A FLC MISREAD THE DEP PROC FROM OGG; HI. THEY DIDN'T FLY THE DEP AS WRITTEN AND SAW THEY WERE HDG FOR RAPIDLY RISING TERRAIN.
Synopsis
A FLC MISREAD THE DEP PROC FROM OGG; HI. THEY DIDN'T FLY THE DEP AS WRITTEN AND SAW THEY WERE HDG FOR RAPIDLY RISING TERRAIN.
Narrative
DEPARTING OGG. PLANNING TKOF ON RWY 2. WE CALLED FOR TAXI; GOT RWY 20. TAXIED TO RWY 20. AT THE END OF THE RWY; GOT CLRNC FOR OPANA 1 DEP; INITIAL HDG 020 DEGS; MAINTAIN FL360. INSTALL DEP IN FMC; AND BRIEF DEP. AFTER TKOF I TURNED L TO 020 DEGS. AFTER PASSING 2000 FT; I STARTED TO TURN TO 100 DEG HDG; AT WHICH POINT I SAID; 'THIS ISN'T GOING TO TAKE US TO THE 69 DEG RADIAL (V11);' AND IMMEDIATELY TURNED BACK TO 20 DEGS. WHAT WE DIDN'T DO WAS GET ESTABLISHED ON THE 030 DEG RADIAL BEFORE STARTING OUR TURN TO 100 DEGS. THE 100 DEG HDG WAS TOWARD RAPIDLY RISING TERRAIN. AT THIS POINT DEP GAVE US A HDG OF 050 DEGS. WE CONTINUED CLBOUT WITH NO OTHER PROBS. CONTRIBUTING FACTORS: ATIS WAS RPTING TKOFS ON RWY 2. THIS IS THE NORMAL TKOF DIRECTION 99% OF THE TIME. WE HAD NEVER DONE THE OPANA 1 DEP. IN THE READING AND BRIEFING THE DEP; AT THE END OF THE RWY; GETTING ESTABLISHED ON THE RADIAL BEFORE THE TURN WAS OVERLOOKED. THIS IS A SIT WHERE PLTS THAT ARE VERY FAMILIAR WITH THE ARPT CAN GET INTO TROUBLE. THIS OP IS VMC MOST OF THE TIME. RWY 20 TKOFS ARE DONE MOSTLY WHEN WINTER STORMS COME IN; CAUSING EXPERIENCED PLTS TO BE OPERATING AN UNFAMILIAR DEP IN ADVERSE CONDITIONS. PROPOSED CORRECTIVE ACTION: I THINK A NOTE ON THE OPANA DEP; ALONG THE LINES OF 'CAUTION ACFT MUST BE ESTABLISHED ON THE 030 DEG RADIAL; NE OF THE OGG VOR; BEFORE TURNING TO 100 DEGS. RAPIDLY RISING TERRAIN E OF OGG ARPT' OR SOME OTHER VERBIAGE TO STRESS THIS; WOULD BE IN ORDER. I ADMIT THAT THE DEP IS ACCURATE AS WRITTEN; BUT WHEN 2 PLTS CAN MISCONSTRUE THE INSTRUCTIONS; A CLARIFICATION IS IN ORDER. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: RPTR ADMITTED THAT HE AND HIS FO MISREAD THE DEP INSTRUCTIONS. THEY WERE POSITIVE THEY WERE GOING TO USE THE OPPOSITE RWY; AND THE NEW RWY ASSIGNED TO THEM WAS USED FOR THE FIRST TIME. THEY HAD NO PROB GETTING TO ALT. EVEN THOUGH THEY WERE HVY; THEY PASSED THE 069 DEG RADIAL AT 2000 FT AND THEN STARTED THE R TURN TO 100 DEGS. THIS PLACED THEM ON COURSE TO A HIGH MOUNTAIN. THEY NEVER DID GET ESTABLISHED ON THE 030 DEG RADIAL. THEREFORE; THEY WOULD LIKE THE CHART CHANGED TO EMPHASIZE THE IMPORTANCE OF BEING ESTABLISHED ON THE 030 DEG RADIAL BEFORE TURNING R TO A HDG OF 100 DEGS. SUCH A NOTE COULD BE ADDED TO THE CHART THAT WOULD SAY 'CAUTION; ACFT MUST BE ESTABLISHED ON 030 DEG RADIAL AND 2000 FT BEFORE TURNING R.'
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Source: NASA Aviation Safety Reporting System (public domain). Reports are voluntary submissions and are not verified by NASA.