37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 709853 |
Time | |
Date | 200609 |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : phx.airport |
State Reference | AZ |
Altitude | agl single value : 1550 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : p50.tracon tower : atl.tower |
Operator | common carrier : air carrier |
Make Model Name | B757 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure sid : sjn.3 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 220 flight time total : 17000 flight time type : 8000 |
ASRS Report | 709853 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | non adherence : published procedure non adherence : clearance other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | flight crew : returned to original clearance |
Supplementary | |
Problem Areas | ATC Human Performance Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
Upon receiving our pre departure clearance; I looked at it and saw the name of our departure 'maxxo 1.' it was already loaded in the FMS so I briefed it quickly and the copilot and I laughed about the instructions to turn from 078 degrees to 080 degrees at 1550 ft. I almost missed the turn to 100 degrees later in the departure. After takeoff and soon after turning to 100 degrees; the departure controller asked if we were going to make the left turn on the sjn 3 departure. We told him we were flying the maxxo departure. We looked at the pre departure clearance again and saw that the sjn 3 departure was also on our pre departure clearance -- in the 'cleared' section! Maxxo was listed in the 'filed route' section. There was no traffic conflict. I feel the pre departure clearance format set me up to make this mistake. It was an early morning departure and 2 departures were listed on the pre departure clearance. Even though I should have seen that 1 was 'cleared' and 1 was 'filed;' I don't think that 2 rtes should ever be displayed on a pre departure clearance. If a crew makes a mistake like I did; there is no external safeguard before the possibility of a traffic conflict occurs. Only information that directly pertains to what ATC wants us to do with our aircraft should be on the pre departure clearance or there should be an external xchk.
Original NASA ASRS Text
Title: B757 CAPT MISREADS ACARS PDC AND LOADS WRONG SID IN FMC.
Narrative: UPON RECEIVING OUR PDC; I LOOKED AT IT AND SAW THE NAME OF OUR DEP 'MAXXO 1.' IT WAS ALREADY LOADED IN THE FMS SO I BRIEFED IT QUICKLY AND THE COPLT AND I LAUGHED ABOUT THE INSTRUCTIONS TO TURN FROM 078 DEGS TO 080 DEGS AT 1550 FT. I ALMOST MISSED THE TURN TO 100 DEGS LATER IN THE DEP. AFTER TKOF AND SOON AFTER TURNING TO 100 DEGS; THE DEP CTLR ASKED IF WE WERE GOING TO MAKE THE L TURN ON THE SJN 3 DEP. WE TOLD HIM WE WERE FLYING THE MAXXO DEP. WE LOOKED AT THE PDC AGAIN AND SAW THAT THE SJN 3 DEP WAS ALSO ON OUR PDC -- IN THE 'CLRED' SECTION! MAXXO WAS LISTED IN THE 'FILED RTE' SECTION. THERE WAS NO TFC CONFLICT. I FEEL THE PDC FORMAT SET ME UP TO MAKE THIS MISTAKE. IT WAS AN EARLY MORNING DEP AND 2 DEPS WERE LISTED ON THE PDC. EVEN THOUGH I SHOULD HAVE SEEN THAT 1 WAS 'CLRED' AND 1 WAS 'FILED;' I DON'T THINK THAT 2 RTES SHOULD EVER BE DISPLAYED ON A PDC. IF A CREW MAKES A MISTAKE LIKE I DID; THERE IS NO EXTERNAL SAFEGUARD BEFORE THE POSSIBILITY OF A TFC CONFLICT OCCURS. ONLY INFO THAT DIRECTLY PERTAINS TO WHAT ATC WANTS US TO DO WITH OUR ACFT SHOULD BE ON THE PDC OR THERE SHOULD BE AN EXTERNAL XCHK.
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.