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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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Captain of an medium large transport overturned during the first turn during climb after takeoff due to switching in his mind the heading and radial to which the heading would take him on an intercept. He discovered his mistake shortly and had turned back to appropriate heading when ATC wanted verification of the correct heading.
| Attributes | |
| ACN | 383410 |
| Time | |
| Date | 199710 |
| Day | Sat |
| Local Time Of Day | 0001 To 0600 |
| Place | |
| Locale Reference | atc facility : smf airport : mcc |
| State Reference | CA |
| Altitude | msl bound lower : 600 msl bound upper : 3000 |
| Environment | |
| Flight Conditions | VMC |
| Light | Night |
| Aircraft 1 | |
| Controlling Facilities | tracon : mcc tower : ona |
| Operator | common carrier : air carrier |
| Make Model Name | Commercial Fixed Wing |
| Navigation In Use | Other Other |
| Flight Phase | climbout : intermediate altitude |
| Route In Use | departure other 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 : 230 flight time total : 16000 flight time type : 5000 |
| ASRS Report | 383410 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : commercial pilot : instrument |
| Events | |
| Anomaly | non adherence : published procedure non adherence : clearance other spatial deviation |
| Independent Detector | other flight crewa |
| Resolutory Action | flight crew : returned to intended course or assigned course |
| Consequence | Other |
| Supplementary | |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
Cleared frogo 6 departure out of smf. SID says at 600 ft turn left 120 degrees to intercept 090 degree radial. During departure, at 600 ft, the aircraft was turned to 090 degree heading for approximately 1-2 mins. After discovery, aircraft turned back to 120 degrees without incident. After rollout, departure called for verification of 120 degrees. Problem?! Complacency. I have flown in and out of smf routinely for 3 yrs. But instead of reviewing the SID (which was out and on display), I mentally made a mistake by reversing heading and radial.
Original NASA ASRS Text
Title: CAPT OF AN MLG OVERTURNED DURING THE FIRST TURN DURING CLB AFTER TKOF DUE TO SWITCHING IN HIS MIND THE HDG AND RADIAL TO WHICH THE HDG WOULD TAKE HIM ON AN INTERCEPT. HE DISCOVERED HIS MISTAKE SHORTLY AND HAD TURNED BACK TO APPROPRIATE HDG WHEN ATC WANTED VERIFICATION OF THE CORRECT HDG.
Narrative: CLRED FROGO 6 DEP OUT OF SMF. SID SAYS AT 600 FT TURN L 120 DEGS TO INTERCEPT 090 DEG RADIAL. DURING DEP, AT 600 FT, THE ACFT WAS TURNED TO 090 DEG HDG FOR APPROX 1-2 MINS. AFTER DISCOVERY, ACFT TURNED BACK TO 120 DEGS WITHOUT INCIDENT. AFTER ROLLOUT, DEP CALLED FOR VERIFICATION OF 120 DEGS. PROBLEM?! COMPLACENCY. I HAVE FLOWN IN AND OUT OF SMF ROUTINELY FOR 3 YRS. BUT INSTEAD OF REVIEWING THE SID (WHICH WAS OUT AND ON DISPLAY), I MENTALLY MADE A MISTAKE BY REVERSING HDG AND RADIAL.
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.