ADV LGT FAILS TO INTERCEPT SID.
Synopsis
ADV LGT FAILS TO INTERCEPT SID.
Narrative
FMC ENTERED FLT PLAN INTO CDU INITIALLY AS RWY 25R DEP; THEN DIRECT TRM. HSI LEGS STEPPED THROUGH AND VERIFIED. CLRNC RECEIVED AS FLIPPER 2 THERMAL TRANSITION (FIRST MISTAKE--HSI LEGS NOT STEPPED THROUGH TO VERIFY FLIPPER 2 DEP ENTERED INTO FMC BY CREW). DEP NORMAL GIVEN CLB TO 10000' SPD 250 KTS; THEN ABOUT 8500' GIVEN HDG 160 DEGS TO INTERCEPT AND PROCEED VIA FLIPPER 2. THIS TYPE OF CLRNC BY DEP CTL LEAVES CREW UNSURE AS TO WHICH RADIAL WILL BE INTERCEPTED FIRST; THE VENTURA 114 DEG R OR THE SLI 040 DEG R. SINCE THE FLIPPER 2 WAS NOT ENTERED INTO THE CDU; IT WAS NOT PICTORIALLY DISPLAYED. THEREFORE THE CREW HAD THE TASK OF DETERMINING WHICH RADIAL WOULD BE INTERCEPTED. (SECOND MISTAKE: VENTURA VOR MANUALLY TUNED FOR THE 114 DEG R ON CA VOR. CA GLANCED AT SID AND INCORRECTLY TUNED F/O VOR TO SLI 080 DEG R THEREBY DISPLAYING THE RADIALS FOR THE WRONG TRANSITION.) AT THIS TIME CREW GIVEN FREQ CHANGE TO ANOTHER CTLR TAKING ONE CREW MEMBER OUT OF NAV ACTIVITY FOR A TIME. THEN CTLR NOTED ACFT HEADED FOR SLI ON 220 DEG R AND PRIOR TO REACHING COASTLINE GAVE CREW 140 DEG HDG TO RESUME SID. CORRECTIONS OR PRECAUTIONS TO BE TAKEN TO PREVENT THIS TYPE OF SITUATION ARE AS FOLLOWS: 1) THE INITIAL ENTRY OF THE FLT PLAN INTO THE FMC SHOULD LEAVE A DEP DISCONTINUITY RATHER THAN AN INCORRECT CLRNC SUCH AS DIRECT TO A VOR WHEN A SID WILL MOST CERTAINLY BE GIVEN. 2) CREW SHOULD WAIT UNTIL THE FINAL CLRNC RECEIVED FROM ATC BEFORE STEPPING THROUGH THE LEGS ON THE HSI TO VERIFY THE CORRECT PICTORIAL DISPLAY. 3) WHEN A DEP CTLR GIVES A CLRNC SUCH AS A HDG TO INTERCEPT A SID; THE CLRNC SHOULD BE 'TURN TO A HDG AND INTERCEPT THE APPROPRIATE RADIAL AND RESUME THE SID.' THIS TAKES ALL THE MYSTERY OUT OF WHERE THE ACFT IS AND WHICH RADIAL DEP CTL IS EXPECTING THE ACFT TO INTERCEPT.
Source: NASA Aviation Safety Reporting System (public domain). Reports are voluntary submissions and are not verified by NASA.