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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 541508 |
| Time | |
| Date | 200203 |
| Day | Wed |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | navaid : eno.vortac |
| State Reference | DE |
| Altitude | msl single value : 21000 |
| Environment | |
| Flight Conditions | Mixed |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | artcc : zdc.artcc tracon : sct.tracon |
| Operator | common carrier : air carrier |
| Make Model Name | B737-800 |
| Operating Under FAR Part | Part 121 |
| Navigation In Use | other Other |
| Flight Phase | cruise : level |
| Route In Use | arrival star : korry 1 |
| Flight Plan | IFR |
| Aircraft 2 | |
| Controlling Facilities | artcc : zdc.artcc |
| Operator | common carrier : air carrier |
| Make Model Name | Commercial Fixed Wing |
| Operating Under FAR Part | Part 121 |
| Flight Phase | climbout : intermediate altitude |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : cfi pilot : atp pilot : flight engineer |
| Experience | flight time last 90 days : 180 flight time total : 10000 flight time type : 650 |
| ASRS Report | 541508 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : cfi pilot : flight engineer pilot : multi engine pilot : atp |
| Experience | flight time last 90 days : 180 flight time total : 6500 flight time type : 1000 |
| ASRS Report | 541993 |
| Events | |
| Anomaly | non adherence : clearance other spatial deviation |
| Independent Detector | other controllera other flight crewa |
| Resolutory Action | controller : issued alert flight crew : took evasive action flight crew : returned to intended or assigned course |
| Miss Distance | horizontal : 18000 vertical : 300 |
| Supplementary | |
| Problem Areas | Flight Crew Human Performance |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
Dca to lga. Korry 1 arrival at FL210. Autoplt engaged. On an assigned heading off our routing, then cleared direct speak intersection. I activated new leg but neglected to select LNAV. I then started setting up for the approach into lga (different than I was expecting). I didn't notice the aircraft not turning after speak intersection. Copilot noticed us off course. At that point, I forgot the previous clearance and though we were still on assigned heading. At the same time, center called and asked if we were in a turn and we got a TA on traffic 1-2 O'clock position and 800 ft below. I started a 30 degree bank turn back to course. Estimated closest point to traffic, 3-4 mi and 200 ft. No RA. Factors: complacency -- flying same route for past 2 weeks. Procedures -- not xchking automation after executing new leg.
Original NASA ASRS Text
Title: B737-800 CAPT FAILED TO PROGRAM THE LNAV FEATURE OF THE FMS RESULTING IN MISSING A CLRNC FIX.
Narrative: DCA TO LGA. KORRY 1 ARR AT FL210. AUTOPLT ENGAGED. ON AN ASSIGNED HDG OFF OUR ROUTING, THEN CLRED DIRECT SPEAK INTXN. I ACTIVATED NEW LEG BUT NEGLECTED TO SELECT LNAV. I THEN STARTED SETTING UP FOR THE APCH INTO LGA (DIFFERENT THAN I WAS EXPECTING). I DIDN'T NOTICE THE ACFT NOT TURNING AFTER SPEAK INTXN. COPLT NOTICED US OFF COURSE. AT THAT POINT, I FORGOT THE PREVIOUS CLRNC AND THOUGH WE WERE STILL ON ASSIGNED HDG. AT THE SAME TIME, CTR CALLED AND ASKED IF WE WERE IN A TURN AND WE GOT A TA ON TFC 1-2 O'CLOCK POS AND 800 FT BELOW. I STARTED A 30 DEG BANK TURN BACK TO COURSE. ESTIMATED CLOSEST POINT TO TFC, 3-4 MI AND 200 FT. NO RA. FACTORS: COMPLACENCY -- FLYING SAME RTE FOR PAST 2 WKS. PROCS -- NOT XCHKING AUTOMATION AFTER EXECUTING NEW LEG.
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.