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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 132346 |
| Time | |
| Date | 198912 |
| Day | Sun |
| Local Time Of Day | 1201 To 1800 |
| Place | |
| Locale Reference | airport : hnl |
| State Reference | HI |
| Altitude | msl bound lower : 0 msl bound upper : 29000 |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | artcc : zhn |
| Operator | common carrier : air carrier |
| Make Model Name | Widebody, Low Wing, 3 Turbojet Eng |
| Navigation In Use | Other |
| Flight Phase | climbout : intermediate altitude climbout : takeoff ground : preflight |
| Route In Use | departure other enroute : other oceanic enroute : pacific |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp pilot : flight engineer |
| Experience | flight time last 90 days : 100 flight time total : 12000 flight time type : 700 |
| ASRS Report | 132346 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : second officer |
| Qualification | pilot : flight engineer pilot : commercial pilot : atp |
| Experience | flight time last 90 days : 135 flight time total : 5366 flight time type : 1620 |
| ASRS Report | 132349 |
| Events | |
| Anomaly | aircraft equipment problem : critical non adherence : clearance non adherence : published procedure other anomaly other other spatial deviation |
| Independent Detector | other flight crewa |
| Resolutory Action | controller : issued new clearance none taken : unable other |
| Consequence | Other |
| Supplementary | |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
Flight from hnl to cairns, australia. Upon arrival at the aircraft, first officer initialized INS and loaded waypoints while I was briefing F/a's. When I returned I verified the initial position, but failed to recognize that east rather than west had been inserted. After takeoff I found that the information (navigation) was incorrect from the INS units. We checked all flight manuals and guides and found that we were unable to update with a correct position. We dumped fuel down to maximum landing weight and returned to hnl. After redispatching, realigning INS units and refueling, we took off again 1+20 late. Rest of flight was uneventful. The primary cause of this incident was the first officer putting incorrect direction into the INS units. Secondly, I failed in catching his error when I verified the position. Closer attention and additional xchk would have prevented the error. Supplemental information from acn 132349: improper crew coordination on the ground caused the late recognition of wrong coordinates.
Original NASA ASRS Text
Title: WDB ACR ACFT RETURNS TO DEP ARPT AFTER INS NAVIGATION EQUIPMENT SHOWS IMPROPER DEP COORDINATES WERE INSERTED.
Narrative: FLT FROM HNL TO CAIRNS, AUSTRALIA. UPON ARR AT THE ACFT, F/O INITIALIZED INS AND LOADED WAYPOINTS WHILE I WAS BRIEFING F/A'S. WHEN I RETURNED I VERIFIED THE INITIAL POS, BUT FAILED TO RECOGNIZE THAT E RATHER THAN W HAD BEEN INSERTED. AFTER TKOF I FOUND THAT THE INFO (NAV) WAS INCORRECT FROM THE INS UNITS. WE CHKED ALL FLT MANUALS AND GUIDES AND FOUND THAT WE WERE UNABLE TO UPDATE WITH A CORRECT POS. WE DUMPED FUEL DOWN TO MAX LNDG WT AND RETURNED TO HNL. AFTER REDISPATCHING, REALIGNING INS UNITS AND REFUELING, WE TOOK OFF AGAIN 1+20 LATE. REST OF FLT WAS UNEVENTFUL. THE PRIMARY CAUSE OF THIS INCIDENT WAS THE F/O PUTTING INCORRECT DIRECTION INTO THE INS UNITS. SECONDLY, I FAILED IN CATCHING HIS ERROR WHEN I VERIFIED THE POS. CLOSER ATTN AND ADDITIONAL XCHK WOULD HAVE PREVENTED THE ERROR. SUPPLEMENTAL INFO FROM ACN 132349: IMPROPER CREW COORD ON THE GND CAUSED THE LATE RECOGNITION OF WRONG COORDINATES.
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.