An air carrier freighter crew flies runway heading departure ont when they should have turned left d...

Attributes
ACN	449019
Time
Date	199909
Day	Mon
Local Time Of Day	1201 To 1800
Place
Locale Reference	airport : ont.airport
State Reference	CA
Altitude	msl bound lower : 2000 msl bound upper : 3000
Environment
Flight Conditions	VMC
Light	Daylight
Aircraft 1
Controlling Facilities	tower : ric.tower
Operator	common carrier : air carrier
Make Model Name	Large Transport, Low Wing, 2 Turbojet Eng
Operating Under FAR Part	Part 121
Navigation In Use	other vortac
Flight Phase	climbout : initial climbout : takeoff ground : preflight ground : takeoff roll ground : taxi
Route In Use	departure : on vectors
Flight Plan	IFR
Person 1
Affiliation	company : air carrier
Function	flight crew : captain oversight : pic
Qualification	pilot : multi engine pilot : instrument pilot : flight engineer pilot : atp
Experience	flight time last 90 days : 180 flight time total : 6000 flight time type : 4000
ASRS Report	449019
Person 2
Affiliation	company : air carrier
Function	flight crew : first officer
Qualification	pilot : multi engine pilot : commercial pilot : instrument
Events
Anomaly	non adherence : clearance other spatial deviation
Independent Detector	other controllera
Resolutory Action	controller : issued advisory
Consequence	faa : reviewed incident with flight crew
Supplementary
Problem Areas	Flight Crew Human Performance Company ATC Human Performance
Primary Problem	Flight Crew Human Performance
Air Traffic Incident	Pilot Deviation

Narrative:

Both crew members misread/misunderstood clearance to read 'direct pdz VOR.' actual clearance was 'left turn direct pdz VOR.' as a result, runway heading was maintained until queried by socal departure at 2000-3000 ft. Crew anticipated vector or direction to turn from tower or departure control. On arrival at aircraft, it was loaded, secured and ready for departure. During cockpit preparation, load supervisor entered cockpit and requested expeditious departure. While we didn't feel rushed, it is evident that some attention to detail and xchks were missed. The key is to maintain flows and habit patterns. No checklist or aircraft operating (inspection, security, start) procedures were missed but we missed a detail within a normal procedure. If you feel rushed or want to hurry -- don't, normal is the key.

Original NASA ASRS Text

Title: AN ACR FREIGHTER CREW FLIES RWY HDG DEP ONT WHEN THEY SHOULD HAVE TURNED L DIRECT TO PDZ, CA.

Narrative: BOTH CREW MEMBERS MISREAD/MISUNDERSTOOD CLRNC TO READ 'DIRECT PDZ VOR.' ACTUAL CLRNC WAS 'L TURN DIRECT PDZ VOR.' AS A RESULT, RWY HDG WAS MAINTAINED UNTIL QUERIED BY SOCAL DEP AT 2000-3000 FT. CREW ANTICIPATED VECTOR OR DIRECTION TO TURN FROM TWR OR DEP CTL. ON ARR AT ACFT, IT WAS LOADED, SECURED AND READY FOR DEP. DURING COCKPIT PREPARATION, LOAD SUPVR ENTERED COCKPIT AND REQUESTED EXPEDITIOUS DEP. WHILE WE DIDN'T FEEL RUSHED, IT IS EVIDENT THAT SOME ATTN TO DETAIL AND XCHKS WERE MISSED. THE KEY IS TO MAINTAIN FLOWS AND HABIT PATTERNS. NO CHKLIST OR ACFT OPERATING (INSPECTION, SECURITY, START) PROCS WERE MISSED BUT WE MISSED A DETAIL WITHIN A NORMAL PROC. IF YOU FEEL RUSHED OR WANT TO HURRY -- DON'T, NORMAL IS THE KEY.

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.

An air carrier freighter crew flies runway heading departure ont when they should have turned left direct to pdz, ca.