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Reporter so reports that the SID had been revised, but the old SID was inadvertently still used. Reporter attributes mistake to high workload, last min changes, preflight activities and terrain concerns.
| Attributes | |
| ACN | 390027 |
| Time | |
| Date | 199801 |
| Day | Thu |
| Local Time Of Day | 1801 To 2400 |
| Place | |
| Locale Reference | airport : psp |
| State Reference | CA |
| Altitude | msl bound lower : 1000 msl bound upper : 1000 |
| Aircraft 1 | |
| Controlling Facilities | tracon : psp |
| Operator | common carrier : air carrier |
| Make Model Name | Commercial Fixed Wing |
| Operating Under FAR Part | Part 121 |
| 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 : second officer |
| Qualification | pilot : instrument pilot : flight engineer pilot : commercial |
| Experience | flight time last 90 days : 50 flight time total : 3100 flight time type : 50 |
| ASRS Report | 390027 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| Events | |
| Anomaly | non adherence : clearance non adherence : published procedure other spatial deviation |
| Independent Detector | 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:
Printed flight plan stated cathedral 4 departure which called for a right turn at psp VOR. Departure was revised by clearance delivery. First officer (PF) did not change the SID displayed, flew original SID. High workload and last min changes were contributing factors. Fixation with preflight activities and terrain concerns were also factors.
Original NASA ASRS Text
Title: RPTR SO RPTS THAT THE SID HAD BEEN REVISED, BUT THE OLD SID WAS INADVERTENTLY STILL USED. RPTR ATTRIBUTES MISTAKE TO HIGH WORKLOAD, LAST MIN CHANGES, PREFLT ACTIVITIES AND TERRAIN CONCERNS.
Narrative: PRINTED FLT PLAN STATED CATHEDRAL 4 DEP WHICH CALLED FOR A R TURN AT PSP VOR. DEP WAS REVISED BY CLRNC DELIVERY. FO (PF) DID NOT CHANGE THE SID DISPLAYED, FLEW ORIGINAL SID. HIGH WORKLOAD AND LAST MIN CHANGES WERE CONTRIBUTING FACTORS. FIXATION WITH PREFLT ACTIVITIES AND TERRAIN CONCERNS WERE ALSO FACTORS.
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.