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|
Attributes | |
ACN | 615187 |
Time | |
Date | 200404 |
Day | Fri |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : vny.airport |
State Reference | CA |
Altitude | msl single value : 2000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : sct.tracon |
Operator | common carrier : charter |
Make Model Name | Beechjet 400 |
Operating Under FAR Part | Part 135 |
Navigation In Use | other |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure sid : n/s |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : charter |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : cfi pilot : atp |
Experience | flight time last 90 days : 90 flight time total : 6000 flight time type : 750 |
ASRS Report | 615187 |
Person 2 | |
Affiliation | company : charter |
Function | flight crew : first officer |
Events | |
Anomaly | altitude deviation : overshoot altitude deviation : crossing restriction not met non adherence : published procedure non adherence : clearance other spatial deviation |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : returned to original clearance flight crew : became reoriented none taken : insufficient time |
Consequence | other |
Supplementary | |
Problem Areas | Flight Crew Human Performance FAA Environmental Factor Company |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
At our company, pilots are on duty for all 24 hours on a 'day on.' I was called for this trip in the evening and informed I would need to drive to another base 1 1/2 hours away to pick up another aircraft. I would be flying with a brand new copilot from ccr to sdl to vny to ccr. We took a lengthy delay in vny waiting for the passenger's transportation. At early morning, we finally departed. It was the copilot's leg and we did a quick briefing of the departure. This departure included an altitude restr and a fairly prompt right turn. On the climb out, he climbed through the altitude restr and missed the turn. He appeared to be having difficulty interpreting what was selected on his flight director. Contributing factors were that we had both been up for 20+ hours (as we do not have designated rest periods like airlines) and the copilot was new to the aircraft, and I should have conducted a more thorough briefing to make sure he was clear on what was going to happen. As for corrective actions, I'm currently on a scheduling committee that is trying to work on assigning rest periods (although I think that should be an FAA requirement for 135 operations as well). Additionally, we're trying to standardize procedures for our pilots, so that it's a little more clear what is expected of each pilot in operations. Finally, you can't stress enough how important taking your time is in an aircraft, even when it's late, you have a long drive ahead, and you want to get home, to make a thorough and complete briefing.
Original NASA ASRS Text
Title: BE40 CAPT REVIEWS REASONS FOR VNY DEP CLRNC VIOLATION DURING A CPR 20 HR DUTY DAY.
Narrative: AT OUR COMPANY, PLTS ARE ON DUTY FOR ALL 24 HRS ON A 'DAY ON.' I WAS CALLED FOR THIS TRIP IN THE EVENING AND INFORMED I WOULD NEED TO DRIVE TO ANOTHER BASE 1 1/2 HRS AWAY TO PICK UP ANOTHER ACFT. I WOULD BE FLYING WITH A BRAND NEW COPLT FROM CCR TO SDL TO VNY TO CCR. WE TOOK A LENGTHY DELAY IN VNY WAITING FOR THE PAX'S TRANSPORTATION. AT EARLY MORNING, WE FINALLY DEPARTED. IT WAS THE COPLT'S LEG AND WE DID A QUICK BRIEFING OF THE DEP. THIS DEP INCLUDED AN ALT RESTR AND A FAIRLY PROMPT R TURN. ON THE CLBOUT, HE CLBED THROUGH THE ALT RESTR AND MISSED THE TURN. HE APPEARED TO BE HAVING DIFFICULTY INTERPRETING WHAT WAS SELECTED ON HIS FLT DIRECTOR. CONTRIBUTING FACTORS WERE THAT WE HAD BOTH BEEN UP FOR 20+ HRS (AS WE DO NOT HAVE DESIGNATED REST PERIODS LIKE AIRLINES) AND THE COPLT WAS NEW TO THE ACFT, AND I SHOULD HAVE CONDUCTED A MORE THOROUGH BRIEFING TO MAKE SURE HE WAS CLR ON WHAT WAS GOING TO HAPPEN. AS FOR CORRECTIVE ACTIONS, I'M CURRENTLY ON A SCHEDULING COMMITTEE THAT IS TRYING TO WORK ON ASSIGNING REST PERIODS (ALTHOUGH I THINK THAT SHOULD BE AN FAA REQUIREMENT FOR 135 OPS AS WELL). ADDITIONALLY, WE'RE TRYING TO STANDARDIZE PROCS FOR OUR PLTS, SO THAT IT'S A LITTLE MORE CLR WHAT IS EXPECTED OF EACH PLT IN OPS. FINALLY, YOU CAN'T STRESS ENOUGH HOW IMPORTANT TAKING YOUR TIME IS IN AN ACFT, EVEN WHEN IT'S LATE, YOU HAVE A LONG DRIVE AHEAD, AND YOU WANT TO GET HOME, TO MAKE A THOROUGH AND COMPLETE BRIEFING.
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.