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Heading track deviation occurs when a C750 flight crew briefs and uses the wrong SID when departing vny, ca.
| Attributes | |
| ACN | 586974 |
| Time | |
| Date | 200307 |
| Day | Tue |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | navaid : vny.vor |
| State Reference | CA |
| Altitude | msl bound lower : 1000 msl bound upper : 1700 |
| Environment | |
| Flight Conditions | Mixed |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | tracon : sct.tracon |
| Operator | general aviation : corporate |
| Make Model Name | Citation X |
| Operating Under FAR Part | Part 91 |
| Flight Phase | descent : intermediate altitude |
| Route In Use | departure sid : glendale |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : corporate |
| Function | flight crew : first officer |
| Qualification | pilot : atp pilot : commercial pilot : instrument pilot : multi engine |
| Experience | flight time last 90 days : 56 flight time total : 6000 flight time type : 480 |
| ASRS Report | 586974 |
| Person 2 | |
| Affiliation | company : corporate |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| Experience | flight time last 90 days : 240 flight time total : 10500 flight time type : 850 |
| ASRS Report | 586976 |
| Events | |
| Anomaly | conflict : airborne less severe non adherence : clearance non adherence : published procedure other spatial deviation |
| Independent Detector | other controllera |
| Resolutory Action | controller : issued new clearance controller : issued advisory flight crew : returned to intended or assigned course |
| Consequence | faa : reviewed incident with flight crew |
| Supplementary | |
| Problem Areas | Company Flight Crew Human Performance Chart Or Publication |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
I took off, CE750, from runway 16L at vny. As the flying copilot, I executed the glendale eight departure, instead of the ATC cleared canoga eight departure. ATC notified crew of deviation. Also said another aircraft was involved. We immediately turned according to ATC instructions and were told to contact ATC upon arrival at our destination. We never saw another aircraft or got a TCASII alert. The captain briefed the departure and I rebriefed the procedure. The canoga eight and the glendale eight are on 1 sheet of paper. Sometime after ATC clearance and before departure, the paper got flipped over and we briefed and executed the wrong procedure. I attribute this error to the following: 1) fatigue: crew was on duty previous day 13 hours and flew 8 hours. 2) improper brief: although both the copilot and the captain briefed the SID, neither one briefed the name of the SID and insured it was the one in our ATC clearance. 3) infrequent user of the airfield. 4) similarity of SID: the canoga and glendale SID's are very similar. To avoid this type of deviation I will confirm our briefed departure complies with our clearance prior to briefing and executing it. Supplemental information from acn 586976: I feel fatigue played a large role in this incident along with a quick turn and feeling rushed by the company. We were also apprehensive about a very short flight to minimum WX approach.
Original NASA ASRS Text
Title: HEADING TRACK DEV OCCURS WHEN A C750 FLT CREW BRIEFS AND USES THE WRONG SID WHEN DEPARTING VNY, CA.
Narrative: I TOOK OFF, CE750, FROM RWY 16L AT VNY. AS THE FLYING COPLT, I EXECUTED THE GLENDALE EIGHT DEP, INSTEAD OF THE ATC CLRED CANOGA EIGHT DEP. ATC NOTIFIED CREW OF DEV. ALSO SAID ANOTHER ACFT WAS INVOLVED. WE IMMEDIATELY TURNED ACCORDING TO ATC INSTRUCTIONS AND WERE TOLD TO CONTACT ATC UPON ARR AT OUR DEST. WE NEVER SAW ANOTHER ACFT OR GOT A TCASII ALERT. THE CAPT BRIEFED THE DEP AND I REBRIEFED THE PROC. THE CANOGA EIGHT AND THE GLENDALE EIGHT ARE ON 1 SHEET OF PAPER. SOMETIME AFTER ATC CLRNC AND BEFORE DEP, THE PAPER GOT FLIPPED OVER AND WE BRIEFED AND EXECUTED THE WRONG PROC. I ATTRIBUTE THIS ERROR TO THE FOLLOWING: 1) FATIGUE: CREW WAS ON DUTY PREVIOUS DAY 13 HRS AND FLEW 8 HRS. 2) IMPROPER BRIEF: ALTHOUGH BOTH THE COPLT AND THE CAPT BRIEFED THE SID, NEITHER ONE BRIEFED THE NAME OF THE SID AND INSURED IT WAS THE ONE IN OUR ATC CLRNC. 3) INFREQUENT USER OF THE AIRFIELD. 4) SIMILARITY OF SID: THE CANOGA AND GLENDALE SID'S ARE VERY SIMILAR. TO AVOID THIS TYPE OF DEV I WILL CONFIRM OUR BRIEFED DEP COMPLIES WITH OUR CLRNC PRIOR TO BRIEFING AND EXECUTING IT. SUPPLEMENTAL INFO FROM ACN 586976: I FEEL FATIGUE PLAYED A LARGE ROLE IN THIS INCIDENT ALONG WITH A QUICK TURN AND FEELING RUSHED BY THE COMPANY. WE WERE ALSO APPREHENSIVE ABOUT A VERY SHORT FLT TO MINIMUM WX APCH.
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.