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|
Attributes | |
ACN | 792943 |
Time | |
Date | 200806 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : lax.airport |
State Reference | CA |
Altitude | agl single value : 300 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : sct.tracon |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Flight Phase | descent : approach |
Route In Use | approach : visual |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Experience | flight time last 90 days : 395 flight time type : 6000 |
ASRS Report | 148.43 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Experience | flight time last 90 days : 228 flight time type : 750 |
ASRS Report | 792942 |
Events | |
Anomaly | non adherence : published procedure non adherence : clearance |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance none taken : detected after the fact |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
Descending into lax we were asked to keep our speed at 250 KTS as long as possible for traffic following us to runway 25L. As we started to dirty up; approach told us to switch tower to limma. I saw the first officer dial in the tower frequency; and returned by concentration to the approach. Radio traffic was busy and I thought I heard cleared to land. At about 300 ft AGL I noticed the aldis lamp shining green from the tower. Normally I use the outboard and pulse light (-300) as a visual reminder of our landing clearance. This -300 had an MEL on the outboard lights with a note not to extend them so I had not turned them on with landing clearance. My thought was the aldis lamp was training in progress as I was sure we were cleared to land. After we cleared between the runways; tower was slow to give us our hold short instructions. I stopped the aircraft and looked down towards the radio just as approach asked us if we were still up their frequency. At this point we realized our error and the reason for the visual landing clearance. Task saturation and a desire to help out pulled me out of my normal routine and; were it not for a quick thinking tower controller; we would have landed without clearance. I called tower to thank them for their help and apologize for our error. I feel fortunate not to have been in a worse situation. Task saturation and failure to verify. Textbook errors that we review all the time. Trust but verify and don't break good habit patterns out of a desire to help. Supplemental information from acn 792942: I realize a lot was going on; I was clearing traffic; monitoring the approach; working the radios; and I allowed my xchk to slip up. I over concentrated on the slowing to configure and the callouts and forgot to check in with the tower. Tower was quick thinking in using the green light. I have learned a very valuable lesson and will prioritize better in my pilot monitoring duties in the future. Prioritize cockpit duties. Ensure checking in with tower while operating in the dynamic approach environment.
Original NASA ASRS Text
Title: B737 FLT CREW REPORTS FAILURE TO CALL LAX FOR LANDING CLEARANCE BUT RECEIVES GREEN LIGHT FROM TOWER ON SHORT FINAL.
Narrative: DSNDING INTO LAX WE WERE ASKED TO KEEP OUR SPD AT 250 KTS AS LONG AS POSSIBLE FOR TFC FOLLOWING US TO RWY 25L. AS WE STARTED TO DIRTY UP; APCH TOLD US TO SWITCH TWR TO LIMMA. I SAW THE FO DIAL IN THE TWR FREQ; AND RETURNED BY CONCENTRATION TO THE APCH. RADIO TFC WAS BUSY AND I THOUGHT I HEARD CLRED TO LAND. AT ABOUT 300 FT AGL I NOTICED THE ALDIS LAMP SHINING GREEN FROM THE TWR. NORMALLY I USE THE OUTBOARD AND PULSE LIGHT (-300) AS A VISUAL REMINDER OF OUR LNDG CLRNC. THIS -300 HAD AN MEL ON THE OUTBOARD LIGHTS WITH A NOTE NOT TO EXTEND THEM SO I HAD NOT TURNED THEM ON WITH LNDG CLRNC. MY THOUGHT WAS THE ALDIS LAMP WAS TRAINING IN PROGRESS AS I WAS SURE WE WERE CLRED TO LAND. AFTER WE CLRED BTWN THE RWYS; TWR WAS SLOW TO GIVE US OUR HOLD SHORT INSTRUCTIONS. I STOPPED THE ACFT AND LOOKED DOWN TOWARDS THE RADIO JUST AS APCH ASKED US IF WE WERE STILL UP THEIR FREQ. AT THIS POINT WE REALIZED OUR ERROR AND THE REASON FOR THE VISUAL LNDG CLRNC. TASK SATURATION AND A DESIRE TO HELP OUT PULLED ME OUT OF MY NORMAL ROUTINE AND; WERE IT NOT FOR A QUICK THINKING TWR CTLR; WE WOULD HAVE LANDED WITHOUT CLRNC. I CALLED TWR TO THANK THEM FOR THEIR HELP AND APOLOGIZE FOR OUR ERROR. I FEEL FORTUNATE NOT TO HAVE BEEN IN A WORSE SIT. TASK SATURATION AND FAILURE TO VERIFY. TEXTBOOK ERRORS THAT WE REVIEW ALL THE TIME. TRUST BUT VERIFY AND DON'T BREAK GOOD HABIT PATTERNS OUT OF A DESIRE TO HELP. SUPPLEMENTAL INFO FROM ACN 792942: I REALIZE A LOT WAS GOING ON; I WAS CLRING TFC; MONITORING THE APCH; WORKING THE RADIOS; AND I ALLOWED MY XCHK TO SLIP UP. I OVER CONCENTRATED ON THE SLOWING TO CONFIGURE AND THE CALLOUTS AND FORGOT TO CHK IN WITH THE TWR. TWR WAS QUICK THINKING IN USING THE GREEN LIGHT. I HAVE LEARNED A VERY VALUABLE LESSON AND WILL PRIORITIZE BETTER IN MY PLT MONITORING DUTIES IN THE FUTURE. PRIORITIZE COCKPIT DUTIES. ENSURE CHKING IN WITH TWR WHILE OPERATING IN THE DYNAMIC APCH ENVIRONMENT.
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.