 |
37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Failure to reprogram the idale RNAV one departure after a departure runway change leads to a track deviation at las vegas, nv.
| Attributes | |
| ACN | 562011 |
| Time | |
| Date | 200210 |
| Day | Tue |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : las.airport |
| State Reference | NV |
| Altitude | msl single value : 5100 |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | tower : las.tower |
| Operator | common carrier : air carrier |
| Make Model Name | B737-300 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | climbout : intermediate altitude climbout : initial |
| Route In Use | departure sid : idale |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : multi engine pilot : commercial pilot : instrument |
| Experience | flight time last 90 days : 90 flight time total : 11000 flight time type : 3000 |
| ASRS Report | 562011 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| Experience | flight time last 90 days : 210 flight time total : 20000 flight time type : 17000 |
| ASRS Report | 562010 |
| Events | |
| Anomaly | non adherence : published procedure non adherence : clearance other spatial deviation |
| Independent Detector | other controllera |
| Resolutory Action | controller : issued new clearance flight crew : overrode automation flight crew : became reoriented flight crew : returned to intended or assigned course |
| Consequence | other |
| Supplementary | |
| Problem Areas | Company Flight Crew Human Performance |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
During takeoff from las on idale RNAV departure, we selected flight director and LNAV and began following steering bars, but turn continued too far and as we were attempting to find out what was going on, tower called and said we were turning too far right. We discovered we had left runway 25 in FMC and hadn't changed when sent to runway 19 unexpectedly. We immediately realized and corrected back to the proper course and fixes. Failure to recheck the route after receiving a change of runway was the cause. Switching from legs page to N1 climb page with once CDU/display didn't help, but doesn't alleviate responsibility to rechk. A map would have also made this problem obvious prior to takeoff.
Original NASA ASRS Text
Title: FAILURE TO REPROGRAM THE IDALE RNAV ONE DEP AFTER A DEP RWY CHANGE LEADS TO A TRACK DEV AT LAS VEGAS, NV.
Narrative: DURING TAKEOFF FROM LAS ON IDALE RNAV DEP, WE SELECTED FLT DIRECTOR AND LNAV AND BEGAN FOLLOWING STEERING BARS, BUT TURN CONTINUED TOO FAR AND AS WE WERE ATTEMPTING TO FIND OUT WHAT WAS GOING ON, TWR CALLED AND SAID WE WERE TURNING TOO FAR R. WE DISCOVERED WE HAD LEFT RWY 25 IN FMC AND HADN'T CHANGED WHEN SENT TO RWY 19 UNEXPECTEDLY. WE IMMEDIATELY REALIZED AND CORRECTED BACK TO THE PROPER COURSE AND FIXES. FAILURE TO RECHECK THE ROUTE AFTER RECEIVING A CHANGE OF RWY WAS THE CAUSE. SWITCHING FROM LEGS PAGE TO N1 CLIMB PAGE WITH ONCE CDU/DISPLAY DIDN'T HELP, BUT DOESN'T ALLEVIATE RESPONSIBILITY TO RECHK. A MAP WOULD HAVE ALSO MADE THIS PROB OBVIOUS PRIOR TO TAKEOFF.
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.