37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 614340 |
Time | |
Date | 200404 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : dal.airport |
State Reference | TX |
Altitude | msl bound lower : 5000 msl bound upper : 5350 |
Environment | |
Flight Conditions | Mixed |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : d10.tracon tower : las.tower |
Operator | general aviation : corporate |
Make Model Name | Falcon 50 |
Operating Under FAR Part | Part 91 |
Navigation In Use | other |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure sid : n/s |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 120 flight time total : 8000 flight time type : 2000 |
ASRS Report | 614340 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : overshoot non adherence : clearance non adherence : published procedure other spatial deviation |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : returned to intended or assigned course flight crew : returned to assigned altitude none taken : detected after the fact |
Supplementary | |
Problem Areas | ATC Human Performance Aircraft Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
After a rushed taxi out and immediate takeoff clearance, we took off runway 31L from dal on published SID. First officer loaded SID in FMS's. Normal procedure is to review SID prior to taxi out. My electronic flight bag dropped off line just before taxi out, preventing me from reviewing SID from PNF's (right seat) electronic flight bag. Instead of having the other pilot give me his 'efb' unit to review procedure, I elected to reboot my 'efb' and review SID at end of taxi to runway hold short position. Due to 'cleared for immediate takeoff no delay,' I did not review SID set-up before takeoff and relied on first officer's brief and set-up. Once airborne, I viewed my now functioning 'efb' and saw that it called for a turn. At a DME distance from localizer DME, I tuned the DME frequency in and noticed we were already past this point. I told sic we should turn to the heading and he disagreed. I then held up my 'efb' so he could read it for himself. This distraction caused us to go above our assigned altitude by 350 ft. Then after he read the SID instructions, we came to agreement and leveled to correct altitude and turned to correct heading. The sic then determined he loaded and briefed the procedure for runway 13L instead of runway 31L. Rushing through the whole departure process prevented us from properly setting up, briefing and checking out work. The malfunctioning 'efb' also contributed to this scenario.
Original NASA ASRS Text
Title: HDG TRACK DEV WITH AN ALT OVERSHOOT WHEN A CPR FASO PIC GETS BEHIND HIS ACFT DURING A SID DEP FROM DAL, TX.
Narrative: AFTER A RUSHED TAXI OUT AND IMMEDIATE TKOF CLRNC, WE TOOK OFF RWY 31L FROM DAL ON PUBLISHED SID. FO LOADED SID IN FMS'S. NORMAL PROC IS TO REVIEW SID PRIOR TO TAXI OUT. MY ELECTRONIC FLT BAG DROPPED OFF LINE JUST BEFORE TAXI OUT, PREVENTING ME FROM REVIEWING SID FROM PNF'S (R SEAT) ELECTRONIC FLT BAG. INSTEAD OF HAVING THE OTHER PLT GIVE ME HIS 'EFB' UNIT TO REVIEW PROC, I ELECTED TO REBOOT MY 'EFB' AND REVIEW SID AT END OF TAXI TO RWY HOLD SHORT POS. DUE TO 'CLRED FOR IMMEDIATE TKOF NO DELAY,' I DID NOT REVIEW SID SET-UP BEFORE TKOF AND RELIED ON FO'S BRIEF AND SET-UP. ONCE AIRBORNE, I VIEWED MY NOW FUNCTIONING 'EFB' AND SAW THAT IT CALLED FOR A TURN. AT A DME DISTANCE FROM LOC DME, I TUNED THE DME FREQ IN AND NOTICED WE WERE ALREADY PAST THIS POINT. I TOLD SIC WE SHOULD TURN TO THE HDG AND HE DISAGREED. I THEN HELD UP MY 'EFB' SO HE COULD READ IT FOR HIMSELF. THIS DISTR CAUSED US TO GO ABOVE OUR ASSIGNED ALT BY 350 FT. THEN AFTER HE READ THE SID INSTRUCTIONS, WE CAME TO AGREEMENT AND LEVELED TO CORRECT ALT AND TURNED TO CORRECT HDG. THE SIC THEN DETERMINED HE LOADED AND BRIEFED THE PROC FOR RWY 13L INSTEAD OF RWY 31L. RUSHING THROUGH THE WHOLE DEP PROCESS PREVENTED US FROM PROPERLY SETTING UP, BRIEFING AND CHKING OUT WORK. THE MALFUNCTIONING 'EFB' ALSO CONTRIBUTED TO THIS SCENARIO.
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.