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|
Attributes | |
ACN | 538067 |
Time | |
Date | 200202 |
Day | Fri |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | navaid : col.vor |
State Reference | NJ |
Altitude | msl single value : 7000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zny.artcc |
Operator | common carrier : air carrier |
Make Model Name | B737-800 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other other vortac |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure sid : selby 1. rnav |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 17500 flight time type : 2400 |
ASRS Report | 538067 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | aircraft equipment problem : less severe non adherence : clearance non adherence : company policies non adherence : published procedure other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | controller : issued advisory controller : issued new clearance flight crew : returned to intended or assigned course |
Consequence | faa : reviewed incident with flight crew other |
Supplementary | |
Problem Areas | Flight Crew Human Performance Company ATC Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Departed ewr on the selby 1 RNAV departure. After flying over fisla intersection, we started to fly directly to the white intersection. We failed to fly over elvae intersection, or the col VOR. It wasn't until ZNY informed us that we were off course that we realized what had happened. Even then it took us a couple of mins to figure what had happened. ATC vectored us back onto the departure, and gave us a climb clearance. ATC also pointed out traffic, but we never saw him. We are not sure if our error caused, or would have caused, a conflict. It was not mentioned. It was the first officer's leg, and he programmed the FMS. The first officer has only about 40 hours since IOE, but we flew together the previous week, and he had no problems in this area. I did check the route page to see if it matched our pre departure clearance, and it did. It showed the selby 1 departure with the white transition. I did not check the legs pages to see if all the fixes were there. I will next! I do not know how those 2 fixes (elvae and col) got dropped, but they did, and as a result we got off course. Although not the cause of this situation, we were distraction by potable water not working, a cockpit PA microphone not working, and no accuload being available. All these issues were resolved before we pushed back, but because we had to deal with them we had no extra time where we might have caught this problem. We failed to check the waypoints on the legs pages to the actual departure route, and once airborne, still did not doublechk the legs page. We made an error programming the FMS, then became complacent. We assumed that once we selected LNAV once airborne that the aircraft would fly the correct route. Unfortunately the old saying applies, 'garbage in, garbage out.' the airplane did exactly what we told it to do. After further reflection on this previously reported incident, it is my belief that while programming the FMS a discontinuity appeared somewhere in the selby departure. When it was closed some waypoints were dropped. This is how we got off course. Although the first officer programmed the FMS for this flight, he is new to the airplane, and I should have done a more complete check of his programming.
Original NASA ASRS Text
Title: A B737-800 FLC GETS AN UPDATE FROM ZNY WHEN THEY ARE FLYING OFF COURSE, NOT ON THE SID RTE, ON DEP FROM EWR, NJ.
Narrative: DEPARTED EWR ON THE SELBY 1 RNAV DEP. AFTER FLYING OVER FISLA INTXN, WE STARTED TO FLY DIRECTLY TO THE WHITE INTXN. WE FAILED TO FLY OVER ELVAE INTXN, OR THE COL VOR. IT WASN'T UNTIL ZNY INFORMED US THAT WE WERE OFF COURSE THAT WE REALIZED WHAT HAD HAPPENED. EVEN THEN IT TOOK US A COUPLE OF MINS TO FIGURE WHAT HAD HAPPENED. ATC VECTORED US BACK ONTO THE DEP, AND GAVE US A CLB CLRNC. ATC ALSO POINTED OUT TFC, BUT WE NEVER SAW HIM. WE ARE NOT SURE IF OUR ERROR CAUSED, OR WOULD HAVE CAUSED, A CONFLICT. IT WAS NOT MENTIONED. IT WAS THE FO'S LEG, AND HE PROGRAMMED THE FMS. THE FO HAS ONLY ABOUT 40 HRS SINCE IOE, BUT WE FLEW TOGETHER THE PREVIOUS WK, AND HE HAD NO PROBS IN THIS AREA. I DID CHK THE RTE PAGE TO SEE IF IT MATCHED OUR PDC, AND IT DID. IT SHOWED THE SELBY 1 DEP WITH THE WHITE TRANSITION. I DID NOT CHK THE LEGS PAGES TO SEE IF ALL THE FIXES WERE THERE. I WILL NEXT! I DO NOT KNOW HOW THOSE 2 FIXES (ELVAE AND COL) GOT DROPPED, BUT THEY DID, AND AS A RESULT WE GOT OFF COURSE. ALTHOUGH NOT THE CAUSE OF THIS SIT, WE WERE DISTR BY POTABLE WATER NOT WORKING, A COCKPIT PA MIKE NOT WORKING, AND NO ACCULOAD BEING AVAILABLE. ALL THESE ISSUES WERE RESOLVED BEFORE WE PUSHED BACK, BUT BECAUSE WE HAD TO DEAL WITH THEM WE HAD NO EXTRA TIME WHERE WE MIGHT HAVE CAUGHT THIS PROB. WE FAILED TO CHK THE WAYPOINTS ON THE LEGS PAGES TO THE ACTUAL DEP RTE, AND ONCE AIRBORNE, STILL DID NOT DOUBLECHK THE LEGS PAGE. WE MADE AN ERROR PROGRAMMING THE FMS, THEN BECAME COMPLACENT. WE ASSUMED THAT ONCE WE SELECTED LNAV ONCE AIRBORNE THAT THE ACFT WOULD FLY THE CORRECT RTE. UNFORTUNATELY THE OLD SAYING APPLIES, 'GARBAGE IN, GARBAGE OUT.' THE AIRPLANE DID EXACTLY WHAT WE TOLD IT TO DO. AFTER FURTHER REFLECTION ON THIS PREVIOUSLY RPTED INCIDENT, IT IS MY BELIEF THAT WHILE PROGRAMMING THE FMS A DISCONTINUITY APPEARED SOMEWHERE IN THE SELBY DEP. WHEN IT WAS CLOSED SOME WAYPOINTS WERE DROPPED. THIS IS HOW WE GOT OFF COURSE. ALTHOUGH THE FO PROGRAMMED THE FMS FOR THIS FLT, HE IS NEW TO THE AIRPLANE, AND I SHOULD HAVE DONE A MORE COMPLETE CHK OF HIS PROGRAMMING.
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.