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|
Attributes | |
ACN | 582123 |
Time | |
Date | 200305 |
Day | Fri |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : sna.airport |
State Reference | CA |
Altitude | msl bound lower : 500 msl bound upper : 2000 |
Environment | |
Light | Dusk |
Aircraft 1 | |
Controlling Facilities | tracon : sct.tracon tower : sna.tower |
Operator | common carrier : air carrier |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : intermediate altitude climbout : initial |
Route In Use | departure : noise abatement |
Flight Plan | IFR |
Aircraft 2 | |
Make Model Name | Small Aircraft |
Operating Under FAR Part | Part 91 |
Flight Phase | cruise : level |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
ASRS Report | 582123 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
ASRS Report | 582122 |
Events | |
Anomaly | conflict : airborne critical non adherence : clearance non adherence : published procedure other spatial deviation |
Independent Detector | aircraft equipment : tcas other controllera other flight crewa |
Resolutory Action | controller : issued advisory flight crew : became reoriented flight crew : returned to original clearance |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Flight Crew Human Performance ATC Human Performance Airspace Structure Environmental Factor |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Immediately after selecting gear up and heading, we had 2 aircraft at our 10 O'clock and 11 O'clock position, our altitude. We idented traffic and continued the climb. Immediately after, we received 2 more traffic alerts at 12:30 O'clock position less than 2 mi our altitude via TCASII (no tower communication). The first officer was PF and started the turn for the SID, but apparently became distracted by numerous traffic and began to follow the command bars of the flight director. We were both heads up looking for rapidly approaching traffic and unaware that the flight director system was still in heading and not LNAV. We saw traffic at 12 O'clock position and began to catch up the climb flow and change to departure, where we were advised at the same time, we discovered we had missed the turn to 175 degrees at 1.5 DME. We were approximately 1-2 mi south of the turn when we initiated the turn. ATC advised us that we might get a call because of noise abatement procedures. They also advised the tower of the traffic conflicts which we were searching for and avoiding. This was the 6TH leg of a 13 hour day and a short overnight prior we were starting to slow down in reaction time and response time.
Original NASA ASRS Text
Title: NUMEROUS DISTRACTIONS AND TFC CONFLICTS CREATE AN ENVIRONMENT OF CONFUSION WHEREIN A DEP EMJ FLT CREW FAILS TO FOLLOW THE DEP PROC LEAVING SNA, CA.
Narrative: IMMEDIATELY AFTER SELECTING GEAR UP AND HEADING, WE HAD 2 ACFT AT OUR 10 O'CLOCK AND 11 O'CLOCK POS, OUR ALT. WE IDENTED TFC AND CONTINUED THE CLB. IMMEDIATELY AFTER, WE RECEIVED 2 MORE TFC ALERTS AT 12:30 O'CLOCK POS LESS THAN 2 MI OUR ALT VIA TCASII (NO TWR COM). THE FO WAS PF AND STARTED THE TURN FOR THE SID, BUT APPARENTLY BECAME DISTRACTED BY NUMEROUS TFC AND BEGAN TO FOLLOW THE COMMAND BARS OF THE FLT DIRECTOR. WE WERE BOTH HEADS UP LOOKING FOR RAPIDLY APCHING TFC AND UNAWARE THAT THE FLT DIRECTOR SYS WAS STILL IN HEADING AND NOT LNAV. WE SAW TFC AT 12 O'CLOCK POS AND BEGAN TO CATCH UP THE CLB FLOW AND CHANGE TO DEP, WHERE WE WERE ADVISED AT THE SAME TIME, WE DISCOVERED WE HAD MISSED THE TURN TO 175 DEGS AT 1.5 DME. WE WERE APPROX 1-2 MI S OF THE TURN WHEN WE INITIATED THE TURN. ATC ADVISED US THAT WE MIGHT GET A CALL BECAUSE OF NOISE ABATEMENT PROCS. THEY ALSO ADVISED THE TWR OF THE TFC CONFLICTS WHICH WE WERE SEARCHING FOR AND AVOIDING. THIS WAS THE 6TH LEG OF A 13 HR DAY AND A SHORT OVERNIGHT PRIOR WE WERE STARTING TO SLOW DOWN IN REACTION TIME AND RESPONSE TIME.
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.