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Flight crew of a B737-400 failed to follow the standard departure procedure after takeoff at a non controled airport by not turning to intercept a VOR radial as published.
| Attributes | |
| ACN | 438711 |
| Time | |
| Date | 199906 |
| Day | Tue |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : ome.airport |
| State Reference | AK |
| Altitude | agl bound lower : 400 agl bound upper : 2200 |
| Environment | |
| Flight Conditions | IMC |
| Light | Daylight |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | B737-400 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | climbout : initial |
| Route In Use | departure : other published ifr departure |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : private pilot : flight engineer pilot : commercial pilot : atp |
| Experience | flight time last 90 days : 190 flight time total : 10500 flight time type : 1000 |
| ASRS Report | 438711 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : atp pilot : cfi pilot : commercial pilot : instrument pilot : multi engine |
| Experience | flight time last 90 days : 225 flight time total : 7500 flight time type : 4500 |
| ASRS Report | 438713 |
| Events | |
| Anomaly | non adherence : published procedure non adherence : clearance non adherence : far other spatial deviation |
| Independent Detector | other flight crewa |
| Resolutory Action | none taken : detected after the fact |
| Supplementary | |
| Problem Areas | Flight Crew Human Performance Chart Or Publication |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
On an instrument departure from paom-paot ome-ome J123 otz-otz (course from ome 007 degrees) via the departure procedure for runway 27, made a right turn after departure direct to ome then turned left on the airway northbound. The departure procedure as written is confusing. I wonder if it could be rewritten. I believe we should have turned left then turned direct nome above 2200 ft. This is especially confusing due to the direction of the destination not the initial NAVAID and altitude crossing it.
Original NASA ASRS Text
Title: FLC OF A B737-400 FAILED TO FOLLOW THE STANDARD DEP PROC AFTER TKOF AT A NON CTLED ARPT BY NOT TURNING TO INTERCEPT A VOR RADIAL AS PUBLISHED.
Narrative: ON AN INST DEP FROM PAOM-PAOT OME-OME J123 OTZ-OTZ (COURSE FROM OME 007 DEGS) VIA THE DEP PROC FOR RWY 27, MADE A R TURN AFTER DEP DIRECT TO OME THEN TURNED L ON THE AIRWAY NBOUND. THE DEP PROC AS WRITTEN IS CONFUSING. I WONDER IF IT COULD BE REWRITTEN. I BELIEVE WE SHOULD HAVE TURNED L THEN TURNED DIRECT NOME ABOVE 2200 FT. THIS IS ESPECIALLY CONFUSING DUE TO THE DIRECTION OF THE DEST NOT THE INITIAL NAVAID AND ALT XING IT.
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.