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|
Attributes | |
ACN | 773368 |
Time | |
Date | 200802 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : slc.airport |
State Reference | UT |
Altitude | agl single value : 10000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : s56.tracon |
Operator | common carrier : air carrier |
Make Model Name | B737-700 |
Operating Under FAR Part | Part 121 |
Flight Phase | descent : intermediate altitude |
Route In Use | arrival star : waats |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Experience | flight time last 90 days : 238 |
ASRS Report | 773368 |
Events | |
Anomaly | non adherence : published procedure non adherence : clearance other spatial deviation |
Independent Detector | other flight crewa |
Resolutory Action | controller : issued new clearance flight crew : returned to intended or assigned course |
Supplementary | |
Problem Areas | Chart Or Publication Flight Crew Human Performance ATC Human Performance |
Primary Problem | ATC Human Performance |
Narrative:
We were in LNAV on the waats one arrival into slc. After passing slagg intersection we were told to expect runway 16R. We had previously briefed and programmed runway 16L and quickly switched approach plates; changed runways in the FMC and ILS frequencys. During the rapid series of changes we were both making; I failed to call for first officer concurrence with the programming change I had made in switching runways in the FMC. The change of runways in the FMC knocked us out of LNAV and I did not spot it until we had overshot the turn at quipa. We were correcting back when approach called us and assigned a heading. Later; while turning on to final; after having been cleared for the visual to runway 16R; approach called us and told us to start our turn on to final (apparently our turn had not yet registered on his scope). After landing we were told to contact approach. The supervisor asked me the reason for the overshoot at quipa and also asked us why we had overshot the final. I explained and apologized for the overshoot at quipa; and also explained that we had not overshot final (we had in fact rolled out right on the extended centerline; confirmed visually; by the ILS and the map display). The supervisor said he had not reviewed the tapes; but that the controller had been concerned about traffic on the parallel approach. The supervisor indicated that no further action would be taken. Asking for the runway to expect earlier. Having the concurrence of both pilots on any programming change and confirming that the LNAV mode is still engaged after a change would have prevented this situation.
Original NASA ASRS Text
Title: A B737-700 ASSIGNED THE SLC WAATS ONE RWY 16R WAS CHANGED TO RWY 16L AFTER SLAGG. LNAV DISCONNECTED DURING REPROGRAMMING AND WAS MISSED BY THE CREW; CAUSING A HDG DEV.
Narrative: WE WERE IN LNAV ON THE WAATS ONE ARR INTO SLC. AFTER PASSING SLAGG INTXN WE WERE TOLD TO EXPECT RWY 16R. WE HAD PREVIOUSLY BRIEFED AND PROGRAMMED RWY 16L AND QUICKLY SWITCHED APCH PLATES; CHANGED RWYS IN THE FMC AND ILS FREQS. DURING THE RAPID SERIES OF CHANGES WE WERE BOTH MAKING; I FAILED TO CALL FOR FO CONCURRENCE WITH THE PROGRAMMING CHANGE I HAD MADE IN SWITCHING RWYS IN THE FMC. THE CHANGE OF RWYS IN THE FMC KNOCKED US OUT OF LNAV AND I DID NOT SPOT IT UNTIL WE HAD OVERSHOT THE TURN AT QUIPA. WE WERE CORRECTING BACK WHEN APCH CALLED US AND ASSIGNED A HDG. LATER; WHILE TURNING ON TO FINAL; AFTER HAVING BEEN CLRED FOR THE VISUAL TO RWY 16R; APCH CALLED US AND TOLD US TO START OUR TURN ON TO FINAL (APPARENTLY OUR TURN HAD NOT YET REGISTERED ON HIS SCOPE). AFTER LNDG WE WERE TOLD TO CONTACT APCH. THE SUPVR ASKED ME THE REASON FOR THE OVERSHOOT AT QUIPA AND ALSO ASKED US WHY WE HAD OVERSHOT THE FINAL. I EXPLAINED AND APOLOGIZED FOR THE OVERSHOOT AT QUIPA; AND ALSO EXPLAINED THAT WE HAD NOT OVERSHOT FINAL (WE HAD IN FACT ROLLED OUT RIGHT ON THE EXTENDED CTRLINE; CONFIRMED VISUALLY; BY THE ILS AND THE MAP DISPLAY). THE SUPVR SAID HE HAD NOT REVIEWED THE TAPES; BUT THAT THE CTLR HAD BEEN CONCERNED ABOUT TFC ON THE PARALLEL APCH. THE SUPVR INDICATED THAT NO FURTHER ACTION WOULD BE TAKEN. ASKING FOR THE RWY TO EXPECT EARLIER. HAVING THE CONCURRENCE OF BOTH PLTS ON ANY PROGRAMMING CHANGE AND CONFIRMING THAT THE LNAV MODE IS STILL ENGAGED AFTER A CHANGE WOULD HAVE PREVENTED THIS SITUATION.
Data retrieved from NASA's ASRS site as of May 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.