37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 603401 |
Time | |
Date | 200312 |
Day | Sun |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | atc facility : zoa.artcc |
State Reference | CA |
Altitude | msl single value : 35000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zoa.artcc |
Operator | common carrier : air carrier |
Make Model Name | MD-11 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | cruise : level |
Route In Use | enroute : direct |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | observation : observer |
Qualification | pilot : flight engineer pilot : atp pilot : cfi |
Experience | flight time last 90 days : 300 flight time total : 9800 flight time type : 2000 |
ASRS Report | 603401 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | non adherence : company policies non adherence : far non adherence : published procedure |
Independent Detector | aircraft equipment : tcas other flight crewa |
Resolutory Action | other |
Supplementary | |
Problem Areas | Company Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
I was a deadheading crew member riding in the cockpit from pgum to hnl. The captain had left the cockpit and the first officer in the right seat was new with our company. The international relief officer was in the cockpit, behind the new first officer. The new first officer was having trouble with his position reports, so I was helping him out. While helping him make the report over position 24N, 170W, I noticed his airep form was filled out correctly, but he had programmed the next position in the FMS as N24, 175W. However, the flight plan paperwork said the next position should be N2500, W17500. I quickly questioned both working first officer's and they both agreed the next position in the FMS was wrong. While over N24, 170W (since I was the senior person in the cockpit at 7 yrs on the MD11), I quickly reprogrammed the FMS for N25, 175W. We then got the captain and informed him what was going on and also got his agreement of the correct position in the FMS. In my opinion, the senior crew members on that flight should have kept a closer eye on the new crew member. The FMS load plan probably was not double-checked after it was loaded either. A gross navigational error never occurred since the FMS was edited before the plane proceeded to the wrong position. Double-checking and vigilance cannot be stressed enough. I feel most international pilots do not get enough training from their companies. It was late at night and everyone was extremely tired.
Original NASA ASRS Text
Title: MD11 DEADHEADING PLT HELPED THE FO FROM GOING TO THE WRONG WAYPOINT, AS LISTED IN THE FMC, IN PACIFIC OCEANIC AIRSPACE.
Narrative: I WAS A DEADHEADING CREW MEMBER RIDING IN THE COCKPIT FROM PGUM TO HNL. THE CAPT HAD LEFT THE COCKPIT AND THE FO IN THE R SEAT WAS NEW WITH OUR COMPANY. THE IRO WAS IN THE COCKPIT, BEHIND THE NEW FO. THE NEW FO WAS HAVING TROUBLE WITH HIS POS RPTS, SO I WAS HELPING HIM OUT. WHILE HELPING HIM MAKE THE RPT OVER POS 24N, 170W, I NOTICED HIS AIREP FORM WAS FILLED OUT CORRECTLY, BUT HE HAD PROGRAMMED THE NEXT POS IN THE FMS AS N24, 175W. HOWEVER, THE FLT PLAN PAPERWORK SAID THE NEXT POS SHOULD BE N2500, W17500. I QUICKLY QUESTIONED BOTH WORKING FO'S AND THEY BOTH AGREED THE NEXT POS IN THE FMS WAS WRONG. WHILE OVER N24, 170W (SINCE I WAS THE SENIOR PERSON IN THE COCKPIT AT 7 YRS ON THE MD11), I QUICKLY REPROGRAMMED THE FMS FOR N25, 175W. WE THEN GOT THE CAPT AND INFORMED HIM WHAT WAS GOING ON AND ALSO GOT HIS AGREEMENT OF THE CORRECT POS IN THE FMS. IN MY OPINION, THE SENIOR CREW MEMBERS ON THAT FLT SHOULD HAVE KEPT A CLOSER EYE ON THE NEW CREW MEMBER. THE FMS LOAD PLAN PROBABLY WAS NOT DOUBLE-CHKED AFTER IT WAS LOADED EITHER. A GROSS NAVIGATIONAL ERROR NEVER OCCURRED SINCE THE FMS WAS EDITED BEFORE THE PLANE PROCEEDED TO THE WRONG POS. DOUBLE-CHKING AND VIGILANCE CANNOT BE STRESSED ENOUGH. I FEEL MOST INTL PLTS DO NOT GET ENOUGH TRAINING FROM THEIR COMPANIES. IT WAS LATE AT NIGHT AND EVERYONE WAS EXTREMELY TIRED.
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.