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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 775171 |
| Time | |
| Date | 200802 |
| Local Time Of Day | 1801 To 2400 |
| Place | |
| Locale Reference | airport : sfo.airport |
| State Reference | CA |
| Altitude | msl single value : 18000 |
| Aircraft 1 | |
| Controlling Facilities | artcc : zoa.artcc |
| Operator | common carrier : air carrier |
| Make Model Name | B747-400 |
| Operating Under FAR Part | Part 121 |
| Navigation In Use | other |
| Flight Phase | climbout : intermediate altitude |
| Route In Use | departure sid : molen |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Experience | flight time last 90 days : 200 flight time total : 19000 flight time type : 5000 |
| ASRS Report | 775171 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Experience | flight time last 90 days : 210 flight time total : 12000 flight time type : 4000 |
| ASRS Report | 775168 |
| Events | |
| Anomaly | non adherence : clearance non adherence : published procedure other spatial deviation |
| Independent Detector | other controllera |
| Resolutory Action | controller : issued advisory controller : issued new clearance flight crew : returned to intended or assigned course |
| Consequence | faa : reviewed incident with flight crew |
| Supplementary | |
| Problem Areas | ATC Human Performance Flight Crew Human Performance Chart Or Publication |
| Primary Problem | Chart Or Publication |
Narrative:
Filed molen 3 eni boxer. Pre departure clearance had revised clearance which was molen 3 molen boxer. Eni is on the SID page. So since we were filed over eni and the amended clearance did not specifically state direct boxer after molen; we followed the SID. As we turned towards eni; ATC asked if sfo had revised our clearance for direct boxer after molen. He subsequently gave us a heading and then a clearance direct boxer. In retrospect; I should have asked if we were indeed cleared direct boxer after molen since we were somewhat confused about the revised clearance. Supplemental information from acn 775168: prior to before start checklist; the pre departure clearance was received. It was the molen 3 departure; as expected. The revised segment indicated the same; molen 3 molen and boxer. Boxer was already on our route of flight; so this did not stand out as; in fact; revised. This was loaded into the FMC; with the legs page looking as described in the clearance. After handoff from norcal to ZOA; we were queried about going direct to boxer; which we had not been given by the previous controller. The clearance was then questioned; and ZOA indicated we had been cleared direct boxer on the pre departure clearance. After examining the revised segment again; since the text was worded 'molen boxer' we did not grasp that it was direct after molen. In retrospect; clearance should have been contacted on the ground to disseminate the revised segment; it appeared to us to be our originally filed route.
Original NASA ASRS Text
Title: TRACK DEV OCCURS WHEN B747-400 FLT CREW MISINTERPRETS PDC REVISED SEGMENT.
Narrative: FILED MOLEN 3 ENI BOXER. PDC HAD REVISED CLRNC WHICH WAS MOLEN 3 MOLEN BOXER. ENI IS ON THE SID PAGE. SO SINCE WE WERE FILED OVER ENI AND THE AMENDED CLRNC DID NOT SPECIFICALLY STATE DIRECT BOXER AFTER MOLEN; WE FOLLOWED THE SID. AS WE TURNED TOWARDS ENI; ATC ASKED IF SFO HAD REVISED OUR CLRNC FOR DIRECT BOXER AFTER MOLEN. HE SUBSEQUENTLY GAVE US A HDG AND THEN A CLRNC DIRECT BOXER. IN RETROSPECT; I SHOULD HAVE ASKED IF WE WERE INDEED CLRED DIRECT BOXER AFTER MOLEN SINCE WE WERE SOMEWHAT CONFUSED ABOUT THE REVISED CLRNC. SUPPLEMENTAL INFO FROM ACN 775168: PRIOR TO BEFORE START CHKLIST; THE PDC WAS RECEIVED. IT WAS THE MOLEN 3 DEP; AS EXPECTED. THE REVISED SEGMENT INDICATED THE SAME; MOLEN 3 MOLEN AND BOXER. BOXER WAS ALREADY ON OUR RTE OF FLT; SO THIS DID NOT STAND OUT AS; IN FACT; REVISED. THIS WAS LOADED INTO THE FMC; WITH THE LEGS PAGE LOOKING AS DESCRIBED IN THE CLRNC. AFTER HDOF FROM NORCAL TO ZOA; WE WERE QUERIED ABOUT GOING DIRECT TO BOXER; WHICH WE HAD NOT BEEN GIVEN BY THE PREVIOUS CTLR. THE CLRNC WAS THEN QUESTIONED; AND ZOA INDICATED WE HAD BEEN CLRED DIRECT BOXER ON THE PDC. AFTER EXAMINING THE REVISED SEGMENT AGAIN; SINCE THE TEXT WAS WORDED 'MOLEN BOXER' WE DID NOT GRASP THAT IT WAS DIRECT AFTER MOLEN. IN RETROSPECT; CLRNC SHOULD HAVE BEEN CONTACTED ON THE GND TO DISSEMINATE THE REVISED SEGMENT; IT APPEARED TO US TO BE OUR ORIGINALLY FILED RTE.
Data retrieved from NASA's ASRS site as of May 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.