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|
Attributes | |
ACN | 533742 |
Time | |
Date | 200112 |
Day | Mon |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | navaid : lin.vortac |
State Reference | CA |
Altitude | msl single value : 39500 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zoa.artcc |
Operator | common carrier : air carrier |
Make Model Name | B747-400 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other other vortac |
Route In Use | departure sid : lin enroute : direct |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | artcc : zoa.artcc |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 156 flight time total : 16000 |
ASRS Report | 533742 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | conflict : airborne less severe 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 : separated traffic controller : issued alert controller : issued new clearance flight crew : overrode automation flight crew : returned to intended or assigned course |
Miss Distance | horizontal : 27000 vertical : 1200 |
Supplementary | |
Problem Areas | Flight Crew Human Performance Aircraft |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
The first officer was doing the flying. We departed off of runway 1R sfo, SFO8-lin. The autoplt was engaged at about FL180. As we passed linden and climbing from FL390 for FL410, ZOA gave us direct wilson creek. I was working the CDU. We went through the verification procedure, 'how does that look?' first officer says, 'looks good' and I executed the procedure. LNAV was engaged and we were on our way to ilc. At about that time, we received an ACARS message. I was head down at that point, checking the message and during this time I felt the aircraft the rate of turn to the right. I looked at my pfd and we were no longer in LNAV -- we were in heading select and turning right of course. At this point, I advised the first officer to get the back around to the left towards ilc. That was when ZOA advised we had traffic off to the right at FL390 eastbound. The only thing that I can think that happened was, when the first officer rotated the heading bug around, he must have pushed it in and disengaged LNAV. We had the traffic visually and on TCASII. We received no TA or RA.
Original NASA ASRS Text
Title: B747-400 CREW HAD TRACK DEV WHEN THE CREW DID NOT NOTICE THE FGS WENT FROM LNAV TO HDG.
Narrative: THE FO WAS DOING THE FLYING. WE DEPARTED OFF OF RWY 1R SFO, SFO8-LIN. THE AUTOPLT WAS ENGAGED AT ABOUT FL180. AS WE PASSED LINDEN AND CLBING FROM FL390 FOR FL410, ZOA GAVE US DIRECT WILSON CREEK. I WAS WORKING THE CDU. WE WENT THROUGH THE VERIFICATION PROC, 'HOW DOES THAT LOOK?' FO SAYS, 'LOOKS GOOD' AND I EXECUTED THE PROC. LNAV WAS ENGAGED AND WE WERE ON OUR WAY TO ILC. AT ABOUT THAT TIME, WE RECEIVED AN ACARS MESSAGE. I WAS HEAD DOWN AT THAT POINT, CHKING THE MESSAGE AND DURING THIS TIME I FELT THE ACFT THE RATE OF TURN TO THE R. I LOOKED AT MY PFD AND WE WERE NO LONGER IN LNAV -- WE WERE IN HDG SELECT AND TURNING R OF COURSE. AT THIS POINT, I ADVISED THE FO TO GET THE BACK AROUND TO THE L TOWARDS ILC. THAT WAS WHEN ZOA ADVISED WE HAD TFC OFF TO THE R AT FL390 EBOUND. THE ONLY THING THAT I CAN THINK THAT HAPPENED WAS, WHEN THE FO ROTATED THE HDG BUG AROUND, HE MUST HAVE PUSHED IT IN AND DISENGAGED LNAV. WE HAD THE TFC VISUALLY AND ON TCASII. WE RECEIVED NO TA OR RA.
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.