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|
Attributes | |
ACN | 562732 |
Time | |
Date | 200210 |
Day | Sat |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : sfo.airport |
State Reference | CA |
Altitude | agl single value : 0 |
Aircraft 1 | |
Controlling Facilities | tower : sfo.tower |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : taxi ground : holding |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | tower : sfo.tower |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Flight Phase | landing : go around |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
ASRS Report | 562732 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument pilot : multi engine |
Experience | flight time type : 396 |
ASRS Report | 562502 |
Events | |
Anomaly | incursion : runway non adherence : far non adherence : clearance |
Independent Detector | other controllera other flight crewa |
Resolutory Action | controller : separated traffic flight crew : executed go around none taken : detected after the fact other |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
After landing runway 28R sfo and exiting at tango, ATC instructions were to hold short runway 28L at taxiway T. Exited runway 28R and started to clean up aircraft and taxied past the hold line. I was 1/2 way across the line before I noticed and got on the brakes. My aircraft did not enter runway 28L but was 1/2 way past the hold short line. Aircraft on approach to runway 28L was directed by tower to go around. Comments: although some clean-up of aircraft is required even between the runways, such as landing lights off, I was setting the vot when I realized I was over the line. I got distraction for a very brief period, but long enough to lose situational awareness. It had been a very busy 1 hour flight from las, with an IRS fault light on during climb out, a GPWS terrain override light, and a cabin write-up. Also we had tried to eat crew meals and do single segment dispatch for the next leg. I think I was still in the 'multi tasking, do 3 things at once' mode after landing and lost focus on the most important thing. The first officer and I debriefed this and his comments are in line with mine. We both lost situational awareness.
Original NASA ASRS Text
Title: B737-300 CAPT OVERSHOT THE RWY HOLD SHORT LINE BTWN PARALLEL RWY AFTER LNDG CAUSING ANOTHER ACFT TO BE SENT AROUND BY TWR.
Narrative: AFTER LNDG RWY 28R SFO AND EXITING AT TANGO, ATC INSTRUCTIONS WERE TO HOLD SHORT RWY 28L AT TXWY T. EXITED RWY 28R AND STARTED TO CLEAN UP ACFT AND TAXIED PAST THE HOLD LINE. I WAS 1/2 WAY ACROSS THE LINE BEFORE I NOTICED AND GOT ON THE BRAKES. MY ACFT DID NOT ENTER RWY 28L BUT WAS 1/2 WAY PAST THE HOLD SHORT LINE. ACFT ON APCH TO RWY 28L WAS DIRECTED BY TWR TO GO AROUND. COMMENTS: ALTHOUGH SOME CLEAN-UP OF ACFT IS REQUIRED EVEN BTWN THE RWYS, SUCH AS LNDG LIGHTS OFF, I WAS SETTING THE VOT WHEN I REALIZED I WAS OVER THE LINE. I GOT DISTR FOR A VERY BRIEF PERIOD, BUT LONG ENOUGH TO LOSE SITUATIONAL AWARENESS. IT HAD BEEN A VERY BUSY 1 HR FLT FROM LAS, WITH AN IRS FAULT LIGHT ON DURING CLBOUT, A GPWS TERRAIN OVERRIDE LIGHT, AND A CABIN WRITE-UP. ALSO WE HAD TRIED TO EAT CREW MEALS AND DO SINGLE SEGMENT DISPATCH FOR THE NEXT LEG. I THINK I WAS STILL IN THE 'MULTI TASKING, DO 3 THINGS AT ONCE' MODE AFTER LNDG AND LOST FOCUS ON THE MOST IMPORTANT THING. THE FO AND I DEBRIEFED THIS AND HIS COMMENTS ARE IN LINE WITH MINE. WE BOTH LOST SITUATIONAL AWARENESS.
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.