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|
Attributes | |
ACN | 811430 |
Time | |
Date | 200811 |
Place | |
Locale Reference | airport : phl.airport |
State Reference | PA |
Altitude | agl single value : 4000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : phl.tracon |
Operator | common carrier : air carrier |
Make Model Name | B737 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : takeoff |
Route In Use | departure sid : phl 8 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Experience | flight time last 90 days : 156 |
ASRS Report | 811430 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Experience | flight time last 90 days : 265 flight time type : 4500 |
ASRS Report | 811433 |
Events | |
Anomaly | non adherence : clearance non adherence : published procedure other spatial deviation |
Resolutory Action | controller : issued new clearance controller : issued advisory |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Flight Crew Human Performance Chart Or Publication |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We misread the takeoff heading of the SID page. On the SID page for phl; the heading lines appear to cross at the end of 27L runway. We turned to a 240 heading on takeoff from runway 27L. We failed to read the back of the SID page where the procedure text is written. It was unusual to find the text on a different page and I failed to look on the back. After turning up the light in the cockpit I realized the notation at the bottom to see the SID page and that the lines on the SID page actually intersected. The departure controller asked us what heading we were flying; and then asked if it had been assigned by tower. He then gave us a heading of 270 degrees. There was no known traffic conflict and I do not think it created a problem. Nevertheless; we will make sure to read the text for the departure next time rather than relying on the depiction alone. Turning the cockpit map light up brighter would have helped as well. Turning up the map light and making sure to look for a text description; even if it is hard to find on the back. It would be much more user-friendly to have the text on the same side of the page.supplemental information from acn 811433: realize the PHL8 is poorly drawn. There are no printed takeoff procedures; initial headings must be deduced from the picture. No excuse; I should have caught it; but didn't.
Original NASA ASRS Text
Title: B737 FLT CREW MISREADS PHL 8 SID ON RWY 27L TAKEOFF AND TURNS TO 240 HDG VICE 255 AS DISPLAYED. FAILED TO NOTE COMMERCIAL PAGE HAD TEXTUAL DESCRIPTIONS OF THE PROCS ON THE BACK OF THE SID PAGE -- A VERY UNUSUAL FORMAT.
Narrative: WE MISREAD THE TKOF HEADING OF THE SID PAGE. ON THE SID PAGE FOR PHL; THE HEADING LINES APPEAR TO CROSS AT THE END OF 27L RWY. WE TURNED TO A 240 HEADING ON TAKEOFF FROM RWY 27L. WE FAILED TO READ THE BACK OF THE SID PAGE WHERE THE PROCEDURE TEXT IS WRITTEN. IT WAS UNUSUAL TO FIND THE TEXT ON A DIFFERENT PAGE AND I FAILED TO LOOK ON THE BACK. AFTER TURNING UP THE LIGHT IN THE COCKPIT I REALIZED THE NOTATION AT THE BOTTOM TO SEE THE SID PAGE AND THAT THE LINES ON THE SID PAGE ACTUALLY INTERSECTED. THE DEP CTLR ASKED US WHAT HEADING WE WERE FLYING; AND THEN ASKED IF IT HAD BEEN ASSIGNED BY TOWER. HE THEN GAVE US A HEADING OF 270 DEGS. THERE WAS NO KNOWN TFC CONFLICT AND I DO NOT THINK IT CREATED A PROBLEM. NEVERTHELESS; WE WILL MAKE SURE TO READ THE TEXT FOR THE DEP NEXT TIME RATHER THAN RELYING ON THE DEPICTION ALONE. TURNING THE COCKPIT MAP LIGHT UP BRIGHTER WOULD HAVE HELPED AS WELL. TURNING UP THE MAP LIGHT AND MAKING SURE TO LOOK FOR A TEXT DESCRIPTION; EVEN IF IT IS HARD TO FIND ON THE BACK. IT WOULD BE MUCH MORE USER-FRIENDLY TO HAVE THE TEXT ON THE SAME SIDE OF THE PAGE.SUPPLEMENTAL INFO FROM ACN 811433: REALIZE THE PHL8 IS POORLY DRAWN. THERE ARE NO PRINTED TAKEOFF PROCEDURES; INITIAL HEADINGS MUST BE DEDUCED FROM THE PICTURE. NO EXCUSE; I SHOULD HAVE CAUGHT IT; BUT DIDN'T.
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.