37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 572571 |
Time | |
Date | 200302 |
Day | Mon |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | intersection : skebr |
State Reference | NV |
Altitude | msl single value : 13000 |
Environment | |
Flight Conditions | VMC |
Light | Dusk |
Aircraft 1 | |
Controlling Facilities | tracon : l30.tracon tower : mci.tower |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | descent : approach |
Route In Use | arrival star : skebr |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 195 flight time total : 10420 flight time type : 7025 |
ASRS Report | 572571 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 4300 flight time type : 1200 |
ASRS Report | 572572 |
Events | |
Anomaly | aircraft equipment problem : less severe non adherence : clearance non adherence : published procedure other anomaly other other spatial deviation |
Independent Detector | other controllerb other flight crewa other flight crewb |
Resolutory Action | controller : issued new clearance |
Consequence | other |
Supplementary | |
Problem Areas | Company Aircraft Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
On skebr arrival into las, at skebr aircraft was noted turning right on approximately 040 degree heading rather than a hard left turn to kepec. Before we could get kepec manually entered into FMC, controller noted our course deviation and gave us vectors for remainder of arrival (captain was flying). Recreating circumstances, I discovered that waypoints between skebr and shand on skebr arrival had not been placed into FMC. Further investigation showed note on flight release that I had missed in san diego stating that skebr and idale arrival rtes in FMC were missing these points. In retrospect, I realize now that after selecting runway 25L as the runway, I closed up shand to the top of its page without going to previous page to verify which waypoint it was following. I also missed the note at the bottom of the release which would have alerted us to the problem. Note was somewhat 'hidden' in that it followed the note on runway 25L arrs which has been on releases for a long time -- making it easy to think it's the same note I've seen a thousand times. I'll be making sure I read those more thoroughly in the future. We also could have helped ourselves by immediately asking for vectors from the controller when we saw we had missed the turn rather than wasting time trying to enter the missing point. Having the FMC on the approach plate would have been helpful as well to at least get us turning in the correct direction.
Original NASA ASRS Text
Title: A COURSE DEV ON THE SKEBR RNAV 2 ARR TO LAS, NV, QUICKLY CORRECTED BY ATC.
Narrative: ON SKEBR ARR INTO LAS, AT SKEBR ACFT WAS NOTED TURNING R ON APPROX 040 DEG HDG RATHER THAN A HARD L TURN TO KEPEC. BEFORE WE COULD GET KEPEC MANUALLY ENTERED INTO FMC, CTLR NOTED OUR COURSE DEV AND GAVE US VECTORS FOR REMAINDER OF ARR (CAPT WAS FLYING). RECREATING CIRCUMSTANCES, I DISCOVERED THAT WAYPOINTS BTWN SKEBR AND SHAND ON SKEBR ARR HAD NOT BEEN PLACED INTO FMC. FURTHER INVESTIGATION SHOWED NOTE ON FLT RELEASE THAT I HAD MISSED IN SAN DIEGO STATING THAT SKEBR AND IDALE ARR RTES IN FMC WERE MISSING THESE POINTS. IN RETROSPECT, I REALIZE NOW THAT AFTER SELECTING RWY 25L AS THE RWY, I CLOSED UP SHAND TO THE TOP OF ITS PAGE WITHOUT GOING TO PREVIOUS PAGE TO VERIFY WHICH WAYPOINT IT WAS FOLLOWING. I ALSO MISSED THE NOTE AT THE BOTTOM OF THE RELEASE WHICH WOULD HAVE ALERTED US TO THE PROB. NOTE WAS SOMEWHAT 'HIDDEN' IN THAT IT FOLLOWED THE NOTE ON RWY 25L ARRS WHICH HAS BEEN ON RELEASES FOR A LONG TIME -- MAKING IT EASY TO THINK IT'S THE SAME NOTE I'VE SEEN A THOUSAND TIMES. I'LL BE MAKING SURE I READ THOSE MORE THOROUGHLY IN THE FUTURE. WE ALSO COULD HAVE HELPED OURSELVES BY IMMEDIATELY ASKING FOR VECTORS FROM THE CTLR WHEN WE SAW WE HAD MISSED THE TURN RATHER THAN WASTING TIME TRYING TO ENTER THE MISSING POINT. HAVING THE FMC ON THE APCH PLATE WOULD HAVE BEEN HELPFUL AS WELL TO AT LEAST GET US TURNING IN THE CORRECT DIRECTION.
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.