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|
Attributes | |
ACN | 589755 |
Time | |
Date | 200308 |
Day | Wed |
Place | |
Locale Reference | atc facility : zau.artcc |
State Reference | IL |
Altitude | msl single value : 10000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zmp.artcc |
Operator | common carrier : air carrier |
Make Model Name | SF 340B |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise : level |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : multi engine |
Experience | flight time last 90 days : 250 flight time total : 2950 flight time type : 1400 |
ASRS Report | 589755 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | non adherence : company policies non adherence : clearance non adherence : far non adherence : published procedure other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance flight crew : became reoriented |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Flight Crew Human Performance Company |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Day 4 of the trip. Previously flew 18 legs in the last 3 days. Our normally scheduled routing to dsm was changed. Our route after cedar rapids was the wrong victor airway -- both pilots missed it. ATC queried us about the mistake. We rechked our flight plan, admitted the mistake and asked if 'we were ok.' they said, 'no problem,' and cleared us direct to dsm. Right before we were handed off to dsm, I asked again if we were ok and they said it was 'dropped at their end.' major contributing factor: fatigue. We are constantly being pushed in this industry to do the most for the least. After reviewing previous NASA forms, I've seen a pattern of mistakes on the last day of a 4 or 5 day trip where fatigue is greatest.
Original NASA ASRS Text
Title: AN SF340B CAPT COMPLAINED THAT FATIGUE WAS A MAJOR CONTRIBUTION TO A TRACK DEV WITH ZAU.
Narrative: DAY 4 OF THE TRIP. PREVIOUSLY FLEW 18 LEGS IN THE LAST 3 DAYS. OUR NORMALLY SCHEDULED ROUTING TO DSM WAS CHANGED. OUR RTE AFTER CEDAR RAPIDS WAS THE WRONG VICTOR AIRWAY -- BOTH PLTS MISSED IT. ATC QUERIED US ABOUT THE MISTAKE. WE RECHKED OUR FLT PLAN, ADMITTED THE MISTAKE AND ASKED IF 'WE WERE OK.' THEY SAID, 'NO PROB,' AND CLRED US DIRECT TO DSM. RIGHT BEFORE WE WERE HANDED OFF TO DSM, I ASKED AGAIN IF WE WERE OK AND THEY SAID IT WAS 'DROPPED AT THEIR END.' MAJOR CONTRIBUTING FACTOR: FATIGUE. WE ARE CONSTANTLY BEING PUSHED IN THIS INDUSTRY TO DO THE MOST FOR THE LEAST. AFTER REVIEWING PREVIOUS NASA FORMS, I'VE SEEN A PATTERN OF MISTAKES ON THE LAST DAY OF A 4 OR 5 DAY TRIP WHERE FATIGUE IS GREATEST.
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.