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Flight crew failed to notice change in departure on the pre departure clearance. Anomaly was discovered when ATC issued clearance direct to a fix which had not been programmed into the FMC.
| Attributes | |
| ACN | 789955 |
| Time | |
| Date | 200806 |
| Local Time Of Day | 1201 To 1800 |
| Place | |
| Locale Reference | airport : lax.airport |
| State Reference | CA |
| Altitude | msl single value : 4000 |
| Environment | |
| Flight Conditions | Marginal |
| Aircraft 1 | |
| Controlling Facilities | tracon : sct.tracon |
| Operator | common carrier : air carrier |
| Make Model Name | Commercial Fixed Wing |
| Operating Under FAR Part | Part 121 |
| Route In Use | arrival other departure sid : laxx |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Experience | flight time last 90 days : 215 flight time total : 9500 flight time type : 1400 |
| ASRS Report | 789955 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Experience | flight time last 90 days : 250 flight time total : 16000 flight time type : 6000 |
| ASRS Report | 789943 |
| Events | |
| Anomaly | non adherence : published procedure non adherence : clearance |
| Independent Detector | other flight crewa other flight crewb |
| Resolutory Action | flight crew : returned to original clearance |
| Supplementary | |
| Problem Areas | Flight Crew Human Performance |
| Primary Problem | Flight Crew Human Performance |
Narrative:
On climb out from lax; socal cleared us direct to peeve which I could not find on our route; so asked him to repeat and clarify the instruction. We had the filed route of the LAXX5 trm route in our FMC. ATC queried us as to what our clearance was and I answered the LAXX5 trm. After looking at the printed copy of our pre departure clearance I saw there was a revised segment with the holtz 9 departure. I told ATC about the revised segment and apologized. One of the biggest contributing factors to missing this revised segment was that when the captain was programming the FMC with the filed route there was no LAXX5 in the database; just the LAXX3. We got into multiple discussions as to whether the database was out of date (it was not) and how to fly the departure (in manual using heading select since we were unsure of the validity of the LAXX3). We were talking about this right before takeoff. Another contributing factor to missing the revised segment for me was my stress and distraction from the company announcement to ground aircraft recently. I know that we are supposed to be able to compartmentalize but I am so extremely worried about how I'm going to be able to support myself and my child if I am furloughed. This is very overwhelming and difficult to keep my mind off.
Original NASA ASRS Text
Title: FLT CREW FAILED TO NOTICE CHANGE IN DEP ON THE PDC. ANOMALY WAS DISCOVERED WHEN ATC ISSUED CLRNC DIRECT TO A FIX WHICH HAD NOT BEEN PROGRAMMED INTO THE FMC.
Narrative: ON CLBOUT FROM LAX; SOCAL CLEARED US DIRECT TO PEEVE WHICH I COULD NOT FIND ON OUR RTE; SO ASKED HIM TO REPEAT AND CLARIFY THE INSTRUCTION. WE HAD THE FILED RTE OF THE LAXX5 TRM RTE IN OUR FMC. ATC QUERIED US AS TO WHAT OUR CLRNC WAS AND I ANSWERED THE LAXX5 TRM. AFTER LOOKING AT THE PRINTED COPY OF OUR PDC I SAW THERE WAS A REVISED SEGMENT WITH THE HOLTZ 9 DEP. I TOLD ATC ABOUT THE REVISED SEGMENT AND APOLOGIZED. ONE OF THE BIGGEST CONTRIBUTING FACTORS TO MISSING THIS REVISED SEGMENT WAS THAT WHEN THE CAPT WAS PROGRAMMING THE FMC WITH THE FILED RTE THERE WAS NO LAXX5 IN THE DATABASE; JUST THE LAXX3. WE GOT INTO MULTIPLE DISCUSSIONS AS TO WHETHER THE DATABASE WAS OUT OF DATE (IT WAS NOT) AND HOW TO FLY THE DEP (IN MANUAL USING HEADING SELECT SINCE WE WERE UNSURE OF THE VALIDITY OF THE LAXX3). WE WERE TALKING ABOUT THIS RIGHT BEFORE TAKEOFF. ANOTHER CONTRIBUTING FACTOR TO MISSING THE REVISED SEGMENT FOR ME WAS MY STRESS AND DISTRACTION FROM THE COMPANY ANNOUNCEMENT TO GND ACFT RECENTLY. I KNOW THAT WE ARE SUPPOSED TO BE ABLE TO COMPARTMENTALIZE BUT I AM SO EXTREMELY WORRIED ABOUT HOW I'M GOING TO BE ABLE TO SUPPORT MYSELF AND MY CHILD IF I AM FURLOUGHED. THIS IS VERY OVERWHELMING AND DIFFICULT TO KEEP MY MIND OFF.
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.