 |
37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
A DC10-10 expecting radar vectors for departure flies the wrong SID with an unusable navigation database leaving las, nv.
| Attributes | |
| ACN | 533782 |
| Time | |
| Date | 200112 |
| Day | Mon |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : las.airport |
| State Reference | NV |
| Altitude | msl single value : 5000 |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | tower : las.tower |
| Operator | common carrier : air carrier |
| Make Model Name | DC-10 Undifferentiated or Other Model |
| Operating Under FAR Part | Part 121 |
| Navigation In Use | other |
| Flight Phase | climbout : intermediate altitude |
| Route In Use | departure sid : mccarran-one |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : atp pilot : flight engineer pilot : cfi |
| ASRS Report | 533782 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : multi engine pilot : instrument pilot : flight engineer pilot : commercial pilot : atp |
| Experience | flight time last 90 days : 150 flight time total : 10000 flight time type : 4000 |
| ASRS Report | 533633 |
| Events | |
| Anomaly | aircraft equipment problem : critical maintenance problem : improper documentation maintenance problem : improper maintenance non adherence : clearance non adherence : company policies non adherence : published procedure other spatial deviation |
| Independent Detector | other flight crewa other flight crewb |
| Resolutory Action | controller : issued new clearance other |
| Consequence | other other |
| Supplementary | |
| Problem Areas | Maintenance Human Performance Flight Crew Human Performance Company Chart Or Publication Navigational Facility Aircraft ATC Human Performance |
| Primary Problem | Company |
| Air Traffic Incident | Pilot Deviation Inter Facility Coordination Failure |
Narrative:
Thursday evening assigned lax-las. Navigation data was expired and corrupted with waypoints missing. This required the crew to obtain 4 separate clrncs with SID/stars that didn't require GPS. Upon arrival las, notified dispatch and maintenance unable GPS/RNAV for morning departure to lax. Friday morning the flight plan received with las 1 departure (vectors). This satisfied our request that we were unable to give GPS SID/STAR to dispatch. Received pre departure clearance, noted las 1 departure. Contacted clearance delivery. Was informed flow control to lax and told to contact gate hold. On departure at 2.5 DME we hadn't received anticipated left vector. At 3 DME we requested las tower for turn. Tower replied turn 190 degree heading. Tower questioned 'aren't you on idale 1 departure?' we replied 'negative, we are flying mccarran 1 departure.' handed off to ZLA. Center gave further heading change and asked 'aren't you cleared idale 1 departure?' we replied 'mccarran 1 departure.' center gave routing to lax. Contributing factors: database supplied to airline's air carrier corrupted for more than 1 month. Database expired dec/thu/01. Didn't supply correct data till evening of dec/fri/01. Approximately 1 1/2 months ago, TRACON adopted preferred SID/stars with no latitude/longitude coordinates for waypoints. This made the SID/stars unusable for us as we could not identify waypoints and insert them into GPS manually. Pre departure clearance format confusing. Should only have 1 clearance on it. Supplemental information from acn 533633: somehow all 3 pilots missed the 'revised segment' on the pre departure clearance due to the way this pre departure clearance 'rolled' out of the printer and later folder for viewing. Pre departure clearance format is confusing as to 'revised segment's' location in relation to 'cleared segment's' location. Pre departure clearance should have only 1 clearance on it. The practice of 'stating only the squawk code' on the pre departure clearance to clearance (as the pre departure clearance states) removes one last chance to catch a mistake. One last thought considering the airline crash in south american at 'cali' not being able to precisely identify the waypoint can be tragic. This crew couldn't have flown the revised segment 'idale 1' and were perhaps target oriented to fly non RNAV/GPS departure.
Original NASA ASRS Text
Title: A DC10-10 EXPECTING RADAR VECTORS FOR DEP FLIES THE WRONG SID WITH AN UNUSABLE NAV DATABASE LEAVING LAS, NV.
Narrative: THURSDAY EVENING ASSIGNED LAX-LAS. NAV DATA WAS EXPIRED AND CORRUPTED WITH WAYPOINTS MISSING. THIS REQUIRED THE CREW TO OBTAIN 4 SEPARATE CLRNCS WITH SID/STARS THAT DIDN'T REQUIRE GPS. UPON ARR LAS, NOTIFIED DISPATCH AND MAINT UNABLE GPS/RNAV FOR MORNING DEP TO LAX. FRIDAY MORNING THE FLT PLAN RECEIVED WITH LAS 1 DEP (VECTORS). THIS SATISFIED OUR REQUEST THAT WE WERE UNABLE TO GIVE GPS SID/STAR TO DISPATCH. RECEIVED PDC, NOTED LAS 1 DEP. CONTACTED CLRNC DELIVERY. WAS INFORMED FLOW CTL TO LAX AND TOLD TO CONTACT GATE HOLD. ON DEP AT 2.5 DME WE HADN'T RECEIVED ANTICIPATED L VECTOR. AT 3 DME WE REQUESTED LAS TWR FOR TURN. TWR REPLIED TURN 190 DEG HDG. TWR QUESTIONED 'AREN'T YOU ON IDALE 1 DEP?' WE REPLIED 'NEGATIVE, WE ARE FLYING MCCARRAN 1 DEP.' HANDED OFF TO ZLA. CTR GAVE FURTHER HDG CHANGE AND ASKED 'AREN'T YOU CLRED IDALE 1 DEP?' WE REPLIED 'MCCARRAN 1 DEP.' CTR GAVE ROUTING TO LAX. CONTRIBUTING FACTORS: DATABASE SUPPLIED TO AIRLINE'S ACR CORRUPTED FOR MORE THAN 1 MONTH. DATABASE EXPIRED DEC/THU/01. DIDN'T SUPPLY CORRECT DATA TILL EVENING OF DEC/FRI/01. APPROX 1 1/2 MONTHS AGO, TRACON ADOPTED PREFERRED SID/STARS WITH NO LATITUDE/LONGITUDE COORDINATES FOR WAYPOINTS. THIS MADE THE SID/STARS UNUSABLE FOR US AS WE COULD NOT IDENT WAYPOINTS AND INSERT THEM INTO GPS MANUALLY. PDC FORMAT CONFUSING. SHOULD ONLY HAVE 1 CLRNC ON IT. SUPPLEMENTAL INFO FROM ACN 533633: SOMEHOW ALL 3 PLTS MISSED THE 'REVISED SEGMENT' ON THE PDC DUE TO THE WAY THIS PDC 'ROLLED' OUT OF THE PRINTER AND LATER FOLDER FOR VIEWING. PDC FORMAT IS CONFUSING AS TO 'REVISED SEGMENT'S' LOCATION IN RELATION TO 'CLRED SEGMENT'S' LOCATION. PDC SHOULD HAVE ONLY 1 CLRNC ON IT. THE PRACTICE OF 'STATING ONLY THE SQUAWK CODE' ON THE PDC TO CLRNC (AS THE PDC STATES) REMOVES ONE LAST CHANCE TO CATCH A MISTAKE. ONE LAST THOUGHT CONSIDERING THE AIRLINE CRASH IN SOUTH AMERICAN AT 'CALI' NOT BEING ABLE TO PRECISELY IDENT THE WAYPOINT CAN BE TRAGIC. THIS CREW COULDN'T HAVE FLOWN THE REVISED SEGMENT 'IDALE 1' AND WERE PERHAPS TARGET ORIENTED TO FLY NON RNAV/GPS DEP.
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.