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|
Attributes | |
ACN | 707855 |
Time | |
Date | 200608 |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | intersection : hirst |
State Reference | TX |
Altitude | msl single value : 10000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : d10.tracon |
Operator | common carrier : air carrier |
Make Model Name | B737 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | descent : intermediate altitude |
Route In Use | arrival star : jen |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Experience | flight time last 90 days : 200 flight time total : 6000 flight time type : 1100 |
ASRS Report | 707855 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | aircraft equipment problem : less severe inflight encounter : weather non adherence : published procedure non adherence : clearance other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance controller : issued advisory |
Supplementary | |
Problem Areas | Chart Or Publication Aircraft ATC Human Performance Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
While on the glen rose eight arrival into dfw in VMC conditions at 10000 ft MSL; we were assigned to cross delmo at 250 KTS and to expect runway 18L for landing. This required a reprogramming in the FMC due to us having runway 17C in the box. Upon executing the runway 18L in the FMC it created a route discontinuity in the FMC after hirst intersection that was not seen immediately. In addition; the PNF was answering a call from the flight attendants and was not 'in the loop' of what ATC had assigned and the changes made in the FMC. Thinking that we were at delmo; I used heading select and turned the airplane to a 355 degree heading as stated on the arrival. ATC questioned our heading and also our 250 KT airspeed so far from delmo. We then realized the error and the route discontinuity was cleaned up and ATC assigned us 300 KTS direct to delmo intersection again. Of course all this was happening with separate controllers and after just deviating around thunderstorms. The cause of this problem was pilot error and not checking the route. Contributing factors include: 1) situational awareness concerning our position on the arrival. 2) distractions of the flight attendants calling; ATC controllers issuing different clrnces. 3) fatigue -- at the time of the incident we had been on duty approximately 12 hours and over 8 block hours of flying due to WX delays.
Original NASA ASRS Text
Title: B737 FLT CREW DISTRACTED BY MULTIPLE COCKPIT ACTIVITIES FAILS TO RECOGNIZE RTE DISCONTINUITY RESULTING FROM ATC RWY CHANGE. CREW FAILS TO MEET TRACK AND AIRSPD REQUIREMENTS OF THE GLEN ROSE STAR TO DFW.
Narrative: WHILE ON THE GLEN ROSE EIGHT ARR INTO DFW IN VMC CONDITIONS AT 10000 FT MSL; WE WERE ASSIGNED TO CROSS DELMO AT 250 KTS AND TO EXPECT RWY 18L FOR LNDG. THIS REQUIRED A REPROGRAMMING IN THE FMC DUE TO US HAVING RWY 17C IN THE BOX. UPON EXECUTING THE RWY 18L IN THE FMC IT CREATED A RTE DISCONTINUITY IN THE FMC AFTER HIRST INTXN THAT WAS NOT SEEN IMMEDIATELY. IN ADDITION; THE PNF WAS ANSWERING A CALL FROM THE FLT ATTENDANTS AND WAS NOT 'IN THE LOOP' OF WHAT ATC HAD ASSIGNED AND THE CHANGES MADE IN THE FMC. THINKING THAT WE WERE AT DELMO; I USED HDG SELECT AND TURNED THE AIRPLANE TO A 355 DEG HDG AS STATED ON THE ARR. ATC QUESTIONED OUR HDG AND ALSO OUR 250 KT AIRSPD SO FAR FROM DELMO. WE THEN REALIZED THE ERROR AND THE RTE DISCONTINUITY WAS CLEANED UP AND ATC ASSIGNED US 300 KTS DIRECT TO DELMO INTXN AGAIN. OF COURSE ALL THIS WAS HAPPENING WITH SEPARATE CTLRS AND AFTER JUST DEVIATING AROUND TSTMS. THE CAUSE OF THIS PROB WAS PLT ERROR AND NOT CHKING THE RTE. CONTRIBUTING FACTORS INCLUDE: 1) SITUATIONAL AWARENESS CONCERNING OUR POSITION ON THE ARR. 2) DISTRACTIONS OF THE FLT ATTENDANTS CALLING; ATC CTLRS ISSUING DIFFERENT CLRNCES. 3) FATIGUE -- AT THE TIME OF THE INCIDENT WE HAD BEEN ON DUTY APPROX 12 HOURS AND OVER 8 BLOCK HOURS OF FLYING DUE TO WX DELAYS.
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.