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|
Attributes | |
ACN | 562219 |
Time | |
Date | 200210 |
Day | Thu |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : pbi.airport |
State Reference | FL |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : pbi.tower |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | ground : taxi |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | tower : pbi.tower |
Operator | common carrier : air carrier |
Make Model Name | Dash 8 Series Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | landing : go around |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial |
Experience | flight time last 90 days : 240 flight time total : 10000 flight time type : 3000 |
ASRS Report | 562219 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 260 |
ASRS Report | 562221 |
Events | |
Anomaly | aircraft equipment problem : less severe incursion : runway non adherence : clearance |
Independent Detector | aircraft equipment other aircraft equipment : eng vibration ind other controllera |
Resolutory Action | controller : issued alert controller : issued new clearance flight crew : executed go around other |
Consequence | Other |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Passed hold short line of active runway. I contacted tower for taxi clearance since tower was working both ground and tower. We were instructed to taxi to runway 9L and 'hold short of runway 13 at taxiway a.' we acknowledged the clearance and I made a note of the instructions. As we began the taxi, we had some large fluctuations of the #2 engine vibration gauge. The QRH was referred to and as I was reviewing the QRH with the captain, we taxied past the runway 13 hold short line at taxiway a. At this time, before our aircraft entered the runway surface, the controller noticed our position and advised us to immediately cross the runway. We then looked to the right and saw a dash 8 (I believe) on final approach. The captain decided the safer course of action was to remain stopped short of the runway surface and I concurred. I advised tower we would hold short of the runway surface. The controller issued a go around to the aircraft on final. We were then instructed to continue taxi to runway 9L. Contributing factors were ATC working both tower and ground, a sunny day VFR which may have led to some complacency, not being advised there was landing traffic on runway 13 as part of the clearance, and focusing too much attention on the distraction of the engine vibration gauge. Even though I had the runway diagram out and wrote down the clearance, I removed myself from the normal discipline of checking txwys and runways before crossing. I fell into the trap of losing situational awareness while working with the QRH and not realizing how close we were from the start of taxi to the hold short line of runway 13. (It all happened quickly.) in hindsight, a procedure of stopping the aircraft for any checklist, including the QRH, would have been a beneficial procedure to follow.
Original NASA ASRS Text
Title: B737 CAPT BECAME DISTR BY POSSIBLE ENG INDICATION PROB AND OVERSHOT RWY HOLD SHORT LINE, BUT DID NOT ENTER THE RWY.
Narrative: PASSED HOLD SHORT LINE OF ACTIVE RWY. I CONTACTED TWR FOR TAXI CLRNC SINCE TWR WAS WORKING BOTH GND AND TWR. WE WERE INSTRUCTED TO TAXI TO RWY 9L AND 'HOLD SHORT OF RWY 13 AT TXWY A.' WE ACKNOWLEDGED THE CLRNC AND I MADE A NOTE OF THE INSTRUCTIONS. AS WE BEGAN THE TAXI, WE HAD SOME LARGE FLUCTUATIONS OF THE #2 ENG VIBRATION GAUGE. THE QRH WAS REFERRED TO AND AS I WAS REVIEWING THE QRH WITH THE CAPT, WE TAXIED PAST THE RWY 13 HOLD SHORT LINE AT TXWY A. AT THIS TIME, BEFORE OUR ACFT ENTERED THE RWY SURFACE, THE CTLR NOTICED OUR POS AND ADVISED US TO IMMEDIATELY CROSS THE RWY. WE THEN LOOKED TO THE R AND SAW A DASH 8 (I BELIEVE) ON FINAL APCH. THE CAPT DECIDED THE SAFER COURSE OF ACTION WAS TO REMAIN STOPPED SHORT OF THE RWY SURFACE AND I CONCURRED. I ADVISED TWR WE WOULD HOLD SHORT OF THE RWY SURFACE. THE CTLR ISSUED A GAR TO THE ACFT ON FINAL. WE WERE THEN INSTRUCTED TO CONTINUE TAXI TO RWY 9L. CONTRIBUTING FACTORS WERE ATC WORKING BOTH TWR AND GND, A SUNNY DAY VFR WHICH MAY HAVE LED TO SOME COMPLACENCY, NOT BEING ADVISED THERE WAS LNDG TFC ON RWY 13 AS PART OF THE CLRNC, AND FOCUSING TOO MUCH ATTN ON THE DISTR OF THE ENG VIBRATION GAUGE. EVEN THOUGH I HAD THE RWY DIAGRAM OUT AND WROTE DOWN THE CLRNC, I REMOVED MYSELF FROM THE NORMAL DISCIPLINE OF CHKING TXWYS AND RWYS BEFORE XING. I FELL INTO THE TRAP OF LOSING SITUATIONAL AWARENESS WHILE WORKING WITH THE QRH AND NOT REALIZING HOW CLOSE WE WERE FROM THE START OF TAXI TO THE HOLD SHORT LINE OF RWY 13. (IT ALL HAPPENED QUICKLY.) IN HINDSIGHT, A PROC OF STOPPING THE ACFT FOR ANY CHKLIST, INCLUDING THE QRH, WOULD HAVE BEEN A BENEFICIAL PROC TO FOLLOW.
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.