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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 1573269 |
| Time | |
| Date | 201808 |
| Place | |
| Locale Reference | ZZZ.ARTCC |
| State Reference | US |
| Environment | |
| Flight Conditions | VMC |
| Aircraft 1 | |
| Make Model Name | B787 Dreamliner Undifferentiated or Other Model |
| Operating Under FAR Part | Part 121 |
| Flight Phase | Descent |
| Flight Plan | IFR |
| Person 1 | |
| Function | First Officer Pilot Not Flying |
| Qualification | Flight Crew Air Transport Pilot (ATP) Flight Crew Instrument Flight Crew Multiengine |
| Experience | Flight Crew Total 11316 Flight Crew Type 2125 |
| Events | |
| Anomaly | Deviation - Procedural FAR Deviation - Procedural Clearance Deviation - Procedural Published Material / Policy Deviation - Track / Heading All Types |
Narrative:
We were instructed to hold at a fix on airway. The instruction 'hold as published' was not used. We entered standard right turn. On outbound leg; we were told that it was a left pattern. I reviewed jeppspro high alt; but did not see any holding pattern at the fix. Other holding patterns were shown; so I assumed that it was standard entry. After we were told that we turned in the wrong direction; a closer analysis of jeppspro showed that the fixes were not selected; and the holding patterns shown were over navaids (which were selected). As soon as the fixes were highlighted; the correct holding pattern was shown. This error is also attributed to the fatigue; since this was a third leg of 4 leg [while] pairing with crew of 3. With crew of 3 there is significant degradation of alertness and many minor errors; such as missed communication; slow responses; etc.; were shown on this leg and subsequent leg. We were all fatigued with only about two 3 hour rest periods in about 20 hour period.
Original NASA ASRS Text
Title: B787 Captain reported entering a hold pattern with a standard right turn which was incorrect for this fix.
Narrative: We were instructed to hold at a fix on airway. The instruction 'hold as published' was not used. We entered standard right turn. On outbound leg; we were told that it was a left pattern. I reviewed JeppsPro High Alt; but did not see any holding pattern at the fix. Other holding patterns were shown; so I assumed that it was standard entry. After we were told that we turned in the wrong direction; a closer analysis of JeppsPro showed that the fixes were not selected; and the holding patterns shown were over navaids (which were selected). As soon as the fixes were highlighted; the correct holding pattern was shown. This error is also attributed to the fatigue; since this was a third leg of 4 leg [while] pairing with crew of 3. With crew of 3 there is significant degradation of alertness and many minor errors; such as missed communication; slow responses; etc.; were shown on this leg and subsequent leg. We were all fatigued with only about two 3 hour rest periods in about 20 hour period.
Data retrieved from NASA's ASRS site 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.