RWY TRANSGRESSION.

Date: 1994-11 · Aircraft: Commercial Fixed Wing

Anomalies: conflict-nmac|conflict-ground-conflict|critical|deviation-discrepancy-procedural-published-material-policy|deviation-discrepancy-procedural-clearance|ground-incursion-runway

Synopsis

RWY TRANSGRESSION.

Narrative

MY FLT WAS LNDG SBN; IN; TO PICK UP A PATIENT FOR AN AIR AMBULANCE FLT. SBN TWR CLRED ME TO LAND ON RWY 27L. AFTER LNDG; INSTRUCTIONS WERE TO BACK-TAXI ON RWY 27L AND HOLD SHORT OF RWY 18. I BEGAN THE BACK-TAXI AS INSTRUCTED. FAILING TO OBSERVE STERILE COCKPIT; THE MEDICAL CREW NURSE BEGAN TO TALK TO ME; AS WE TAXIED; ABOUT THE PATIENT'S CONDITIONS AND ANXIETY ABOUT THE FLT. MY ATTN WAS DISTRACTED FROM THE TASK AT HAND. IT WAS THE NURSE'S FIRST FLT WITH US. I FAILED TO MAINTAIN A STERILE COCKPIT. AS I WAS TAXIING; I THOUGHT I HAD A LOT OF DISTANCE TO TRAVEL YET. THE TWR YELLED FOR ME TO HOLD SHORT. I IMMEDIATELY SLAMMED ON THE BRAKES SCREECHING TO A QUICK STOP. THE PLANE STOPPED PARTIALLY ON RWY 18. THE PLANE WAS NOT FULLY ON THE RWY. MY IMMEDIATE ATTN WAS TO MY L ON RWY 18. I WAS GOING TO PWR UP TO VACATE THE RWY BUT THE REGIONAL AIRLINER WAS DEPARTING RWY 18 AND HAD JUST ROTATED. THE AIRLINER WAS AN ESTIMATED 2000-2500 FT AWAY FROM ME WHEN HE ROTATED; AND THEY CLRED MY AIRPLANE WELL ABOVE ME. I APOLOGIZED TO THE CTLR AND I WAS CLRED TO TAXI TO THE RAMP. I WAS VERY UPSET BY WHAT HAD JUST HAPPENED AND CALLED THE TWR TO FURTHER APOLOGIZE AND EXPLAIN WHAT HAD HAPPENED. THIS WAS A PRIME EXAMPLE OF HOW IMPORTANT STERILE COCKPIT ADDS TO SAFE OPS. I EXPLAINED VERY THOROUGHLY TO THE MEDICAL FLT CREW MEMBER THE IMPORTANCE OF STERILE COCKPIT OPS; AND EXPLAINED THAT IT WAS MY FAULT FOR NOT INSISTING ON STERILE COCKPIT. BUT ALSO TAUGHT HER THAT OTHER CREW MEMBERS SHOULD NOT DISTRACT OR ATTEMPT TO DISTRACT A COCKPIT MEMBER FROM THE TASK AT HAND WITH VERBAL DISTRS. THOSE DISTRS SHOULD NOT TAKE PLACE UNTIL THE ACFT IS SHUT DOWN. I TOLD THE CHIEF PLT; OUR DIRECTOR OF OPS AND OUR CHIEF OF MEDICAL CREW MEMBERS THAT STERILE COCKPIT TRAINING MUST BE EMPHASIZED TO ALL CREW MEMBERS; PLTS; AND MEDICAL TO HELP AVOID ANYTHING SIMILAR IN THE FUTURE. THERE WAS NO REAL THREAT TO SAFETY BECAUSE THE AIRLINER WAS SAFELY FAR ENOUGH AWAY FROM MY POS WHEN HE ROTATED; AND CLRED WELL ABOVE US. I LEARNED A VERY VALUABLE LESSON FROM THIS EXPERIENCE AND WILL NEVER FORGET IT. I HAVE ALREADY SHARED THIS WITH THE REST OF MY CO-WORKERS IN HOPES THAT IT WILL BENEFIT THEM AS WELL IN THE FUTURE.

Source: NASA Aviation Safety Reporting System (public domain). Reports are voluntary submissions and are not verified by NASA.