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|
Attributes | |
ACN | 679398 |
Time | |
Date | 200511 |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : dfw.airport |
State Reference | TX |
Altitude | msl single value : 29000 |
Environment | |
Flight Conditions | VMC |
Weather Elements | Thunderstorm Turbulence |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zfw.artcc |
Operator | common carrier : air carrier |
Make Model Name | MD-80 Series (DC-9-80) Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure : noise abatement departure sid : triss |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | artcc : zfw.artcc |
Operator | common carrier : air carrier |
Make Model Name | B737 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure sid : dallas8 |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : radar |
Experience | controller limited radar : 2 controller non radar : 1 controller radar : 9 controller time certified in position1 : 3 controller time certified in position2 : 5 |
ASRS Report | 679398 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | conflict : airborne less severe non adherence : clearance non adherence : published procedure other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | controller : issued alert |
Supplementary | |
Problem Areas | Flight Crew Human Performance Chart Or Publication |
Primary Problem | Ambiguous |
Situations | |
ATC Facility | procedure or policy : zfw.tracon |
Chart | sectional : triss |
Narrative:
The MD80 was assigned to the triss RNAV departure from dfw. After triss intersection; the MD80 turned direct txk instead of following the proper departure procedure. This caused him to drift into the B737 that was on the DALL8 departure lit transition. The pilot questioned his FMS and did not think he was supposed to be going direct txk once I informed him and asked where he was going. The supervisor filed this as a pilot deviation as per facility policy. I believe that the FMS was either programmed incorrectly; or malfunctioned. This situation occurs too frequently on the RNAV departures to continue. If it is a programming error on the part of the pilots; they need to be trained properly; quickly. If it is a bug in the boxes; the RNAV procedures should be suspended until it is corrected. These two aircraft were side by side at the same altitude with less than 5.5 NM lateral separation because the pilot and the FMS on the MD80 did not fly the proper route. I am at least as concerned by the fact that the pilot did not know exactly where the FMS was flying his plane. This is exceptionally dangerous. Confusion in the cockpit is bad. When it leads to aircraft in such close proximity; it can become tragic. Callback conversation with reporter revealed the following information: reporter emphasized that track deviations on the RNAV departures are both common and potentially hazardous. The use of multiple sids requires precise horizontal and vertical navigation and deviations of only a couple of miles can result in potential loss of separation. The frequency of deviations is such that the TRACON has developed a scripted statement to be read to flight crews that deviate. He feels the crews are either not programming the departures correctly or that the RNAV databases are flawed.
Original NASA ASRS Text
Title: ZFW CTLR RPTS MD80 ON TRISS RNAV DEP FROM DFW FAILED TO FOLLOW TXK TRANSITION.
Narrative: THE MD80 WAS ASSIGNED TO THE TRISS RNAV DEP FROM DFW. AFTER TRISS INTXN; THE MD80 TURNED DIRECT TXK INSTEAD OF FOLLOWING THE PROPER DEP PROC. THIS CAUSED HIM TO DRIFT INTO THE B737 THAT WAS ON THE DALL8 DEP LIT TRANSITION. THE PLT QUESTIONED HIS FMS AND DID NOT THINK HE WAS SUPPOSED TO BE GOING DIRECT TXK ONCE I INFORMED HIM AND ASKED WHERE HE WAS GOING. THE SUPVR FILED THIS AS A PLT DEV AS PER FACILITY POLICY. I BELIEVE THAT THE FMS WAS EITHER PROGRAMMED INCORRECTLY; OR MALFUNCTIONED. THIS SIT OCCURS TOO FREQUENTLY ON THE RNAV DEPS TO CONTINUE. IF IT IS A PROGRAMMING ERROR ON THE PART OF THE PLTS; THEY NEED TO BE TRAINED PROPERLY; QUICKLY. IF IT IS A BUG IN THE BOXES; THE RNAV PROCS SHOULD BE SUSPENDED UNTIL IT IS CORRECTED. THESE TWO ACFT WERE SIDE BY SIDE AT THE SAME ALT WITH LESS THAN 5.5 NM LATERAL SEPARATION BECAUSE THE PLT AND THE FMS ON THE MD80 DID NOT FLY THE PROPER RTE. I AM AT LEAST AS CONCERNED BY THE FACT THAT THE PLT DID NOT KNOW EXACTLY WHERE THE FMS WAS FLYING HIS PLANE. THIS IS EXCEPTIONALLY DANGEROUS. CONFUSION IN THE COCKPIT IS BAD. WHEN IT LEADS TO ACFT IN SUCH CLOSE PROXIMITY; IT CAN BECOME TRAGIC. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: RPTR EMPHASIZED THAT TRACK DEVS ON THE RNAV DEPS ARE BOTH COMMON AND POTENTIALLY HAZARDOUS. THE USE OF MULTIPLE SIDS REQUIRES PRECISE HORIZONTAL AND VERT NAVIGATION AND DEVS OF ONLY A COUPLE OF MILES CAN RESULT IN POTENTIAL LOSS OF SEPARATION. THE FREQUENCY OF DEVS IS SUCH THAT THE TRACON HAS DEVELOPED A SCRIPTED STATEMENT TO BE READ TO FLT CREWS THAT DEVIATE. HE FEELS THE CREWS ARE EITHER NOT PROGRAMMING THE DEPS CORRECTLY OR THAT THE RNAV DATABASES ARE FLAWED.
Data retrieved from NASA's ASRS site as of January 2009 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.