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|
Attributes | |
ACN | 630535 |
Time | |
Date | 200409 |
Day | Mon |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : lit.airport |
State Reference | AR |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | general aviation : corporate |
Make Model Name | Citation V |
Operating Under FAR Part | Part 91 |
Flight Phase | landing : roll |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : captain oversight : pic |
Qualification | pilot : instrument pilot : commercial pilot : atp pilot : multi engine |
Experience | flight time last 90 days : 112 flight time total : 4100 flight time type : 1570 |
ASRS Report | 630535 |
Person 2 | |
Affiliation | company : corporate |
Function | flight crew : first officer |
Events | |
Anomaly | incursion : landing without clearance non adherence : far |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | none taken : detected after the fact |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
After being cleared for visual approach to runway 36, flight crew was instructed to contact tower. Crew became fixated on SOP's and checklist completion. Quite simply failed to change to tower frequency. After landing, we changed to tower while clearing the runway. This event occurred on the last passenger leg of a 7 day tour. The tour had many 12-14 hour duty days with multiple 10 hour rest periods. Single largest contributing factor was fatigue! Corrective action: classic failure to recognize own fatigue always results in overwhelming drive to 'press on.' we should plan ahead not to allow multiple long duty days to stack up.
Original NASA ASRS Text
Title: C560 FLT CREW ATTRIBUTES LNDG WITHOUT CLRNC TO FATIGUE AFTER 7 DAY TRIP SEQUENCE.
Narrative: AFTER BEING CLRED FOR VISUAL APCH TO RWY 36, FLT CREW WAS INSTRUCTED TO CONTACT TWR. CREW BECAME FIXATED ON SOP'S AND CHKLIST COMPLETION. QUITE SIMPLY FAILED TO CHANGE TO TWR FREQ. AFTER LNDG, WE CHANGED TO TWR WHILE CLRING THE RWY. THIS EVENT OCCURRED ON THE LAST PAX LEG OF A 7 DAY TOUR. THE TOUR HAD MANY 12-14 HR DUTY DAYS WITH MULTIPLE 10 HR REST PERIODS. SINGLE LARGEST CONTRIBUTING FACTOR WAS FATIGUE! CORRECTIVE ACTION: CLASSIC FAILURE TO RECOGNIZE OWN FATIGUE ALWAYS RESULTS IN OVERWHELMING DRIVE TO 'PRESS ON.' WE SHOULD PLAN AHEAD NOT TO ALLOW MULTIPLE LONG DUTY DAYS TO STACK UP.
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.