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Captain of an SF340 mistakenly taxied onto a runway when he failed to follow taxi instructions during taxi out for takeoff.
| Attributes | |
| ACN | 374100 |
| Time | |
| Date | 199707 |
| Day | Wed |
| Local Time Of Day | 1201 To 1800 |
| Place | |
| Locale Reference | airport : jfk |
| State Reference | NY |
| Altitude | agl bound lower : 0 agl bound upper : 0 |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | SF 340B |
| Operating Under FAR Part | Part 121 |
| Navigation In Use | Other Other |
| Flight Phase | ground other : taxi |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| Experience | flight time last 90 days : 150 flight time total : 15000 flight time type : 3000 |
| ASRS Report | 374100 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : commercial pilot : instrument |
| Events | |
| Anomaly | incursion : runway non adherence : clearance other anomaly other |
| Independent Detector | other controllera other flight crewa |
| Resolutory Action | controller : issued new clearance other |
| Consequence | Other |
| Supplementary | |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
Cleared to taxi taxiway kk to follow air carrier MD80 direct taxiway B to runway 22R. Taxiing out taxiway kk, ground instructed us to turn left on taxiway a, take taxiway J and then turn left on taxiway B. Running the taxi checklist, first officer had his head down setting up the management flight director (in SF340) for speeds as I briefed by leading V speeds and torque settings (checklist requires captain to brief while taxiing) requiring my head to be inside and down also. I missed the left turn on taxiway B and began to turn left onto runway 4L. I was across the hold short line and committed prior to observing my error. Although the checklist requirement is questionable, I've followed it thousands of times without error. A few seconds of distraction by both pilots set us up for this error. Ground then cleared us on runway 4L to left turn onto taxiway H, right on taxiway B to continue to runway 22R. Although there were no aircraft on runway 22R/4L, the potential for problems was obvious.
Original NASA ASRS Text
Title: CAPT OF AN SF340 MISTAKENLY TAXIED ONTO A RWY WHEN HE FAILED TO FOLLOW TAXI INSTRUCTIONS DURING TAXI OUT FOR TKOF.
Narrative: CLRED TO TAXI TXWY KK TO FOLLOW ACR MD80 DIRECT TXWY B TO RWY 22R. TAXIING OUT TXWY KK, GND INSTRUCTED US TO TURN L ON TXWY A, TAKE TXWY J AND THEN TURN L ON TXWY B. RUNNING THE TAXI CHKLIST, FO HAD HIS HEAD DOWN SETTING UP THE MGMNT FLT DIRECTOR (IN SF340) FOR SPDS AS I BRIEFED BY LEADING V SPDS AND TORQUE SETTINGS (CHKLIST REQUIRES CAPT TO BRIEF WHILE TAXIING) REQUIRING MY HEAD TO BE INSIDE AND DOWN ALSO. I MISSED THE L TURN ON TXWY B AND BEGAN TO TURN L ONTO RWY 4L. I WAS ACROSS THE HOLD SHORT LINE AND COMMITTED PRIOR TO OBSERVING MY ERROR. ALTHOUGH THE CHKLIST REQUIREMENT IS QUESTIONABLE, I'VE FOLLOWED IT THOUSANDS OF TIMES WITHOUT ERROR. A FEW SECONDS OF DISTR BY BOTH PLTS SET US UP FOR THIS ERROR. GND THEN CLRED US ON RWY 4L TO L TURN ONTO TXWY H, R ON TXWY B TO CONTINUE TO RWY 22R. ALTHOUGH THERE WERE NO ACFT ON RWY 22R/4L, THE POTENTIAL FOR PROBS WAS OBVIOUS.
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.