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| Attributes | |
| ACN | 589175 |
| Time | |
| Date | 200307 |
| Day | Fri |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : jax.airport |
| State Reference | FL |
| Altitude | agl single value : 0 |
| Environment | |
| Flight Conditions | IMC |
| Weather Elements | Fog |
| Light | Dawn |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | B717 (Formerly MD-95) |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground : taxi |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| Experience | flight time last 90 days : 200 flight time total : 8600 flight time type : 1800 |
| ASRS Report | 589175 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Events | |
| Anomaly | incursion : taxiway non adherence : published procedure non adherence : clearance non adherence : far other anomaly other |
| Independent Detector | other flight crewa other flight crewb |
| Resolutory Action | controller : issued new clearance other |
| Supplementary | |
| Problem Areas | Weather FAA Company Flight Crew Human Performance |
| Primary Problem | Weather |
| Air Traffic Incident | Pilot Deviation |
Narrative:
Pushed back from gate, given 'taxi to runway 7 via txwys J and a.' as I started the taxi, I couldn't make out taxiway J. Visibility was advertised 6 SM on ATIS, I asked ground and they replied current visibility 1/4 SM. Turned on a taxiway I thought was taxiway J via the airport diagram (it wasn't labeled) and it turned out to be taxiway H. I stopped and we asked ground if we could use taxiway H (approved). At the intersection of txwys H and a, I turned right instead of left. Visibility was below minimums so we needed a takeoff alternate. We called dispatch and received mco. Upon reaching runway 25, switched to tower, and I did a runway check. Noticed directional gyroscope and runway sign and realized we taxied to the wrong runway. Notified ATC and were approved for takeoff on runway 25. I believe 3 factors (at least) were contributing: 1) this was a continuous duty overnight -- arrived at XA45 previous night and had an XH20 departure (4 1/2 hours sleep!) 'fatigue.' 2) 'visibility' made taxi difficult to see signage -- 1/4 SM (ground controller could not see us taxi wrong way). 3) 'preoccupation' with the WX and getting a takeoff alternate. This was the 3RD continuous duty overnight in a row, I was very fatigued and it affected my awareness, judgement and I didn't notice errors I was making.
Original NASA ASRS Text
Title: B717-200 CREW ENTERED THE WRONG TXWY AND WENT TO THE WRONG RWY BECAUSE OF REDUCED VISIBILITY RESTRS AND EXTREME CREW FATIGUE CAUSED BY REPEATED CREW 'STAND UP OVERNIGHTS.'
Narrative: PUSHED BACK FROM GATE, GIVEN 'TAXI TO RWY 7 VIA TXWYS J AND A.' AS I STARTED THE TAXI, I COULDN'T MAKE OUT TXWY J. VISIBILITY WAS ADVERTISED 6 SM ON ATIS, I ASKED GND AND THEY REPLIED CURRENT VISIBILITY 1/4 SM. TURNED ON A TXWY I THOUGHT WAS TXWY J VIA THE ARPT DIAGRAM (IT WASN'T LABELED) AND IT TURNED OUT TO BE TXWY H. I STOPPED AND WE ASKED GND IF WE COULD USE TXWY H (APPROVED). AT THE INTXN OF TXWYS H AND A, I TURNED R INSTEAD OF L. VISIBILITY WAS BELOW MINIMUMS SO WE NEEDED A TKOF ALTERNATE. WE CALLED DISPATCH AND RECEIVED MCO. UPON REACHING RWY 25, SWITCHED TO TWR, AND I DID A RWY CHK. NOTICED DIRECTIONAL GYROSCOPE AND RWY SIGN AND REALIZED WE TAXIED TO THE WRONG RWY. NOTIFIED ATC AND WERE APPROVED FOR TKOF ON RWY 25. I BELIEVE 3 FACTORS (AT LEAST) WERE CONTRIBUTING: 1) THIS WAS A CONTINUOUS DUTY OVERNIGHT -- ARRIVED AT XA45 PREVIOUS NIGHT AND HAD AN XH20 DEP (4 1/2 HRS SLEEP!) 'FATIGUE.' 2) 'VISIBILITY' MADE TAXI DIFFICULT TO SEE SIGNAGE -- 1/4 SM (GND CTLR COULD NOT SEE US TAXI WRONG WAY). 3) 'PREOCCUPATION' WITH THE WX AND GETTING A TKOF ALTERNATE. THIS WAS THE 3RD CONTINUOUS DUTY OVERNIGHT IN A ROW, I WAS VERY FATIGUED AND IT AFFECTED MY AWARENESS, JUDGEMENT AND I DIDN'T NOTICE ERRORS I WAS MAKING.
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.