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|
Attributes | |
ACN | 91985 |
Time | |
Date | 198808 |
Day | Fri |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : sba |
State Reference | CA |
Altitude | msl bound lower : 1600 msl bound upper : 2000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zla tracon : sra |
Operator | common carrier : air carrier |
Make Model Name | Small Transport, Low Wing, 2 Turboprop Eng |
Flight Phase | descent other other |
Flight Plan | VFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : instrument pilot : commercial pilot : atp |
Experience | flight time last 90 days : 225 flight time total : 6500 |
ASRS Report | 91985 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Events | |
Anomaly | altitude deviation : overshoot non adherence : far other anomaly other |
Independent Detector | other controllera other flight crewa |
Resolutory Action | controller : issued new clearance none taken : detected after the fact other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
On a scheduled flight between los angeles and san luis obispo, ca, we were unexpectedly required to divert to sba due to failure of a navigation receiver. In my concern for communicating the change in plans to both my passenger and my company, I directed the first officer to fly the aircraft while I made the necessary radio work. (This is where I made a critical error in not flying the aircraft first and delegating duties to the first officer, ie, poor cockpit resource management.) the workload was heavy in our descent to sba and we somehow lost communication with ZLA. I discovered the error when we had not yet been handed off to sba approach. When we contacted approach we had already entered their arsa west/O ATC clearance. Sba approach then notified us of the error and assigned us 2000' altitude. Sba approach again distracted us with questions about entering the arsa and we descended through 2000' to 1600 before noticing the error. (Sba approach shouldn't have said anything about their problem until on the ground and not in the critical phase of flight.) the only other thing other than better cockpit resource management that would have prevented me from inadvertently deselecting ZLA would be a standard cockpit layout for all of my company's aircraft. We had just swapped into a new airplane in which the communication and navigation radios were located in different places.
Original NASA ASRS Text
Title: ENTERED ARSA WITHOUT CLRNC.
Narrative: ON A SCHEDULED FLT BTWN LOS ANGELES AND SAN LUIS OBISPO, CA, WE WERE UNEXPECTEDLY REQUIRED TO DIVERT TO SBA DUE TO FAILURE OF A NAV RECEIVER. IN MY CONCERN FOR COMMUNICATING THE CHANGE IN PLANS TO BOTH MY PAX AND MY COMPANY, I DIRECTED THE F/O TO FLY THE ACFT WHILE I MADE THE NECESSARY RADIO WORK. (THIS IS WHERE I MADE A CRITICAL ERROR IN NOT FLYING THE ACFT FIRST AND DELEGATING DUTIES TO THE F/O, IE, POOR COCKPIT RESOURCE MGMNT.) THE WORKLOAD WAS HEAVY IN OUR DSCNT TO SBA AND WE SOMEHOW LOST COM WITH ZLA. I DISCOVERED THE ERROR WHEN WE HAD NOT YET BEEN HANDED OFF TO SBA APCH. WHEN WE CONTACTED APCH WE HAD ALREADY ENTERED THEIR ARSA W/O ATC CLRNC. SBA APCH THEN NOTIFIED US OF THE ERROR AND ASSIGNED US 2000' ALT. SBA APCH AGAIN DISTRACTED US WITH QUESTIONS ABOUT ENTERING THE ARSA AND WE DSNDED THROUGH 2000' TO 1600 BEFORE NOTICING THE ERROR. (SBA APCH SHOULDN'T HAVE SAID ANYTHING ABOUT THEIR PROB UNTIL ON THE GND AND NOT IN THE CRITICAL PHASE OF FLT.) THE ONLY OTHER THING OTHER THAN BETTER COCKPIT RESOURCE MGMNT THAT WOULD HAVE PREVENTED ME FROM INADVERTENTLY DESELECTING ZLA WOULD BE A STANDARD COCKPIT LAYOUT FOR ALL OF MY COMPANY'S ACFT. WE HAD JUST SWAPPED INTO A NEW AIRPLANE IN WHICH THE COM AND NAV RADIOS WERE LOCATED IN DIFFERENT PLACES.
Data retrieved from NASA's ASRS site as of August 2007 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.