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B767 flight crew was issued a pre departure clearance with a change in the departure. The revised segment went unnoticed and the flight crew flew the originally filed SID.
| Attributes | |
| ACN | 781797 |
| Time | |
| Date | 200804 |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : lax.airport |
| State Reference | CA |
| Altitude | msl single value : 5000 |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | tower : psp.tower |
| Operator | common carrier : air carrier |
| Make Model Name | Commercial Fixed Wing |
| Operating Under FAR Part | Part 121 |
| Flight Phase | climbout : initial |
| Route In Use | departure : noise abatement departure other departure sid : holtz |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| ASRS Report | 781797 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| ASRS Report | 782546 |
| Events | |
| Anomaly | non adherence : published procedure non adherence : clearance other spatial deviation |
| Independent Detector | other controllera other flight crewa |
| Resolutory Action | controller : issued new clearance controller : issued advisory |
| Supplementary | |
| Problem Areas | Chart Or Publication Flight Crew Human Performance ATC Human Performance |
| Primary Problem | Flight Crew Human Performance |
Narrative:
Pulled flight plan in operations showing laxx departure. During busy preflight duties (maintenance; federal air marshals; flight attendant and passenger issues) we got our pre departure clearance and did not notice the change in departure procedure to the holtz departure. After takeoff; laxx departure cleared us to a fix on the holtz departure. We responded that we were not on the holtz departure. After some confusion; we were given a heading to fly. Later; we noticed the revised segment on the pre departure clearance. Supplemental information from acn 782546: during early morning flight preparation I received the flight plan with the LAXX5 departure. During preflight while dealing with maintenance; fams and cabin issues; we received pre departure clearance with flight plan segment but misread the revised segment containing the HOLTZ9 departure. We were questioned by departure control as to what departure we were flying and were given headings to trm with no in-flight issues.
Original NASA ASRS Text
Title: B767 FLT CREW WAS ISSUED A PDC WITH A CHANGE IN THE DEP. THE REVISED SEGMENT WENT UNNOTICED AND THE FLT CREW FLEW THE ORIGINALLY FILED SID.
Narrative: PULLED FLT PLAN IN OPS SHOWING LAXX DEP. DURING BUSY PREFLT DUTIES (MAINT; FEDERAL AIR MARSHALS; FLT ATTENDANT AND PAX ISSUES) WE GOT OUR PDC AND DID NOT NOTICE THE CHANGE IN DEP PROC TO THE HOLTZ DEP. AFTER TKOF; LAXX DEP CLRED US TO A FIX ON THE HOLTZ DEP. WE RESPONDED THAT WE WERE NOT ON THE HOLTZ DEP. AFTER SOME CONFUSION; WE WERE GIVEN A HDG TO FLY. LATER; WE NOTICED THE REVISED SEGMENT ON THE PDC. SUPPLEMENTAL INFO FROM ACN 782546: DURING EARLY MORNING FLT PREPARATION I RECEIVED THE FLT PLAN WITH THE LAXX5 DEP. DURING PREFLT WHILE DEALING WITH MAINT; FAMS AND CABIN ISSUES; WE RECEIVED PDC WITH FLT PLAN SEGMENT BUT MISREAD THE REVISED SEGMENT CONTAINING THE HOLTZ9 DEP. WE WERE QUESTIONED BY DEP CTL AS TO WHAT DEP WE WERE FLYING AND WERE GIVEN HDGS TO TRM WITH NO INFLT ISSUES.
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.