 |
37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Flight crew technique preflight procedure air carrier read, but did not accomplish their preflight checklist.
| Attributes | |
| ACN | 297581 |
| Time | |
| Date | 199502 |
| Day | Mon |
| Local Time Of Day | 1801 To 2400 |
| Place | |
| Locale Reference | airport : clt |
| State Reference | NC |
| Altitude | msl bound lower : 2000 msl bound upper : 6000 |
| Environment | |
| Flight Conditions | VMC |
| Light | Night |
| Aircraft 1 | |
| Controlling Facilities | tracon : clt |
| Operator | common carrier : air carrier |
| Make Model Name | Commercial Fixed Wing |
| Operating Under FAR Part | Part 121 |
| Flight Phase | climbout : initial |
| Route In Use | departure sid : sid |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| Experience | flight time last 90 days : 210 flight time total : 16400 |
| ASRS Report | 297581 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : commercial pilot : instrument |
| Experience | flight time last 90 days : 190 flight time total : 9500 |
| ASRS Report | 298101 |
| Events | |
| Anomaly | non adherence : clearance non adherence : far non adherence : published procedure other spatial deviation |
| Independent Detector | other controllera other flight crewa |
| Resolutory Action | controller : issued new clearance flight crew : returned to intended course or assigned course other |
| Consequence | Other |
| Supplementary | |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
We were assigned the standard SID which involved tracking a radial from clt VOR. After departure we were given runway heading to intercept the radial for the SID. Climbing on runway heading through approximately 4000 ft departure control asked if we were showing ourselves on course. We answered that the assigned radial was to the left of our track and we had not intercepted the assigned radial yet. Departure informed us that in fact the assigned radial was to our right and we were 4 NM east of course and proceeding toward the arrival gate. I double checked the radial and VOR which were set right. Departure assigned us a heading for departure while we trouble-shot our navigational equipment. It was then I discovered that the previous captain had set the VOR/ILS alternate switch to the first officer's position. This meant my navigation was receiving information from the first officer's navigation, which was selected to a downline VOR. The switch was returned to normal position and all navigation receivers indicated normal. Climb out then proceeded as normal. During the originating checklist, I remember calling 'checked and set' when transfer switches were called, but obviously did not physically check the switch position. This occurred at the end of another long duty day and I believe fatigue played a factor.
Original NASA ASRS Text
Title: FLC TECHNIQUE PREFLT PROC ACR READ, BUT DID NOT ACCOMPLISH THEIR PREFLT CHKLIST.
Narrative: WE WERE ASSIGNED THE STANDARD SID WHICH INVOLVED TRACKING A RADIAL FROM CLT VOR. AFTER DEP WE WERE GIVEN RWY HDG TO INTERCEPT THE RADIAL FOR THE SID. CLBING ON RWY HDG THROUGH APPROX 4000 FT DEP CTL ASKED IF WE WERE SHOWING OURSELVES ON COURSE. WE ANSWERED THAT THE ASSIGNED RADIAL WAS TO THE L OF OUR TRACK AND WE HAD NOT INTERCEPTED THE ASSIGNED RADIAL YET. DEP INFORMED US THAT IN FACT THE ASSIGNED RADIAL WAS TO OUR R AND WE WERE 4 NM E OF COURSE AND PROCEEDING TOWARD THE ARR GATE. I DOUBLE CHKED THE RADIAL AND VOR WHICH WERE SET RIGHT. DEP ASSIGNED US A HDG FOR DEP WHILE WE TROUBLE-SHOT OUR NAVIGATIONAL EQUIP. IT WAS THEN I DISCOVERED THAT THE PREVIOUS CAPT HAD SET THE VOR/ILS ALTERNATE SWITCH TO THE FO'S POS. THIS MEANT MY NAV WAS RECEIVING INFO FROM THE FO'S NAV, WHICH WAS SELECTED TO A DOWNLINE VOR. THE SWITCH WAS RETURNED TO NORMAL POS AND ALL NAV RECEIVERS INDICATED NORMAL. CLBOUT THEN PROCEEDED AS NORMAL. DURING THE ORIGINATING CHKLIST, I REMEMBER CALLING 'CHKED AND SET' WHEN TRANSFER SWITCHES WERE CALLED, BUT OBVIOUSLY DID NOT PHYSICALLY CHK THE SWITCH POS. THIS OCCURRED AT THE END OF ANOTHER LONG DUTY DAY AND I BELIEVE FATIGUE PLAYED A FACTOR.
Data retrieved from NASA's ASRS site as of July 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.