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Following a runway change subsequent to initial FMS programming; MD11 flight crew fails to verify legs on triss RNAV SID from dfw. Crew fails to fly the transition portion.
| Attributes | |
| ACN | 695820 |
| Time | |
| Date | 200605 |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : dfw.airport |
| State Reference | TX |
| Altitude | msl single value : 25000 |
| Environment | |
| Flight Conditions | IMC |
| Weather Elements | Turbulence |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | artcc : zfw.artcc |
| Operator | common carrier : air carrier |
| Make Model Name | MD-11 |
| Operating Under FAR Part | Part 121 |
| Navigation In Use | other |
| Flight Phase | climbout : intermediate altitude climbout : vacating altitude |
| Route In Use | departure sid : triss |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Experience | flight time last 90 days : 55 flight time total : 17000 flight time type : 55 |
| ASRS Report | 695820 |
| Person 2 | |
| Affiliation | company : air carrier |
| Experience | flight time last 90 days : 25 flight time total : 5850 flight time type : 375 |
| ASRS Report | 695819 |
| Events | |
| Anomaly | aircraft equipment problem : critical non adherence : clearance non adherence : published procedure other spatial deviation |
| Independent Detector | other controllera |
| Resolutory Action | controller : issued new clearance controller : issued advisory |
| Consequence | faa : reviewed incident with flight crew |
| Supplementary | |
| Problem Areas | Flight Crew Human Performance ATC Human Performance Aircraft Chart Or Publication |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
The event actually started on the ground in dfw. The clearance was confirmed with the FMS and the flight plan. All the proper points were there and checked. We were given a runway change on taxi out and when the new data was entered; the original SID dropped out. The new runway was entered as well as the SID but the transition was not loaded and a navigation point was left out of the route. The clearance was TRISS2; txk trans. TRISS2 was loaded and after triss the FMS was now going direct to txk; thus bypassing a waypoint. We were informed that we were 4 miles off course and asked if we were cleared direct txk. I replied that we were proceeding direct to txk at this time and was then informed of the deviation. The busy time prior to departure and the low time of my personal experience with the aircraft added to the error. No traffic was impacted and we were then cleared to now proceed direct to txk.supplemental information from acn 695819: ATC gave us a phone number to call. They said no action would be taken and they were just trying to reduce these types of incidents as they were occurring frequently. In hindsight we should have slowed down a bit and told the tower we needed a couple of minutes to review our departure since we had received a runway change. Complacent!!
Original NASA ASRS Text
Title: FOLLOWING A RWY CHANGE SUBSEQUENT TO INITIAL FMS PROGRAMMING; MD11 FLT CREW FAILS TO VERIFY LEGS ON TRISS RNAV SID FROM DFW. CREW FAILS TO FLY THE TRANSITION PORTION.
Narrative: THE EVENT ACTUALLY STARTED ON THE GND IN DFW. THE CLRNC WAS CONFIRMED WITH THE FMS AND THE FLT PLAN. ALL THE PROPER POINTS WERE THERE AND CHKED. WE WERE GIVEN A RWY CHANGE ON TAXI OUT AND WHEN THE NEW DATA WAS ENTERED; THE ORIGINAL SID DROPPED OUT. THE NEW RWY WAS ENTERED AS WELL AS THE SID BUT THE TRANSITION WAS NOT LOADED AND A NAV POINT WAS LEFT OUT OF THE RTE. THE CLRNC WAS TRISS2; TXK TRANS. TRISS2 WAS LOADED AND AFTER TRISS THE FMS WAS NOW GOING DIRECT TO TXK; THUS BYPASSING A WAYPOINT. WE WERE INFORMED THAT WE WERE 4 MILES OFF COURSE AND ASKED IF WE WERE CLRED DIRECT TXK. I REPLIED THAT WE WERE PROCEEDING DIRECT TO TXK AT THIS TIME AND WAS THEN INFORMED OF THE DEV. THE BUSY TIME PRIOR TO DEP AND THE LOW TIME OF MY PERSONAL EXPERIENCE WITH THE ACFT ADDED TO THE ERROR. NO TFC WAS IMPACTED AND WE WERE THEN CLRED TO NOW PROCEED DIRECT TO TXK.SUPPLEMENTAL INFO FROM ACN 695819: ATC GAVE US A PHONE NUMBER TO CALL. THEY SAID NO ACTION WOULD BE TAKEN AND THEY WERE JUST TRYING TO REDUCE THESE TYPES OF INCIDENTS AS THEY WERE OCCURRING FREQUENTLY. IN HINDSIGHT WE SHOULD HAVE SLOWED DOWN A BIT AND TOLD THE TWR WE NEEDED A COUPLE OF MINUTES TO REVIEW OUR DEP SINCE WE HAD RECEIVED A RWY CHANGE. COMPLACENT!!
Data retrieved from NASA's ASRS site as of January 2009 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.