FLT CREW OF BE20 MISPROGRAMMED FMS. TAKES OFF FROM ESN; TURNS THE WRONG WAY AND STUMBLES INTO THE DC ADIZ WITHOUT AUTH.

Date: 2003-09 · Aircraft: Super King Air 200 · Phase: climb

Anomalies: airspace-violation-all-types|deviation-track-heading-all-types|deviation-discrepancy-procedural-far|deviation-discrepancy-procedural-clearance|deviation-discrepancy-procedural-published-material-policy

Synopsis

FLT CREW OF BE20 MISPROGRAMMED FMS. TAKES OFF FROM ESN; TURNS THE WRONG WAY AND STUMBLES INTO THE DC ADIZ WITHOUT AUTH.

Narrative

ON SEP/SUN/03; AT XA06Z; THE PIC AND I DEPARTED ESN; MD; VFR ON AN IFR FLT TO LOM; WINGS FIELD; PA. THE ACFT WE WERE FLYING WAS A KING AIR B200. HOW THE PROB AROSE: WE DEPARTED VFR ON THIS TRIP BECAUSE WE WERE UNABLE TO GET A HOLD OF POTOMAC APCH ON THE GND; AND THE WX WAS VMC. THE NAV DISPLAY SHOWED OUR FIRST WAYPOINT TO THE W; AND WE PLANNED A L XWIND DEP IN THAT DIRECTION. AFTER TKOF; WE STARTED TO TURN TOWARD THE FIRST WAYPOINT IN THE FMS FLT PLAN. AT THIS POINT WE BOTH NOTICED THAT THE FMS WAS SHOWING THE FIRST WAYPOINT IN THE WRONG DIRECTION. I TRIED TO FIGURE OUT WHY THE FMS WAS SHOWING THE FIRST WAYPOINT; THE DUPONT VOR; TO OUR W; AND THE CAPT WAS TRYING TO RAISE POTOMAC APCH ON THE RADIO FOR A CLRNC. AFTER REALIZING THAT I COULD NOT GET THE FMS TO INDICATE CORRECTLY; I BROUGHT THE VOR #1 UP ON THE NAV DISPLAY; SO I COULD NAV TO DUPONT WITH CONVENTIONAL MEANS. AFTER THE FACT; WE BELIEVE THAT IT WAS DURING THIS R TURN FROM THE W TO THE NE THAT WE SKIMMED THROUGH THE EASTERN EDGE OF THE WASHINGTON DC; ADIZ. HOW THE PROB WAS DISCOVERED: THE CTLR WAS TAKING QUITE A WHILE TO GET BACK TO US WITH A CLRNC; AND THE PIC WAS TRYING TO FIGURE OUT WHAT WAS WRONG WITH THE FMS AT THIS TIME. THE CTLR FINALLY CAME BACK AND GAVE US A HDG AND ALT TO FLY; AND INFORMED US WE MIGHT HAVE ENTERED THE WASHINGTON DC; ADIZ MOMENTARILY. I HAD NOT DONE ANY OF THE FLT PLANNING FOR EITHER THE FLT IN OR OUT OF EASTON; AND HAD NOT SPENT MUCH TIME LOOKING AT THE CHARTS; SO DID NOT REALIZE THE EASTON ARPT'S CLOSE PROX TO THE ADIZ. LATER; THE CTLR CAME BACK AND SAID THAT WE HAD INDEED ENTERED THE ADIZ AND THAT WE NEEDED TO CALL A NUMBER WHEN WE LANDED. CONTRIBUTING FACTORS: I BELIEVE THERE WERE SEVERAL CONTRIBUTING FACTORS THAT LED TO THIS SIT. THE FIRST WOULD BE A MISUNDERSTANDING IN THE INITIALIZATION OF THE FMS. I MISTAKENLY ENTERED THE DEST ARPT (LOM) OR WINGS FIELD. THE PIC NOTICED THIS MISTAKE; AND BROUGHT IT TO MY ATTN. I TRIED TO CORRECT THE PROB BY GOING TO THE FLT PLAN PAGE; WHICH WILL AUTOMATICALLY DISPLAY THIS INITIAL ARPT ENTRY AS WAYPOINT #1 IN THE FLT PLAN. I ERASED THE INCORRECT ARPT (LOW) AND ENTERED THE CORRECT ONE (ESN). THE FMS ACCEPTED THIS; AND I CONTINUED TO ENTER THE FLT PLAN. THE PIC WAS WITH ME AS I DID COMPLETE THIS TASK. UNFORTUNATELY; HOWEVER; THE FMS WAS DISPLAYING OUR RTE OF FLT INCORRECTLY; BECAUSE IT DID NOT KNOW WHERE IT WAS BECAUSE THE WRONG ARPT HAD BEEN ENTERED IN THE INITIALIZATION PAGE. SO I BELIEVE THE FMS CONTRIBUTED TO THIS SIT; BECAUSE IT SHOWED OUR FIRST WAYPOINT TO THE W OF THE ARPT; IN THE DIRECTION OF THE WASHINGTON; DC; ADIZ. ANOTHER CONTRIBUTING FACTOR WAS THAT I HAD NOT LOOKED AT THE CHARTS TO KNOW THAT THE ADIZ WAS ONLY 7 MI TO THE W OF THE EASTON ARPT. UNFORTUNATELY; THE PIC WAS ALSO UNAWARE OF THE CLOSE PROX OF THIS AIRSPACE. AT OUR COMPANY; IT IS NORMAL PRACTICE FOR THE SIC TO GET THE ACFT READY FOR FLTS; AND ALSO TO DO ANY OTHER ITEMS DELEGATED BY THE PIC. THE PIC FOR THIS TRIP HAD DONE THE FLT PLANNING; CHKED THE WX; AND FILED THE FLT PLAN AND TALKED TO FSS. ANOTHER FACTOR WAS ATC'S SLOW RESPONSE AT GETTING BACK TO US WITH A CLRNC. WE WERE ALREADY WELL ON OUR WAY TO THE NE; AND WERE I BELIEVE ABOUT 6 MI TO THE N OF THE ARPT BEFORE HE FINALLY GAVE US A CLRNC. LASTLY; I BELIEVE THE TRAINING I WAS GIVEN ON THE FMS MAY HAVE CONTRIBUTED TO THIS SIT. I WAS NEVER FORMALLY INSTRUCTED ON ITS USE; AND NEVER WAS A MANUAL MADE AVAILABLE; UNTIL AFTER I WAS ON LINE FLYING THE PLANE; AND I FOUND THE MANUAL ON BOARD THE ACFT. CORRECTIVE ACTIONS: SINCE THIS SIT AROSE; I HAVE CHANGED SEVERAL THINGS IN MY ATTITUDE TOWARD FLYING. THE FIRST THING I HAVE DONE IS SPEND SOME TIME WITH THE FMS MANUAL. I HAVE A MUCH MORE SOLID UNDERSTANDING OF THE INITIALIZATION PAGE; AND IT'S IMPORTANCE IN SETTING UP THE FMS. I NOW SET UP THE FMS THE WAY THE MANUAL SAYS TO INITIALIZE IT; WHICH IS DIFFERENT THAN THE WAY I WAS SHOWN IN TRAINING. I HAVE MUCH BETTER KNOWLEDGE OF WHAT TO DO IF IT IS INITIALIZED INCORRECTLY. IT IS NOT HARD TO ACCIDENTALLY TYPE THE WRONG IDENT INTO THE INITIALIZATION PAGE. HOWEVER; I HAVE LEARNED HOW TO PROPERLY CORRECT THAT MISTAKE; SO I WILL NOT DUPLICATE IT IN THE FUTURE. I AM ALSO GOING TO MAKE IT A POINT TO ALWAYS LOOK AT THE CHARTS BEFORE I TAKE OFF VFR FROM AN ARPT THAT I AM NOT FAMILIAR WITH SO I CAN BE FAMILIAR WITH THE AIRSPACE SURROUNDING IT; REGARDLESS OF WHO HAS DONE THE FLT PLANNING. I WILL NEVER COUNT ON THE OTHER PLT TO KNOW THE AIRSPACE; REGARDLESS IF I AM THE SIC; OR WHO DID THE FLT PLANNING. I ALSO PLAN TO ALWAYS TRY TO GET AN IFR CLRNC ON THE GND; IF AT ALL POSSIBLE; SO AS TO ALWAYS HAVE INSTRUCTIONS; AND CLRNC INTO ANY SPECIAL AIRSPACE. SUMMARY: DURING THE FLT IN QUESTION; THE PIC AND I MADE A FEW MISTAKES THAT LED US INADVERTENTLY INTO THE WASHINGTON; DC; ADIZ. BY INITIALIZING THE FMS INCORRECTLY; NOT REALIZING THE CLOSE PROX OF THE SPECIAL AIRSPACE; NOT BACKING UP THE FMS WITH CONVENTIONAL MEANS; AND NOT GETTING A CLRNC SOONER; OR EVEN BETTER ON THE GND; WE GOT INTO THIS SIT. I HAVE LEARNED HOW TO PROPERLY CORRECT THE MISTAKE MADE IN INITIALIZATION OF THE UNIVERSAL FMS. I AM CONFIDENT THAT THIS SIT WILL NEVER ARISE AGAIN. I THINK THAT IT WOULD BE HELPFUL IF OUR COMPANY WOULD IDENT THIS ARPT; AND OTHERS LIKE IT; ON OUR TRIP SHEETS TO ALERT OTHER CREWS OF THIS CLOSE PROX AIRSPACE TO PREVENT ANOTHER CREW FROM DOING THE SAME THING. ALSO; TRAINING EVERYONE ON HOW TO PROPERLY CORRECT THE INITIALIZATION OF THE FMS IF IT IS INITIALIZED INCORRECTLY.

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