37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 792251 |
Time | |
Date | 200806 |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : atl.airport |
State Reference | GA |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Aircraft 1 | |
Controlling Facilities | tower : oma.tower |
Operator | common carrier : air carrier |
Make Model Name | Regional Jet 200 ER&LR |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : taxi |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time total : 4500 flight time type : 1600 |
ASRS Report | 792251 |
Events | |
Anomaly | non adherence : clearance other spatial deviation |
Independent Detector | other flight crewa |
Resolutory Action | controller : issued new clearance flight crew : became reoriented |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Flight Crew Human Performance ATC Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
We were on the honie five RNAV arrival into atl. We were notified by approach control to expect runway 28. We then thoroughly briefed the approach and the taxi-in procedure from runway 28 to ramp. A few miles prior to wolmn; approach control told us to now expect runway 26R. We were also told to fly direct to fanew; expedite our descent to 2000 ft and expect a short approach. As we were descending; I told the first officer to brief the new approach procedure. Base turn came rather rapidly and very little time was allocated to review the taxi-in procedure from runway 26R to ramp. After landing; we cleared the runway on B3 and were told by tower control to 'join taxiway victor and contact ground on 121.9.' ground then told us to taxi to our gate. As we approached the victor/hotel intersection; I mistakenly followed the hotel taxi-lane as opposed to the victor taxi-lane. My error was partly due to the misinterpretation of the victor direction sign and the shallow angle between the victor and hotel taxi-lane at that particular location. As I turned onto hotel; I saw the hold short line for the departure end of runway 26L and stopped. I queried ground control whether we were cleared to cross runway 26L/8R. Ground told us that we turned on the wrong taxiway and then asked us to rejoin victor; which we did. The rest of the flight was uneventful. Factors: 1) brand new captain; second trip after oe. 2) brand new first officer; first trip after oe. 3) unfamiliar airport. 4) last minute clearance change; and lack of time allocated to brief anticipated taxi-in procedure. 5) rushed towards the end of the arrival procedure and taxi. Suggestions: 1) review more than one taxi-in possibilities; from more than one runway assignment on the approach brief. 2) do not allow the first officer to do anything but keep his eyes outside while taxiing on an unfamiliar airport. Delay checklists. Positive elements of this incident. When unsure of our position; we stopped and queried ATC. We were thanked by ATC for that.callback conversation with reporter revealed the following information: the reporter stated that this was his second trip off of IOE and the first officer's first trip off of new hire IOE and his first trip to atl. The reporter felt as if he was in a single pilot operation. The late runway change did not allow him enough time to get his runway 26R approach plate out of his approach plate book. After landing the first officer was doing his after landing flow and therefore was heads down in the cockpit. The reporter stated that when he came up to taxiway H and saw the hold short line; he realized something was not correct. He had enough room to turn around at that point and correct his mistake. ATC asked him to call at the gate and thanked him for stopping when he was uncertain about where he was. The reporter explained to ATC the scenario leading up to this event and relayed to them that the crew had been rushed into accepting a runway change at the last minute. ATC's response was that crews must be ready for anything.
Original NASA ASRS Text
Title: A NEW CRJ200 CAPT AND LOW TIME FO WERE GIVEN A CLOSE-IN RWY CHANGE TO ATL. AFTER LNDG THE CAPT NARROWLY MISSED A RWY INCURSION.
Narrative: WE WERE ON THE HONIE FIVE RNAV ARR INTO ATL. WE WERE NOTIFIED BY APCH CTL TO EXPECT RWY 28. WE THEN THOROUGHLY BRIEFED THE APCH AND THE TAXI-IN PROC FROM RWY 28 TO RAMP. A FEW MILES PRIOR TO WOLMN; APCH CTL TOLD US TO NOW EXPECT RWY 26R. WE WERE ALSO TOLD TO FLY DIRECT TO FANEW; EXPEDITE OUR DSCNT TO 2000 FT AND EXPECT A SHORT APCH. AS WE WERE DSNDING; I TOLD THE FO TO BRIEF THE NEW APCH PROC. BASE TURN CAME RATHER RAPIDLY AND VERY LITTLE TIME WAS ALLOCATED TO REVIEW THE TAXI-IN PROC FROM RWY 26R TO RAMP. AFTER LNDG; WE CLEARED THE RWY ON B3 AND WERE TOLD BY TOWER CTL TO 'JOIN TXWY VICTOR AND CONTACT GND ON 121.9.' GND THEN TOLD US TO TAXI TO OUR GATE. AS WE APCHED THE VICTOR/HOTEL INTXN; I MISTAKENLY FOLLOWED THE HOTEL TAXI-LANE AS OPPOSED TO THE VICTOR TAXI-LANE. MY ERROR WAS PARTLY DUE TO THE MISINTERPRETATION OF THE VICTOR DIRECTION SIGN AND THE SHALLOW ANGLE BETWEEN THE VICTOR AND HOTEL TAXI-LANE AT THAT PARTICULAR LOCATION. AS I TURNED ONTO HOTEL; I SAW THE HOLD SHORT LINE FOR THE DEP END OF RWY 26L AND STOPPED. I QUERIED GND CTL WHETHER WE WERE CLEARED TO CROSS RWY 26L/8R. GND TOLD US THAT WE TURNED ON THE WRONG TXWY AND THEN ASKED US TO REJOIN VICTOR; WHICH WE DID. THE REST OF THE FLT WAS UNEVENTFUL. FACTORS: 1) BRAND NEW CAPT; SECOND TRIP AFTER OE. 2) BRAND NEW FO; FIRST TRIP AFTER OE. 3) UNFAMILIAR ARPT. 4) LAST MINUTE CLRNC CHANGE; AND LACK OF TIME ALLOCATED TO BRIEF ANTICIPATED TAXI-IN PROC. 5) RUSHED TOWARDS THE END OF THE ARR PROC AND TAXI. SUGGESTIONS: 1) REVIEW MORE THAN ONE TAXI-IN POSSIBILITIES; FROM MORE THAN ONE RWY ASSIGNMENT ON THE APCH BRIEF. 2) DO NOT ALLOW THE FO TO DO ANYTHING BUT KEEP HIS EYES OUTSIDE WHILE TAXIING ON AN UNFAMILIAR ARPT. DELAY CHECKLISTS. POSITIVE ELEMENTS OF THIS INCIDENT. WHEN UNSURE OF OUR POSITION; WE STOPPED AND QUERIED ATC. WE WERE THANKED BY ATC FOR THAT.CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE RPTR STATED THAT THIS WAS HIS SECOND TRIP OFF OF IOE AND THE FO'S FIRST TRIP OFF OF NEW HIRE IOE AND HIS FIRST TRIP TO ATL. THE RPTR FELT AS IF HE WAS IN A SINGLE PLT OPERATION. THE LATE RWY CHANGE DID NOT ALLOW HIM ENOUGH TIME TO GET HIS RWY 26R APCH PLATE OUT OF HIS APCH PLATE BOOK. AFTER LNDG THE FO WAS DOING HIS AFTER LNDG FLOW AND THEREFORE WAS HEADS DOWN IN THE COCKPIT. THE RPTR STATED THAT WHEN HE CAME UP TO TXWY H AND SAW THE HOLD SHORT LINE; HE REALIZED SOMETHING WAS NOT CORRECT. HE HAD ENOUGH ROOM TO TURN AROUND AT THAT POINT AND CORRECT HIS MISTAKE. ATC ASKED HIM TO CALL AT THE GATE AND THANKED HIM FOR STOPPING WHEN HE WAS UNCERTAIN ABOUT WHERE HE WAS. THE RPTR EXPLAINED TO ATC THE SCENARIO LEADING UP TO THIS EVENT AND RELAYED TO THEM THAT THE CREW HAD BEEN RUSHED INTO ACCEPTING A RWY CHANGE AT THE LAST MINUTE. ATC'S RESPONSE WAS THAT CREWS MUST BE READY FOR ANYTHING.
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.