37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 727728 |
Time | |
Date | 200702 |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : lax.airport |
State Reference | CA |
Altitude | msl single value : 400 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : sct.tracon |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | climbout : takeoff |
Route In Use | departure sid : holtz |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Experience | flight time last 90 days : 73 flight time type : 4500 |
ASRS Report | 727728 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | aircraft equipment problem : less severe non adherence : clearance non adherence : published procedure non adherence : required legal separation other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | controller : issued alert controller : issued new clearance flight crew : returned to intended or assigned course |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
Captain takeoff using HUD with toga armed LNAV switches down for the holtz 7 RNAV departure. At 400 ft LNAV mode engaged (per fom) aircraft guidance showing a left turn to course. Initially following guidance knowing this is incorrect; I turned back to a 250 degree heading and at the same time ATC inquired and instructed an immediate right turn to 250 degrees to avoid conflict. Looked at the XXX page and it showed the actual rnp at 3.52 well above the 2.0 threshold required for navigation performance. Told ATC we need vectors RNAV unreliable. Upon further climb out rnp; went back down to normal reading of about .5. Accepted direct to next fix and resumed the departure. FMC was verified prior to push with the correct holtz 7 departure and runway 24L. RNAV departure procedures were reviewed in the takeoff briefing. In the B-300 aircraft if RNAV departures are required; a second FMC must be installed to monitor the legs page and rnp. Our fom directs us to display the takeoff reference page during takeoff. Make the system reliable -- dual GPS should also be installed.
Original NASA ASRS Text
Title: B737-300 CREW DEVIATES FROM TRACK DURING INITIAL PHASE OF HOLTZ RNAV DEPARTURE FROM LAX.
Narrative: CAPT TKOF USING HUD WITH TOGA ARMED LNAV SWITCHES DOWN FOR THE HOLTZ 7 RNAV DEP. AT 400 FT LNAV MODE ENGAGED (PER FOM) ACFT GUIDANCE SHOWING A L TURN TO COURSE. INITIALLY FOLLOWING GUIDANCE KNOWING THIS IS INCORRECT; I TURNED BACK TO A 250 DEG HDG AND AT THE SAME TIME ATC INQUIRED AND INSTRUCTED AN IMMEDIATE R TURN TO 250 DEGS TO AVOID CONFLICT. LOOKED AT THE XXX PAGE AND IT SHOWED THE ACTUAL RNP AT 3.52 WELL ABOVE THE 2.0 THRESHOLD REQUIRED FOR NAV PERFORMANCE. TOLD ATC WE NEED VECTORS RNAV UNRELIABLE. UPON FURTHER CLBOUT RNP; WENT BACK DOWN TO NORMAL READING OF ABOUT .5. ACCEPTED DIRECT TO NEXT FIX AND RESUMED THE DEP. FMC WAS VERIFIED PRIOR TO PUSH WITH THE CORRECT HOLTZ 7 DEP AND RWY 24L. RNAV DEP PROCS WERE REVIEWED IN THE TKOF BRIEFING. IN THE B-300 ACFT IF RNAV DEPS ARE REQUIRED; A SECOND FMC MUST BE INSTALLED TO MONITOR THE LEGS PAGE AND RNP. OUR FOM DIRECTS US TO DISPLAY THE TKOF REF PAGE DURING TKOF. MAKE THE SYS RELIABLE -- DUAL GPS SHOULD ALSO BE INSTALLED.
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.