37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 525880 |
Time | |
Date | 200109 |
Day | Thu |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : sfo.airport |
State Reference | CA |
Altitude | msl single value : 3000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure sid : quiet two |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain |
Qualification | pilot : atp |
Experience | flight time last 90 days : 130 flight time total : 14000 flight time type : 2600 |
ASRS Report | 525880 |
Events | |
Anomaly | non adherence : far non adherence : clearance other spatial deviation |
Resolutory Action | controller : issued new clearance flight crew : returned to assigned altitude |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Departed sfo runway 1L acting as PNF. After departure, turned to heading 030 degrees per the SFO8 departure. Upon chkin with bay approach, he issued heading for rbl and asked if tower had changed our departure. After responding with negative, controller handed us off to center. Further review showed pre departure clearance of quiet 2 departure (CUIT2). Human factors: normal departure off runway 1L and runway 1R SFO8 -- habit. Distraction on taxi out and brief when runway assignment changed from runway 1R to runway 1L, with need for new performance. Some delay getting numbers. Pre departure clearance showed filed as CUIT2, rather than revised segment information as cuit 2 or remarks CUIT2. Filed as FMC rt 2. Not as obvious as changes given habit patterns.
Original NASA ASRS Text
Title: A FLT CREW GETS COMPLACENT AND FLIES A SID THAT THEY EXPECTED INSTEAD OF THE ONE THEY WERE ASSIGNED.
Narrative: DEPARTED SFO RWY 1L ACTING AS PNF. AFTER DEP, TURNED TO HDG 030 DEGS PER THE SFO8 DEP. UPON CHKIN WITH BAY APCH, HE ISSUED HDG FOR RBL AND ASKED IF TWR HAD CHANGED OUR DEP. AFTER RESPONDING WITH NEGATIVE, CTLR HANDED US OFF TO CTR. FURTHER REVIEW SHOWED PDC OF QUIET 2 DEP (CUIT2). HUMAN FACTORS: NORMAL DEPARTURE OFF RWY 1L AND RWY 1R SFO8 -- HABIT. DISTR ON TAXI OUT AND BRIEF WHEN RWY ASSIGNMENT CHANGED FROM RWY 1R TO RWY 1L, WITH NEED FOR NEW PERFORMANCE. SOME DELAY GETTING NUMBERS. PDC SHOWED FILED AS CUIT2, RATHER THAN REVISED SEGMENT INFO AS CUIT 2 OR REMARKS CUIT2. FILED AS FMC RT 2. NOT AS OBVIOUS AS CHANGES GIVEN HABIT PATTERNS.
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.