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|
Attributes | |
ACN | 525305 |
Time | |
Date | 200109 |
Day | Fri |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : den.airport |
State Reference | CO |
Altitude | agl single value : 5000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : d01.tracon |
Operator | common carrier : air carrier |
Make Model Name | B737 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | descent : approach |
Route In Use | approach : visual |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 180 flight time total : 4000 flight time type : 800 |
ASRS Report | 525305 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | non adherence : clearance non adherence : company policies other anomaly other other spatial deviation |
Independent Detector | other controllera other flight crewa |
Resolutory Action | controller : issued new clearance none taken : anomaly accepted |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Flight Crew Human Performance ATC Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
This event is a good example of the effects of mental distractions within the cockpit. (Tensions were high and we (I) were worried about losing my job to furloughs.) we were on vectors downwind for a visual approach to runway 35R at den. I was the PF and the captain had the radios. We were expecting a turn to base in about 3 mi. At this time ATC asked if we could accept a 'short approach.' I told the captain. We could (I was flying) and he relayed it to ATC. ATC immediately turned us to base and the captain, while on the radio, reached over and put the gear down (uncommanded and against SOP). A little shocked over this rapid breakdown in crew resource management, I continued to configure and fly the visual approach to runway 35R. On an intercept heading to final, ATC told us we had overshot the assigned heading but to continue as he now said 'cleared visual.' the captain and I had both assumed we were cleared already. The approach was continued uneventfully. This was an assumption of clearance! We were expecting it from ATC after he had asked us to accept the 'short approach.' the main distraction for me and probably why I didn't catch the clearance was the captain deviating from SOP. By him putting the gear down (uncommanded) while repeating our clearance, distracted him. The uncommanded change in aircraft configuration, distracted me. It put both of us in the 'cleared for visual approach' mode mentally.
Original NASA ASRS Text
Title: B737 FLT CREW TURNS TOWARDS FINAL APCH HDG WHEN GIVEN A VECTOR FOR BASE FOR A SHORT APCH TO DEN, CO.
Narrative: THIS EVENT IS A GOOD EXAMPLE OF THE EFFECTS OF MENTAL DISTRACTIONS WITHIN THE COCKPIT. (TENSIONS WERE HIGH AND WE (I) WERE WORRIED ABOUT LOSING MY JOB TO FURLOUGHS.) WE WERE ON VECTORS DOWNWIND FOR A VISUAL APPROACH TO RWY 35R AT DEN. I WAS THE PF AND THE CAPT HAD THE RADIOS. WE WERE EXPECTING A TURN TO BASE IN ABOUT 3 MI. AT THIS TIME ATC ASKED IF WE COULD ACCEPT A 'SHORT APCH.' I TOLD THE CAPT. WE COULD (I WAS FLYING) AND HE RELAYED IT TO ATC. ATC IMMEDIATELY TURNED US TO BASE AND THE CAPT, WHILE ON THE RADIO, REACHED OVER AND PUT THE GEAR DOWN (UNCOMMANDED AND AGAINST SOP). A LITTLE SHOCKED OVER THIS RAPID BREAKDOWN IN CREW RESOURCE MANAGEMENT, I CONTINUED TO CONFIGURE AND FLY THE VISUAL APCH TO RWY 35R. ON AN INTERCEPT HEADING TO FINAL, ATC TOLD US WE HAD OVERSHOT THE ASSIGNED HEADING BUT TO CONTINUE AS HE NOW SAID 'CLEARED VISUAL.' THE CAPT AND I HAD BOTH ASSUMED WE WERE CLEARED ALREADY. THE APCH WAS CONTINUED UNEVENTFULLY. THIS WAS AN ASSUMPTION OF CLEARANCE! WE WERE EXPECTING IT FROM ATC AFTER HE HAD ASKED US TO ACCEPT THE 'SHORT APPROACH.' THE MAIN DISTRACTION FOR ME AND PROBABLY WHY I DIDN'T CATCH THE CLEARANCE WAS THE CAPT DEVIATING FROM SOP. BY HIM PUTTING THE GEAR DOWN (UNCOMMANDED) WHILE REPEATING OUR CLEARANCE, DISTRACTED HIM. THE UNCOMMANDED CHANGE IN ACFT CONFIGURATION, DISTRACTED ME. IT PUT BOTH OF US IN THE 'CLEARED FOR VISUAL APPROACH' MODE MENTALLY.
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.