37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 956975 |
Time | |
Date | 201107 |
Local Time Of Day | 1201-1800 |
Place | |
Locale Reference | ZZZ.TRACON |
State Reference | US |
Aircraft 1 | |
Make Model Name | MD-82 |
Operating Under FAR Part | Part 121 |
Flight Phase | Initial Climb Climb |
Flight Plan | IFR |
Person 1 | |
Function | Captain Pilot Flying |
Events | |
Anomaly | Deviation - Procedural Published Material / Policy Deviation - Procedural Clearance Deviation - Track / Heading All Types |
Narrative:
[After multiple maintenance issues requiring an inflight return; plane changes and an unanticipated overnight we finally arrived at ZZZ tired and distracted but; we felt; capable of continuing our assignment.]we then flew our flight to ZZZ2; at this point about 3 hours and 30 minutes behind our new schedule times. We landed; boarded passengers and prepared for departure. During our briefing we discussed our desired departure runway; xxc; and verified the appropriate departure for that runway was in the FMS. During our taxi out we were told we were to depart from yyr. We reviewed numbers and told them we would accept yyr. Yet another question about runway yyc came from the controllers; at which point we now accepted yyr and I decided that we were to no longer discuss this issue as it was becoming a distraction. As I continued the taxi I confirmed with the first officer that he had changed the FMS to reflect the new runway as the departure procedure was different. I had planned to run through the FMS to ensure this was completed prior to takeoff; but then we faced a new distraction when the tower cleared us for an intersection takeoff. We did not have numbers for this intersection and requested a a back taxi for a full length takeoff. Controllers approved our request with an immediate takeoff which now caused a distraction that caused me not to verify the FMS and; instead; asking for the before takeoff checklist followed by our takeoff roll. Once airborne we were instructed to turn right to join the departure at which point I realized the non flying pilot had; in fact; not entered correct departure. I proceeded to turn right as he entered and executed the correct one. As we were joining the correct departure we were given a heading of 090 degrees and then cleared to a fix on the departure to rejoin and comply with published restrictions; with which we complied. At no time were passengers; aircraft or anyone in danger as we corrected all issues prior to any actual violations or traffic conflicts. The flight was completed uneventfully. I believe that the fact that this non standard type of operation; with numerous mechanical issues; changes of schedule; change of sleep pattern with late night; late departures; stress from dealing with a long morning of trying to resolve a maintenance interpretation discrepancy followed by operation in a very congested and fast paced airport environment lead to distractions; fatigue and work overload which may have caused a small step to be missed that could have contributed to a heading or course deviation.
Original NASA ASRS Text
Title: Confusion; fatigue; a complex airport and multiple distractions converged to lure an MD-82 flight crew to takeoff with the wrong RNAV SID programmed in their FMS.
Narrative: [After multiple maintenance issues requiring an inflight return; plane changes and an unanticipated overnight we finally arrived at ZZZ tired and distracted but; we felt; capable of continuing our assignment.]We then flew our flight to ZZZ2; at this point about 3 hours and 30 minutes behind our new schedule times. We landed; boarded passengers and prepared for departure. During our briefing we discussed our desired departure Runway; XXC; and verified the appropriate departure for that runway was in the FMS. During our taxi out we were told we were to depart from YYR. We reviewed numbers and told them we would accept YYR. Yet another question about Runway YYC came from the controllers; at which point we now accepted YYR and I decided that we were to no longer discuss this issue as it was becoming a distraction. As I continued the taxi I confirmed with the First Officer that he had changed the FMS to reflect the new runway as the departure procedure was different. I had planned to run through the FMS to ensure this was completed prior to takeoff; but then we faced a new distraction when the Tower cleared us for an intersection takeoff. We did not have numbers for this intersection and requested a a back taxi for a full length takeoff. Controllers approved our request with an immediate takeoff which now caused a distraction that caused me not to verify the FMS and; instead; asking for the before takeoff checklist followed by our takeoff roll. Once airborne we were instructed to turn right to join the departure at which point I realized the non flying pilot had; in fact; not entered correct departure. I proceeded to turn right as he entered and executed the correct one. As we were joining the correct departure we were given a heading of 090 degrees and then cleared to a fix on the departure to rejoin and comply with published restrictions; with which we complied. At no time were passengers; aircraft or anyone in danger as we corrected all issues prior to any actual violations or traffic conflicts. The flight was completed uneventfully. I believe that the fact that this non standard type of operation; with numerous mechanical issues; changes of schedule; change of sleep pattern with late night; late departures; stress from dealing with a long morning of trying to resolve a maintenance interpretation discrepancy followed by operation in a very congested and fast paced airport environment lead to distractions; fatigue and work overload which may have caused a small step to be missed that could have contributed to a heading or course deviation.
Data retrieved from NASA's ASRS site as of April 2012 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.