performance Environmental Factor Airspace Structure |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
On vector heading base leg to ILS runway 28R, in IMC and communicating with approach controller on frequency 124.35. I (captain and check airman) attempted to preselect the tower frequency 123.77 into the unused side of the communication #1 panel and inadvertently tuned-over the active approach frequency. I realized my error after about 1 min and returned to approach frequency immediately, checking in as we crossed through the localizer. The controller gave us a heading 'right turn 310 degrees to intercept the runway 28R localizer and cleared for the approach.' no conflicts with other traffic were noted and approach controller handed us off to tower. I missed my intercept heading and clearance because of this mistake. Contributing factors: day 5 of duty. XA00 wake-up after 6 hours sleep. Training the PF (first officer) on the first leg of his first operating experience trip as a first officer. On this type aircraft at this airline, high workload. We planned ILS runway 28R before top of descent, approach changed it to ILS runway 28L at 11000 ft, so we reprogrammed the FMC, and approach control then changed our approach back to ILS runway 28R when we were at 3000 ft on base leg -- high workload again. I tried to reduce workload by preselecting tower frequency but I ended up compromising safety and doubling my workload. Never again!
Original NASA ASRS Text
Title: A B737-700 FLC EXPERIENCES A TEMPORARY LOSS OF COM FREQ WITH APCH CTLR WHEN INADVERTENTLY SWITCHING TO LCL CTLR 12 MI E OF PDX, OR.
Narrative: ON VECTOR HDG BASE LEG TO ILS RWY 28R, IN IMC AND COMMUNICATING WITH APCH CTLR ON FREQ 124.35. I (CAPT AND CHK AIRMAN) ATTEMPTED TO PRESELECT THE TWR FREQ 123.77 INTO THE UNUSED SIDE OF THE COM #1 PANEL AND INADVERTENTLY TUNED-OVER THE ACTIVE APCH FREQ. I REALIZED MY ERROR AFTER ABOUT 1 MIN AND RETURNED TO APCH FREQ IMMEDIATELY, CHKING IN AS WE CROSSED THROUGH THE LOC. THE CTLR GAVE US A HDG 'R TURN 310 DEGS TO INTERCEPT THE RWY 28R LOC AND CLRED FOR THE APCH.' NO CONFLICTS WITH OTHER TFC WERE NOTED AND APCH CTLR HANDED US OFF TO TWR. I MISSED MY INTERCEPT HDG AND CLRNC BECAUSE OF THIS MISTAKE. CONTRIBUTING FACTORS: DAY 5 OF DUTY. XA00 WAKE-UP AFTER 6 HRS SLEEP. TRAINING THE PF (FO) ON THE FIRST LEG OF HIS FIRST OPERATING EXPERIENCE TRIP AS A FO. ON THIS TYPE ACFT AT THIS AIRLINE, HIGH WORKLOAD. WE PLANNED ILS RWY 28R BEFORE TOP OF DSCNT, APCH CHANGED IT TO ILS RWY 28L AT 11000 FT, SO WE REPROGRAMMED THE FMC, AND APCH CTL THEN CHANGED OUR APCH BACK TO ILS RWY 28R WHEN WE WERE AT 3000 FT ON BASE LEG -- HIGH WORKLOAD AGAIN. I TRIED TO REDUCE WORKLOAD BY PRESELECTING TWR FREQ BUT I ENDED UP COMPROMISING SAFETY AND DOUBLING MY WORKLOAD. NEVER AGAIN!
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.