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|
Attributes | |
ACN | 702960 |
Time | |
Date | 200607 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | intersection : model |
State Reference | VA |
Altitude | msl single value : 15000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zdc.artcc |
Operator | common carrier : air carrier |
Make Model Name | EMB ERJ 135 ER&LR |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | climbout : initial |
Route In Use | departure sid : colin.4 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Experience | flight time last 90 days : 240 flight time type : 1100 |
ASRS Report | 702960 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
ASRS Report | 702957 |
Events | |
Anomaly | aircraft equipment problem : less severe non adherence : clearance non adherence : published procedure other spatial deviation |
Independent Detector | other other : 3 |
Resolutory Action | controller : issued advisory flight crew : returned to intended or assigned course |
Supplementary | |
Problem Areas | Chart Or Publication Aircraft ATC Human Performance Flight Crew Human Performance |
Primary Problem | Aircraft |
Air Traffic Incident | Pilot Deviation |
Narrative:
Clearance was the colin four departure pxt then as filed. The flight plan was put into the FMS and verified by myself and the first officer. After departure from ric; we were initially given radar vectors until told to go direct model and intercept the colin four departure. Direct model was selected and verified in the FMS and mfd. The PNF backed the FMS up with VOR navigation. The course from model to colin was set up using the hcm VOR. At model; the aircraft turned to follow the colin four departure. Neither the PNF or PF noticed that the FMS dropped the last two points of the colin four departure; which included the two points of interception of the korry three arrival (colin and pxt). The FMS went to gared. A short time after turning; ATC asked us if we were going direct to colin. The PNF informed ATC that we had turned to intercept the colin four departure after going direct to model. At this time the PNF and PF noticed the deviation from the hcm 010 of 2 to 2 1/2 dots off course. ATC gave us a left hand turn to avoid getting closer to R4006. The course deviation when the turn started was about 3 dots. After about 2 or 3 minutes; ATC gave us direct pxt. In the turn to pxt; ATC gave us direct gared if the turn to pxt was not going to work. When proceeded direct to gared. In the future as the captain; I will diligently verify the FMS sequence to the next waypoint. Do not let 'house keeping' duties distract from monitoring the backup navigation. After entries into the FMS; check that the next waypoint has not inadvertently been removed by me or the PNF.callback conversation with reporter revealed the following information: the first officer; the PNF; believes he may have executed the direct to clearance essentially simultaneously with the FMS transition from a waypoint over which they were passing to the subsequent waypoint. When that happened; immediately prior to selecting the direct waypoint; the actual waypoint selected was the one succeeding the correct one. Thus the direct to gared result. Reporter felt failure to re-verify the actual programming allowed the error to go undetected.
Original NASA ASRS Text
Title: E135 FLT CREW ON COLIN SID FROM RIC CLRED VIA KORRY STAR TO LGA SUFFERS LOSS OF PXT WAYPOINT.
Narrative: CLRNC WAS THE COLIN FOUR DEP PXT THEN AS FILED. THE FLT PLAN WAS PUT INTO THE FMS AND VERIFIED BY MYSELF AND THE FO. AFTER DEP FROM RIC; WE WERE INITIALLY GIVEN RADAR VECTORS UNTIL TOLD TO GO DIRECT MODEL AND INTERCEPT THE COLIN FOUR DEP. DIRECT MODEL WAS SELECTED AND VERIFIED IN THE FMS AND MFD. THE PNF BACKED THE FMS UP WITH VOR NAVIGATION. THE COURSE FROM MODEL TO COLIN WAS SET UP USING THE HCM VOR. AT MODEL; THE ACFT TURNED TO FOLLOW THE COLIN FOUR DEP. NEITHER THE PNF OR PF NOTICED THAT THE FMS DROPPED THE LAST TWO POINTS OF THE COLIN FOUR DEP; WHICH INCLUDED THE TWO POINTS OF INTERCEPTION OF THE KORRY THREE ARR (COLIN AND PXT). THE FMS WENT TO GARED. A SHORT TIME AFTER TURNING; ATC ASKED US IF WE WERE GOING DIRECT TO COLIN. THE PNF INFORMED ATC THAT WE HAD TURNED TO INTERCEPT THE COLIN FOUR DEP AFTER GOING DIRECT TO MODEL. AT THIS TIME THE PNF AND PF NOTICED THE DEV FROM THE HCM 010 OF 2 TO 2 1/2 DOTS OFF COURSE. ATC GAVE US A L HAND TURN TO AVOID GETTING CLOSER TO R4006. THE COURSE DEV WHEN THE TURN STARTED WAS ABOUT 3 DOTS. AFTER ABOUT 2 OR 3 MINUTES; ATC GAVE US DIRECT PXT. IN THE TURN TO PXT; ATC GAVE US DIRECT GARED IF THE TURN TO PXT WAS NOT GOING TO WORK. WHEN PROCEEDED DIRECT TO GARED. IN THE FUTURE AS THE CAPT; I WILL DILIGENTLY VERIFY THE FMS SEQUENCE TO THE NEXT WAYPOINT. DO NOT LET 'HOUSE KEEPING' DUTIES DISTRACT FROM MONITORING THE BACKUP NAVIGATION. AFTER ENTRIES INTO THE FMS; CHK THAT THE NEXT WAYPOINT HAS NOT INADVERTENTLY BEEN REMOVED BY ME OR THE PNF.CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE FO; THE PNF; BELIEVES HE MAY HAVE EXECUTED THE DIRECT TO CLRNC ESSENTIALLY SIMULTANEOUSLY WITH THE FMS TRANSITION FROM A WAYPOINT OVER WHICH THEY WERE PASSING TO THE SUBSEQUENT WAYPOINT. WHEN THAT HAPPENED; IMMEDIATELY PRIOR TO SELECTING THE DIRECT WAYPOINT; THE ACTUAL WAYPOINT SELECTED WAS THE ONE SUCCEEDING THE CORRECT ONE. THUS THE DIRECT TO GARED RESULT. RPTR FELT FAILURE TO RE-VERIFY THE ACTUAL PROGRAMMING ALLOWED THE ERROR TO GO UNDETECTED.
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.