HDG TRACK DEV WHEN PIC OF A DEP B737 FAILS TO MAKE THE L TURN AT 3 DME ON THE FMG6 DEP PROC OUT OF RNO.

2004-08 · NASA ASRS report 628397

Date: 2004-08 · Aircraft: B737-300

Anomalies: aircraft-equipment-problem-less-severe|deviation-speed-all-types|deviation-track-heading-all-types|deviation-discrepancy-procedural-clearance|deviation-discrepancy-procedural-published-material-policy

Synopsis

HDG TRACK DEV WHEN PIC OF A DEP B737 FAILS TO MAKE THE L TURN AT 3 DME ON THE FMG6 DEP PROC OUT OF RNO.

Narrative

FMG.6 DEP OFF RWY 16R AT RNO. CREW FAILED TO INITIATE TURN AT 3 DME FIX IN COMPLIANCE WITH SID PROC. LAST MIN MEL INTERRUPTED CHKLIST AND INADEQUATE DEP/NAVAID BRIEFING BY THE CAPT WAS A RESULT. ON INITIAL CLBOUT; PF WAS CONFUSED ON TURNOUT PROCS AND BEGAN A DIALOGUE WITH PLT MONITORING; AND THEN WITH ATC TO RESOLVE HIS CONFUSION. HE HAD THE SINGLE ENG EMER PROC ON HIS YOKE PLATE AND WAS CONVINCED HE NEEDED TO CONTINUE STRAIGHT AHEAD ON THE DEP. DURING THIS BRIEF PERIOD OF CONFUSION; ACFT ACCELERATED TO 250 KIAS AND BLEW THROUGH THE 3 DME FIX BEFORE A L TURN WAS INITIATED. PF CONTINUED DIALOGUE WITH ATC AND IT WAS EVIDENT THAT THEY WERE FRUSTRATED WITH COMPANY CREWS DEVIATING ON THIS DEP ON A REGULAR BASIS. CONTRIBUTING FACTORS: POOR; NON-STANDARD BRIEFING TECHNIQUES. I WILL NOT PROCEED TO THE BEFORE PUSH CHKLIST AGAIN WITHOUT A THOROUGH; STANDARD DEP BRIEFING. 2) POOR CREW COORD. I WILL IMMEDIATELY CHALLENGE THE PF ON WHO HAS ACFT CTL WHEN PF ASSUMES RADIO COM RESPONSIBILITY DURING A CRITICAL PHASE OF FLT. 3) INTERRUPTIONS TO FINAL PREPARATION FOR PUSHBACK. I WILL MORE FIRMLY INTERVENE TO SLOW THE PROCESS DOWN WHEN LAST MIN AMENDED RELEASE; MEL RESEARCH AND MAINT PAPERWORK INTERRUPTS THE DEP BRIEFING PROCESS. HUMAN FACTORS: PF RETIRES IN 2 WKS. AS A COMPANY; WE SHOULD RECOGNIZE THAT THIS IS A SIGNIFICANT LIFE EVENT AND PROVIDE COUNSEL/MONITORING AT THE CHIEF PLT LEVEL DURING THEIR FINAL YEAR ON BOARD. INFORMAL; QUARTERLY IS MY RECOMMENDATION. I WAS INFORMED BY MY WIFE; THE DAY BEFORE AT THE JETWAY; THAT MY MOTHER HAD A HEART ATTACK AND WAS IN THE HOSPITAL. IN HINDSIGHT; I WOULD HAVE BEEN MORE RESPONSIBLE TO BLOW OFF THE TRIP. IT WAS AT THE BACK OF MY MIND THE ENTIRE TRIP. SUPPLEMENTAL INFO FROM ACN 628028: BRIEFED MUSTANG 6 DEP. THEN BRIEFED LOSS OF ENG FOR RWY 16R. WE BOTH HAD LOSS OF ENG PLATES ON CTL COLUMN. FOR SOME REASON; I WAS EXPECTING A VECTOR TO MUSTANG. AT 5 DME I ASKED CTLR FOR A TURN AND HE SAID WE SHOULD HAVE ALREADY TURNED. I SCREWED UP AND FO DID NOT CATCH IT. PREOCCUPATION WITH SINGLE ENG PROC. FIX: WOULD BE; 'NOT TO DO THAT.'

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

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