 |
37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Flight crew programmed wrong route in their computer. ARTCC controller intervened when they turned off cleared flight plan.
| Attributes | |
| ACN | 112881 |
| Time | |
| Date | 198906 |
| Day | Tue |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | atc facility : ipl |
| State Reference | CA |
| Altitude | msl bound lower : 33000 msl bound upper : 33000 |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | artcc : zla |
| Operator | common carrier : air carrier |
| Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
| Navigation In Use | Other Other |
| Flight Phase | cruise other |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| Experience | flight time last 90 days : 160 flight time total : 14500 flight time type : 5000 |
| ASRS Report | 112881 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : atp |
| Experience | flight time last 90 days : 210 flight time total : 7500 flight time type : 1500 |
| ASRS Report | 112880 |
| Events | |
| Anomaly | non adherence : clearance other spatial deviation |
| Independent Detector | other controllera |
| Resolutory Action | other |
| Consequence | Other |
| Supplementary | |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
While on the border 3 departure from san en route to pit the lax center called asking for our heading. We had just made a turn at ipl going direct to lvs. Center informed that our route was J18 from ipl to lvs. We immediately turned to 90 degree to intercept J18. The first officer had put the wrong route in the fmcs. Direct lvs from ipl should have been J18. Captain failed to catch the mistake. Supplemental information from acn 112880: in our highly-automated, INS-navigated, electronic cockpits of today, errors like this can happen easily if vigilance is not maintained and computer entries are not double-checked by both pilots. If 'manual' VOR navigation with reference to the hard copy of our flight plan had been utilized, this event never would have occurred. In this case, the classic 'junk in. Junk out' applies to my computer-driven, albeit simple human error: misreading my instructions.
Original NASA ASRS Text
Title: FLT CREW PROGRAMMED WRONG ROUTE IN THEIR COMPUTER. ARTCC CTLR INTERVENED WHEN THEY TURNED OFF CLEARED FLT PLAN.
Narrative: WHILE ON THE BORDER 3 DEP FROM SAN ENRTE TO PIT THE LAX CENTER CALLED ASKING FOR OUR HDG. WE HAD JUST MADE A TURN AT IPL GOING DIRECT TO LVS. CENTER INFORMED THAT OUR ROUTE WAS J18 FROM IPL TO LVS. WE IMMEDIATELY TURNED TO 90 DEG TO INTERCEPT J18. THE F/O HAD PUT THE WRONG ROUTE IN THE FMCS. DIRECT LVS FROM IPL SHOULD HAVE BEEN J18. CAPT FAILED TO CATCH THE MISTAKE. SUPPLEMENTAL INFORMATION FROM ACN 112880: IN OUR HIGHLY-AUTOMATED, INS-NAVIGATED, ELECTRONIC COCKPITS OF TODAY, ERRORS LIKE THIS CAN HAPPEN EASILY IF VIGILANCE IS NOT MAINTAINED AND COMPUTER ENTRIES ARE NOT DOUBLE-CHECKED BY BOTH PLTS. IF 'MANUAL' VOR NAVIGATION WITH REFERENCE TO THE HARD COPY OF OUR FLT PLAN HAD BEEN UTILIZED, THIS EVENT NEVER WOULD HAVE OCCURRED. IN THIS CASE, THE CLASSIC 'JUNK IN. JUNK OUT' APPLIES TO MY COMPUTER-DRIVEN, ALBEIT SIMPLE HUMAN ERROR: MISREADING MY INSTRUCTIONS.
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.