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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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Attributes | |
ACN | 760141 |
Time | |
Date | 200711 |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : cyul.airport |
State Reference | PQ |
Altitude | msl single value : 520 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : czul.artcc tower : sjc.tower |
Operator | common carrier : air carrier |
Make Model Name | EMB ERJ 170/175 ER&LR |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | climbout : initial |
Route In Use | departure sid : cyul6 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Experience | flight time last 90 days : 240 flight time total : 1500 flight time type : 80 |
ASRS Report | 760141 |
Events | |
Anomaly | non adherence : clearance non adherence : company policies non adherence : published procedure other spatial deviation |
Independent Detector | other flight crewa |
Resolutory Action | controller : issued advisory flight crew : returned to intended or assigned course |
Supplementary | |
Problem Areas | Flight Crew Human Performance Chart Or Publication |
Primary Problem | Cabin Crew Human Performance |
Situations | |
Chart | sid : dorval6 |
Narrative:
We taxied out the gate in cyul to runway 28. The first officer was assigned as the PF. During the taxi; he briefed the dorval 6 off runway 28; which initially called for a heading of 238 degrees. He briefed everything; we completed the taxi check; taxied to runway 28 and took off. At 400 ft AGL he asked for 'heading.' I pushed the 'heading' button then reached down to FLIP the radio to departure control. I called departure control and there was no answer. About this time I noted that we were turning left more than I thought we should be. I made another call to departure and also I turned to the SID to make sure we had the right frequency and to double check to make sure we were on the right heading. Departure answered us and asked our heading. I looked at the bug and replied '238 degrees.' ATC asked if we were on the dorval 6 and I replied 'affirmative.' just then I looked at the departure procedure and realized our mistake. Instead of heading 283 degrees we were heading 238 degrees. ATC then just advised us that was the heading for runway 24 departures and I apologized at our mistake. He told us to turn to 300 degree heading after passing 4000 ft and the flight resumed normally. After discussing what went wrong; we didn't know if the first officer reading the departure heading for runway 24 right/left; 238 degrees; which was located above the departure heading for runway 28; or if he read the correct heading for departing runway 28 and simply switched the last 8 and 3 when he set the heading bug to 238 degrees. Usually these types of errors I catch but unfortunately this time I didn't. One possible factor is a large amount of inactivity prior to work. We had been sitting at the hotel all day. I've noticed in these cases; I'm not as sharp as I usually am when I report to the airport earlier. Another factor was; due to construction on the north ramp we had to taxi in the center ramp where it is a bit tighter and I was paying close attention to clearing everything. Due to this I may have misheard the first officer's heading and his takeoff briefing.
Original NASA ASRS Text
Title: AN EMB170 CREW FLIES HDG 238 DEGS WHILE DEP CYUL RWY 28 INSTEAD OF HDG 283 DEGS. HDG 238 DEGS APPLIES TO RWY 24.
Narrative: WE TAXIED OUT THE GATE IN CYUL TO RWY 28. THE FO WAS ASSIGNED AS THE PF. DURING THE TAXI; HE BRIEFED THE DORVAL 6 OFF RWY 28; WHICH INITIALLY CALLED FOR A HDG OF 238 DEGS. HE BRIEFED EVERYTHING; WE COMPLETED THE TAXI CHK; TAXIED TO RWY 28 AND TOOK OFF. AT 400 FT AGL HE ASKED FOR 'HDG.' I PUSHED THE 'HDG' BUTTON THEN REACHED DOWN TO FLIP THE RADIO TO DEP CTL. I CALLED DEP CTL AND THERE WAS NO ANSWER. ABOUT THIS TIME I NOTED THAT WE WERE TURNING L MORE THAN I THOUGHT WE SHOULD BE. I MADE ANOTHER CALL TO DEP AND ALSO I TURNED TO THE SID TO MAKE SURE WE HAD THE RIGHT FREQ AND TO DOUBLE CHK TO MAKE SURE WE WERE ON THE RIGHT HDG. DEP ANSWERED US AND ASKED OUR HDG. I LOOKED AT THE BUG AND REPLIED '238 DEGS.' ATC ASKED IF WE WERE ON THE DORVAL 6 AND I REPLIED 'AFFIRMATIVE.' JUST THEN I LOOKED AT THE DEP PROC AND REALIZED OUR MISTAKE. INSTEAD OF HDG 283 DEGS WE WERE HDG 238 DEGS. ATC THEN JUST ADVISED US THAT WAS THE HDG FOR RWY 24 DEPS AND I APOLOGIZED AT OUR MISTAKE. HE TOLD US TO TURN TO 300 DEG HDG AFTER PASSING 4000 FT AND THE FLT RESUMED NORMALLY. AFTER DISCUSSING WHAT WENT WRONG; WE DIDN'T KNOW IF THE FO READING THE DEP HDG FOR RWY 24 R/L; 238 DEGS; WHICH WAS LOCATED ABOVE THE DEP HDG FOR RWY 28; OR IF HE READ THE CORRECT HDG FOR DEPARTING RWY 28 AND SIMPLY SWITCHED THE LAST 8 AND 3 WHEN HE SET THE HDG BUG TO 238 DEGS. USUALLY THESE TYPES OF ERRORS I CATCH BUT UNFORTUNATELY THIS TIME I DIDN'T. ONE POSSIBLE FACTOR IS A LARGE AMOUNT OF INACTIVITY PRIOR TO WORK. WE HAD BEEN SITTING AT THE HOTEL ALL DAY. I'VE NOTICED IN THESE CASES; I'M NOT AS SHARP AS I USUALLY AM WHEN I RPT TO THE ARPT EARLIER. ANOTHER FACTOR WAS; DUE TO CONSTRUCTION ON THE N RAMP WE HAD TO TAXI IN THE CTR RAMP WHERE IT IS A BIT TIGHTER AND I WAS PAYING CLOSE ATTENTION TO CLRING EVERYTHING. DUE TO THIS I MAY HAVE MISHEARD THE FO'S HDG AND HIS TAKEOFF BRIEFING.
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.