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|
Attributes | |
ACN | 93236 |
Time | |
Date | 198808 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : sjc |
State Reference | CA |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other |
Flight Phase | climbout : takeoff ground other : taxi |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : atp |
Experience | flight time total : 12000 |
ASRS Report | 93236 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Events | |
Anomaly | incursion : runway non adherence : clearance other anomaly other |
Independent Detector | other controllera |
Resolutory Action | none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
This incident was the culmination of several factors that could have led to a potentially disastrous result. I was just taxiing out for departure on runway 30L at sjc. It was my first operation in and out of that particular airport (had flown in the previous night) and I was unfamiliar with it except for reference to charts. The ground controller instructed me to follow air carrier B to runway 30L. As we were taxiing (short distance to departure runway), we were accomplishing high cockpit load checklists, radioing for gross weight figures, etc. Along the way, we were told to call tower as we made the right turn. I looked up and saw air carrier B taxiing across the threshold of runway 30R (GA runway). So, I then also made the right turn, crossed over runway 30R and the first officer called the tower. At that point, the tower informed us 'be advised you just crossed an active runway.' I was shocked and so was the first officer. After a moment, I called the tower and said that my understanding was that we were cleared to taxi to runway 30L behind air carrier B. The tower then said, 'no, you were cleared to runway 20L to hold short of taxiway alpha. We still didn't quite get the picture as to what had happened and the tower cleared us for takeoff. This is where mistake #2 occurred. We proceeded to takeoff from that threshold point that was abeam the end of runway 20R where we had entered the runway from. We discovered later as we were discussing it en route that we had not utilized the full length of an already very short runway. Had we been heavier or had there been an abort or an engine failure after V1, we may not have made it. We now realize that the actual available runway was reduced at that displaced threshold point by about 1400'. Human factors: we were unfamiliar with the airport. The controller did not advise us that we were not utilizing the full length. We either did not receive or we did not understand that we were to continue along the parallel rather than follow the commuter. Maybe the communication requested a reduced length takeoff after he switched to tower?! I can say that I will certainly learn from this one, but what about the 'what if's?' maybe the situation could happen again and the next one won't be so lucky. Perhaps the 2-M crew concept needs to be watched a little more closely. Perhaps the controllers should be required to confirm with a pilot that he is requesting a reduced length takeoff if he appears to be in a similar situation.
Original NASA ASRS Text
Title: MLG CROSSED ACTIVE RWY 30R AND THEN TOOK OFF ON RWY 30L FROM THE INTERSECTION AT SJC.
Narrative: THIS INCIDENT WAS THE CULMINATION OF SEVERAL FACTORS THAT COULD HAVE LED TO A POTENTIALLY DISASTROUS RESULT. I WAS JUST TAXIING OUT FOR DEP ON RWY 30L AT SJC. IT WAS MY FIRST OPERATION IN AND OUT OF THAT PARTICULAR ARPT (HAD FLOWN IN THE PREVIOUS NIGHT) AND I WAS UNFAMILIAR WITH IT EXCEPT FOR REF TO CHARTS. THE GND CTLR INSTRUCTED ME TO FOLLOW ACR B TO RWY 30L. AS WE WERE TAXIING (SHORT DISTANCE TO DEP RWY), WE WERE ACCOMPLISHING HIGH COCKPIT LOAD CHKLISTS, RADIOING FOR GROSS WT FIGURES, ETC. ALONG THE WAY, WE WERE TOLD TO CALL TWR AS WE MADE THE RIGHT TURN. I LOOKED UP AND SAW ACR B TAXIING ACROSS THE THRESHOLD OF RWY 30R (GA RWY). SO, I THEN ALSO MADE THE RIGHT TURN, CROSSED OVER RWY 30R AND THE F/O CALLED THE TWR. AT THAT POINT, THE TWR INFORMED US 'BE ADVISED YOU JUST CROSSED AN ACTIVE RWY.' I WAS SHOCKED AND SO WAS THE F/O. AFTER A MOMENT, I CALLED THE TWR AND SAID THAT MY UNDERSTANDING WAS THAT WE WERE CLRED TO TAXI TO RWY 30L BEHIND ACR B. THE TWR THEN SAID, 'NO, YOU WERE CLRED TO RWY 20L TO HOLD SHORT OF TXWY ALPHA. WE STILL DIDN'T QUITE GET THE PICTURE AS TO WHAT HAD HAPPENED AND THE TWR CLRED US FOR TKOF. THIS IS WHERE MISTAKE #2 OCCURRED. WE PROCEEDED TO TKOF FROM THAT THRESHOLD POINT THAT WAS ABEAM THE END OF RWY 20R WHERE WE HAD ENTERED THE RWY FROM. WE DISCOVERED LATER AS WE WERE DISCUSSING IT ENRTE THAT WE HAD NOT UTILIZED THE FULL LENGTH OF AN ALREADY VERY SHORT RWY. HAD WE BEEN HEAVIER OR HAD THERE BEEN AN ABORT OR AN ENG FAILURE AFTER V1, WE MAY NOT HAVE MADE IT. WE NOW REALIZE THAT THE ACTUAL AVAILABLE RWY WAS REDUCED AT THAT DISPLACED THRESHOLD POINT BY ABOUT 1400'. HUMAN FACTORS: WE WERE UNFAMILIAR WITH THE ARPT. THE CTLR DID NOT ADVISE US THAT WE WERE NOT UTILIZING THE FULL LENGTH. WE EITHER DID NOT RECEIVE OR WE DID NOT UNDERSTAND THAT WE WERE TO CONTINUE ALONG THE PARALLEL RATHER THAN FOLLOW THE COMMUTER. MAYBE THE COM REQUESTED A REDUCED LENGTH TKOF AFTER HE SWITCHED TO TWR?! I CAN SAY THAT I WILL CERTAINLY LEARN FROM THIS ONE, BUT WHAT ABOUT THE 'WHAT IF'S?' MAYBE THE SITUATION COULD HAPPEN AGAIN AND THE NEXT ONE WON'T BE SO LUCKY. PERHAPS THE 2-M CREW CONCEPT NEEDS TO BE WATCHED A LITTLE MORE CLOSELY. PERHAPS THE CTLRS SHOULD BE REQUIRED TO CONFIRM WITH A PLT THAT HE IS REQUESTING A REDUCED LENGTH TKOF IF HE APPEARS TO BE IN A SIMILAR SITUATION.
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.