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An air carrier captain reports he and the first officer missed that combined NOTAMS left them unable to complete the published single-engine procedure even after conscientiously reading the many pages of NOTAMS.
| Attributes | |
| ACN | 794014 |
| Time | |
| Date | 200806 |
| Local Time Of Day | 1801 To 2400 |
| Place | |
| Locale Reference | airport : zzz.airport |
| State Reference | US |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | tracon : zzz.tracon |
| Operator | common carrier : air carrier |
| Make Model Name | Regional Jet 200 ER&LR |
| Operating Under FAR Part | Part 121 |
| Flight Phase | climbout : takeoff |
| Route In Use | departure sid : n/s |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Experience | flight time last 90 days : 185 flight time total : 6000 flight time type : 4550 |
| ASRS Report | 794014 |
| Events | |
| Anomaly | non adherence : company policies non adherence : published procedure non adherence : far |
| Independent Detector | other flight crewa |
| Resolutory Action | none taken : detected after the fact |
| Consequence | other |
| Supplementary | |
| Problem Areas | Flight Crew Human Performance FAA Chart Or Publication |
| Primary Problem | Chart Or Publication |
| Situations | |
| Publication | NOTAM |
Narrative:
I was notified by a chief pilot that the crew and I operated a flight from ZZZ-ZZZ1. Even after looking at the NOTAMS several times I apparently failed to notice the combination of multiple NOTAMS (ie 3 separate NOTAMS) that left us unable to complete the published single engine procedure and we departed that runway anyway. However; WX at the time was clear and 10+ miles visibility. So even in the event of an engine failure we were able to 'see and avoid.' contributing factors include an extremely long work day (8 hours block; 12 hours duty); large amount of NOTAMS for same airport (sometimes 50 or more); a difficult to read coding system for NOTAMS; poor print quality of the release (ie light ink and poor spacing). In the future I will take more time to read the NOTAMS and confirm if single engine departure procedure is required even in VFR conditions.
Original NASA ASRS Text
Title: AN ACR CAPT RPTS HE AND THE FO MISSED THAT COMBINED NOTAMS LEFT THEM UNABLE TO COMPLETE THE PUBLISHED SINGLE-ENGINE PROC EVEN AFTER CONSCIENTIOUSLY READING THE MANY PAGES OF NOTAMS.
Narrative: I WAS NOTIFIED BY A CHIEF PILOT THAT THE CREW AND I OPERATED A FLIGHT FROM ZZZ-ZZZ1. EVEN AFTER LOOKING AT THE NOTAMS SEVERAL TIMES I APPARENTLY FAILED TO NOTICE THE COMBINATION OF MULTIPLE NOTAMS (IE 3 SEPARATE NOTAMS) THAT LEFT US UNABLE TO COMPLETE THE PUBLISHED SINGLE ENGINE PROCEDURE AND WE DEPARTED THAT RWY ANYWAY. HOWEVER; WX AT THE TIME WAS CLEAR AND 10+ MILES VISIBILITY. SO EVEN IN THE EVENT OF AN ENGINE FAILURE WE WERE ABLE TO 'SEE AND AVOID.' CONTRIBUTING FACTORS INCLUDE AN EXTREMELY LONG WORK DAY (8 HOURS BLOCK; 12 HOURS DUTY); LARGE AMOUNT OF NOTAMS FOR SAME ARPT (SOMETIMES 50 OR MORE); A DIFFICULT TO READ CODING SYSTEM FOR NOTAMS; POOR PRINT QUALITY OF THE RELEASE (IE LIGHT INK AND POOR SPACING). IN THE FUTURE I WILL TAKE MORE TIME TO READ THE NOTAMS AND CONFIRM IF SINGLE ENGINE DEP PROC IS REQUIRED EVEN IN VFR CONDITIONS.
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.