37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 599898 |
Time | |
Date | 200311 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | intersection : roppr |
State Reference | NV |
Altitude | msl bound lower : 7000 msl bound upper : 9000 |
Environment | |
Flight Conditions | IMC |
Light | Dusk |
Aircraft 1 | |
Controlling Facilities | tracon : l30.tracon |
Operator | general aviation : corporate |
Make Model Name | IAI1123 Westwind |
Operating Under FAR Part | Part 91 |
Navigation In Use | other |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure sid : tralr |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : captain oversight : pic |
Qualification | pilot : multi engine pilot : instrument pilot : atp pilot : cfi pilot : commercial |
Experience | flight time last 90 days : 75 flight time total : 9300 flight time type : 40 |
ASRS Report | 599898 |
Person 2 | |
Affiliation | company : corporate |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : commercial pilot : cfi pilot : atp |
Experience | flight time last 90 days : 60 flight time total : 7000 flight time type : 40 |
ASRS Report | 600259 |
Events | |
Anomaly | altitude deviation : crossing restriction not met altitude deviation : overshoot non adherence : far non adherence : clearance non adherence : published procedure other anomaly |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance flight crew : became reoriented |
Supplementary | |
Problem Areas | FAA Chart Or Publication Flight Crew Human Performance ATC Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
2 pilots, PIC and sic. I was acting as PIC. Departure on runway 19R at las. We were issued the tralr RNAV one departure, dove creek (dvc) transition. Upon receipt of the departure clearance, the sic reviewed the text portion of the SID. Next, the sic reviewed the graphical depiction of the SID starting at the transition fix (dvc) and working back to the departure runway. The first restr is willw waypoint. The next restr is ceasr waypoint. The next and only other altitude restr is at roppr waypoint and is 7000 ft. The problem was the sic misinterpreted this restr as another 'at or above' crossing, when in fact, the chart actually said 'at or below 7000 ft.' the sic briefed the PIC on the departure. After the takeoff we were handed over to departure and departure stated that we were to fly the SID and comply with all restrs. Shortly thereafter, the controller mentioned that we should comply with all restrs including speed restrs. The sic noticed our ground speed was well over 250 KTS but that our indicated airspeed was in fact 240 KTS and confirmed 240 KTS with the controller. The next controller mentioned that we should comply with all restrs on the SID. The sic informed the PIC that we were just past roppr at nearly 9000 ft. We are not certain if we were actually higher than the 7000 ft restr at roppr however, due to the numerous comments by the controllers, that we assumed were prompted by our high ground speed, we feel that it is quite possible we climbed above the 7000 ft restr. Prevention: in the future we will both review the departure procedure and each restr notation will be read carefully. When you have several similar restrs all following a common pattern it is very easy to misinterpret one of the items depicted on the chart.
Original NASA ASRS Text
Title: WESTWIND I CREW DID NOT COMPLY WITH THE FIRST XING RESTR ON THE TRALR RNAV ONE SIDE AT LAS.
Narrative: 2 PLTS, PIC AND SIC. I WAS ACTING AS PIC. DEP ON RWY 19R AT LAS. WE WERE ISSUED THE TRALR RNAV ONE DEP, DOVE CREEK (DVC) TRANSITION. UPON RECEIPT OF THE DEP CLRNC, THE SIC REVIEWED THE TEXT PORTION OF THE SID. NEXT, THE SIC REVIEWED THE GRAPHICAL DEPICTION OF THE SID STARTING AT THE TRANSITION FIX (DVC) AND WORKING BACK TO THE DEP RWY. THE FIRST RESTR IS WILLW WAYPOINT. THE NEXT RESTR IS CEASR WAYPOINT. THE NEXT AND ONLY OTHER ALT RESTR IS AT ROPPR WAYPOINT AND IS 7000 FT. THE PROB WAS THE SIC MISINTERPRETED THIS RESTR AS ANOTHER 'AT OR ABOVE' XING, WHEN IN FACT, THE CHART ACTUALLY SAID 'AT OR BELOW 7000 FT.' THE SIC BRIEFED THE PIC ON THE DEP. AFTER THE TKOF WE WERE HANDED OVER TO DEP AND DEP STATED THAT WE WERE TO FLY THE SID AND COMPLY WITH ALL RESTRS. SHORTLY THEREAFTER, THE CTLR MENTIONED THAT WE SHOULD COMPLY WITH ALL RESTRS INCLUDING SPD RESTRS. THE SIC NOTICED OUR GND SPD WAS WELL OVER 250 KTS BUT THAT OUR INDICATED AIRSPD WAS IN FACT 240 KTS AND CONFIRMED 240 KTS WITH THE CTLR. THE NEXT CTLR MENTIONED THAT WE SHOULD COMPLY WITH ALL RESTRS ON THE SID. THE SIC INFORMED THE PIC THAT WE WERE JUST PAST ROPPR AT NEARLY 9000 FT. WE ARE NOT CERTAIN IF WE WERE ACTUALLY HIGHER THAN THE 7000 FT RESTR AT ROPPR HOWEVER, DUE TO THE NUMEROUS COMMENTS BY THE CTLRS, THAT WE ASSUMED WERE PROMPTED BY OUR HIGH GND SPD, WE FEEL THAT IT IS QUITE POSSIBLE WE CLBED ABOVE THE 7000 FT RESTR. PREVENTION: IN THE FUTURE WE WILL BOTH REVIEW THE DEP PROC AND EACH RESTR NOTATION WILL BE READ CAREFULLY. WHEN YOU HAVE SEVERAL SIMILAR RESTRS ALL FOLLOWING A COMMON PATTERN IT IS VERY EASY TO MISINTERPRET ONE OF THE ITEMS DEPICTED ON THE CHART.
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.