37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 537333 |
Time | |
Date | 200201 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | navaid : btg.vortac |
State Reference | WA |
Altitude | msl single value : 24000 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zse.artcc |
Operator | common carrier : air carrier |
Make Model Name | Large Transport |
Operating Under FAR Part | Part 121 |
Navigation In Use | other vortac |
Flight Phase | cruise : holding |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 7000 |
ASRS Report | 537333 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | non adherence : far non adherence : published procedure non adherence : clearance other spatial deviation |
Independent Detector | atc equipment other atc equipment : radar other controllera |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Cabin Crew Human Performance Flight Crew Human Performance ATC Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Upon entering holding over btg VOR, a wrong turn was executed. Problem was discovered by ATC. Was told by ATC it was no problem and not to worry about it, and was given a vector back to the fix. No evasive action required. The situation occurred due to a couple of factors, not the least of which was my first officer's inattentiveness to the charted holding pattern. 1) captain left the cockpit 60 seconds before holding was entered (bathroom). 2) flight attendant came in cockpit. 3)cockpit bar needed to be secured. Oxygen mask needed to be put on. 4) proper briefing was not conducted. 5) holding pattern on approach plate was read improperly. Could have been prevented with both pilots in cockpit during holding.
Original NASA ASRS Text
Title: AN LGT CREW, UPON ENTERING THE HOLD AT BTG, WA, TURNED THE WRONG WAY SPAWNING A QUERY FROM ATC.
Narrative: UPON ENTERING HOLDING OVER BTG VOR, A WRONG TURN WAS EXECUTED. PROB WAS DISCOVERED BY ATC. WAS TOLD BY ATC IT WAS NO PROB AND NOT TO WORRY ABOUT IT, AND WAS GIVEN A VECTOR BACK TO THE FIX. NO EVASIVE ACTION REQUIRED. THE SIT OCCURRED DUE TO A COUPLE OF FACTORS, NOT THE LEAST OF WHICH WAS MY FO'S INATTENTIVENESS TO THE CHARTED HOLDING PATTERN. 1) CAPT LEFT THE COCKPIT 60 SECONDS BEFORE HOLDING WAS ENTERED (BATHROOM). 2) FLT ATTENDANT CAME IN COCKPIT. 3)COCKPIT BAR NEEDED TO BE SECURED. OXYGEN MASK NEEDED TO BE PUT ON. 4) PROPER BRIEFING WAS NOT CONDUCTED. 5) HOLDING PATTERN ON APCH PLATE WAS READ IMPROPERLY. COULD HAVE BEEN PREVENTED WITH BOTH PLTS IN COCKPIT DURING HOLDING.
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.