37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 726367 |
Time | |
Date | 200702 |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | navaid : pgs.vortac |
State Reference | AZ |
Altitude | msl single value : 36000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zla.artcc |
Operator | common carrier : air carrier |
Make Model Name | DC-10 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise : level |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 48 flight time total : 4667 flight time type : 1168 |
ASRS Report | 726367 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | non adherence : clearance non adherence : published procedure other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | flight crew : returned to intended or assigned course |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
We were approaching pgs VOR for the civet five arrival into lax when we got distraction by a generator fail light. We accomplished our QRH procedure and disconnected the generator. At that time I quickly briefed the chart STAR civet five. The plate shows a pgs 248 degree heading from rustt intersection which I misinterped as the pgs outbound course. Passing pgs I set the outbound course as 248 degrees. This was incorrect as shown on the STAR civet five transition page. In our rush to get caught back up for the arrival we did not cover the transition properly and were queried by ZLA what our pgs outbound course was. They gave us the correct course of 229 degrees to rustt which we confirmed on our flight plan and we proceeded inbound to lax without further incident. Lessons learned and debriefed with the crew: follow all flight plan headings until established on a portion of the arrival; review all applicable chart plates since some arrival information is only available from separate pages; and when operating a non-INS equipped aircraft it is imperative that both pilots monitor all flight guidance navigation inputs.
Original NASA ASRS Text
Title: DC10 FLT CREW HAS A TRACK DEV DURING THE CIVET 5 ARR TO LAX.
Narrative: WE WERE APCHING PGS VOR FOR THE CIVET FIVE ARR INTO LAX WHEN WE GOT DISTR BY A GENERATOR FAIL LIGHT. WE ACCOMPLISHED OUR QRH PROC AND DISCONNECTED THE GENERATOR. AT THAT TIME I QUICKLY BRIEFED THE CHART STAR CIVET FIVE. THE PLATE SHOWS A PGS 248 DEG HDG FROM RUSTT INTXN WHICH I MISINTERPED AS THE PGS OUTBOUND COURSE. PASSING PGS I SET THE OUTBOUND COURSE AS 248 DEGS. THIS WAS INCORRECT AS SHOWN ON THE STAR CIVET FIVE TRANSITION PAGE. IN OUR RUSH TO GET CAUGHT BACK UP FOR THE ARR WE DID NOT COVER THE TRANSITION PROPERLY AND WERE QUERIED BY ZLA WHAT OUR PGS OUTBOUND COURSE WAS. THEY GAVE US THE CORRECT COURSE OF 229 DEGS TO RUSTT WHICH WE CONFIRMED ON OUR FLT PLAN AND WE PROCEEDED INBOUND TO LAX WITHOUT FURTHER INCIDENT. LESSONS LEARNED AND DEBRIEFED WITH THE CREW: FOLLOW ALL FLT PLAN HDGS UNTIL ESTABLISHED ON A PORTION OF THE ARR; REVIEW ALL APPLICABLE CHART PLATES SINCE SOME ARR INFO IS ONLY AVAILABLE FROM SEPARATE PAGES; AND WHEN OPERATING A NON-INS EQUIPPED ACFT IT IS IMPERATIVE THAT BOTH PLTS MONITOR ALL FLT GUIDANCE NAV INPUTS.
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.