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|
Attributes | |
ACN | 696076 |
Time | |
Date | 200603 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : teb.airport |
State Reference | NJ |
Altitude | msl bound lower : 1300 msl bound upper : 1500 |
Environment | |
Flight Conditions | VMC |
Aircraft 1 | |
Controlling Facilities | tracon : n90.tracon |
Operator | common carrier : charter |
Make Model Name | Learjet 31 |
Operating Under FAR Part | Part 135 |
Flight Phase | climbout : initial |
Route In Use | departure : noise abatement |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : charter |
Function | flight crew : captain oversight : pic |
Qualification | pilot : commercial pilot : multi engine pilot : instrument pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 9735 flight time type : 609 |
ASRS Report | 696076 |
Person 2 | |
Affiliation | company : charter |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : commercial pilot : cfi |
Experience | flight time last 90 days : 75 flight time total : 1200 flight time type : 25 |
ASRS Report | 696321 |
Events | |
Anomaly | altitude deviation : overshoot non adherence : published procedure non adherence : clearance |
Independent Detector | other controllerb |
Resolutory Action | flight crew : returned to original clearance flight crew : returned to assigned altitude |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
First officer was in aircraft computing told and obtaining IFR clearance while captain was performing exterior walk around and completing payment for FBO services. When captain had finished; he joined first officer in cockpit to begin departure. Clearance and routing were discussed. First officer presented captain the teb 5 departure and had set navaids and altitude alerter correctly for teb 5 departure. Comment was made by captain to first officer how everything was correct and routing was then discussed and using a highlight pen was drawn on IFR chart. While holding number one for departure runway 19 we again reviewed the departure. After clearance onto the runway we were cleared for takeoff. We executed the procedure; runway heading to 800 ft then turn to right heading 280 degrees and maintain 1500 ft. After the turn and leveloff we were instructed to contact departure. First officer then checked in level 1500 ft dalton departure. This immediately caught my attention because the departure the first officer had given me and set up in the cockpit was for the teb 5 departure. ATC acknowledged our check and then informed us we were in violation of the dalton departure and told us it was very clearly depicted on the departure plate. I immediately descended to 1300 ft informed ATC who said we were in violation of the departure and that the big guy above us (I assume traffic in ewr) was unhappy about it. We heard nothing else and continued the flight. After arriving at ilg and reviewing the departure chart it was obvious we had received the dalton departure which is on the opposite side of the teb departure chart but had looked at; set up and flown the teb 5 departure. The first officer acknowledged she had done just that. I believe the first officer just became confused after receiving the clearance and looked at the wrong side of the departure chart. The departures are similar in initial turn altitude and heading but the dalton departure states remain VFR below 1300 ft. This was the first officer's initial trip into teb. More attention to detail and better crew communications on clrncs received would help in this circumstance. Perhaps the departures being so similar but printed on different pages would also help prevent this type error. Supplemental information from acn 696321: after ny approach said we were off on altitude; the captain immediately descended to 1300 ft.
Original NASA ASRS Text
Title: LR31 FLT CREW ON DALTON 1 DEP FROM TEB OVERSHOOTS INITIAL ALT OF 1300 FT.
Narrative: FO WAS IN ACFT COMPUTING TOLD AND OBTAINING IFR CLRNC WHILE CAPT WAS PERFORMING EXTERIOR WALK AROUND AND COMPLETING PAYMENT FOR FBO SVCS. WHEN CAPT HAD FINISHED; HE JOINED FO IN COCKPIT TO BEGIN DEP. CLRNC AND ROUTING WERE DISCUSSED. FO PRESENTED CAPT THE TEB 5 DEP AND HAD SET NAVAIDS AND ALT ALERTER CORRECTLY FOR TEB 5 DEP. COMMENT WAS MADE BY CAPT TO FO HOW EVERYTHING WAS CORRECT AND ROUTING WAS THEN DISCUSSED AND USING A HIGHLIGHT PEN WAS DRAWN ON IFR CHART. WHILE HOLDING NUMBER ONE FOR DEP RWY 19 WE AGAIN REVIEWED THE DEP. AFTER CLRNC ONTO THE RWY WE WERE CLRED FOR TKOF. WE EXECUTED THE PROC; RWY HEADING TO 800 FT THEN TURN TO R HEADING 280 DEGS AND MAINTAIN 1500 FT. AFTER THE TURN AND LEVELOFF WE WERE INSTRUCTED TO CONTACT DEP. FO THEN CHKED IN LEVEL 1500 FT DALTON DEP. THIS IMMEDIATELY CAUGHT MY ATTENTION BECAUSE THE DEP THE FO HAD GIVEN ME AND SET UP IN THE COCKPIT WAS FOR THE TEB 5 DEP. ATC ACKNOWLEDGED OUR CHK AND THEN INFORMED US WE WERE IN VIOLATION OF THE DALTON DEP AND TOLD US IT WAS VERY CLRLY DEPICTED ON THE DEP PLATE. I IMMEDIATELY DSNDED TO 1300 FT INFORMED ATC WHO SAID WE WERE IN VIOLATION OF THE DEP AND THAT THE BIG GUY ABOVE US (I ASSUME TFC IN EWR) WAS UNHAPPY ABOUT IT. WE HEARD NOTHING ELSE AND CONTINUED THE FLT. AFTER ARRIVING AT ILG AND REVIEWING THE DEP CHART IT WAS OBVIOUS WE HAD RECEIVED THE DALTON DEP WHICH IS ON THE OPPOSITE SIDE OF THE TEB DEP CHART BUT HAD LOOKED AT; SET UP AND FLOWN THE TEB 5 DEP. THE FO ACKNOWLEDGED SHE HAD DONE JUST THAT. I BELIEVE THE FO JUST BECAME CONFUSED AFTER RECEIVING THE CLRNC AND LOOKED AT THE WRONG SIDE OF THE DEP CHART. THE DEPS ARE SIMILAR IN INITIAL TURN ALT AND HEADING BUT THE DALTON DEP STATES REMAIN VFR BELOW 1300 FT. THIS WAS THE FO'S INITIAL TRIP INTO TEB. MORE ATTENTION TO DETAIL AND BETTER CREW COMS ON CLRNCS RECEIVED WOULD HELP IN THIS CIRCUMSTANCE. PERHAPS THE DEPS BEING SO SIMILAR BUT PRINTED ON DIFFERENT PAGES WOULD ALSO HELP PREVENT THIS TYPE ERROR. SUPPLEMENTAL INFO FROM ACN 696321: AFTER NY APCH SAID WE WERE OFF ON ALT; THE CAPT IMMEDIATELY DSNDED TO 1300 FT.
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.