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|
Attributes | |
ACN | 113846 |
Time | |
Date | 198906 |
Day | Fri |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : alb |
State Reference | NY |
Altitude | msl bound lower : 1300 msl bound upper : 2000 |
Environment | |
Flight Conditions | Mixed |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : alb |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Flight Phase | descent : approach |
Route In Use | arrival other |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | oversight : supervisor |
Qualification | controller : radar |
ASRS Report | 113846 |
Person 2 | |
Affiliation | government : faa |
Function | controller : approach |
Qualification | controller : radar |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : published procedure other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Air carrier X vectored to intercept final approach course to maintain 2000' until established on final, then cleared for ILS runway 19 approach. The pilot joined final 10 mi north of alb and descended to 1300' at the 10 mi point. Controller observed deviation and advised air carrier X to climb and issued a low altitude alert. Air carrier X had descended rapidly. Controller issued the alert and climb when air carrier X was at 1300' descending. Pilot stated he received an erroneous G/south indication. As can be seen on the approach plate, the recommended altitude at hawky is 1501'. Pilot should have known something was wrong when he was at 1300' descending and not yet by the marker. Additionally, DME would have indicated he was too far out. The G/south intercept altitude is 1600', which is almost at the marker, and he did not catch that either. I believe the cause of this incident is that the crew did not cross-check any of the information that was available to them--they just intercepted the G/south and flew it down--fortunately not to the ground.
Original NASA ASRS Text
Title: ACR ON ILS APCH DESCENDED BELOW PUBLISHED ALT.
Narrative: ACR X VECTORED TO INTERCEPT FINAL APCH COURSE TO MAINTAIN 2000' UNTIL ESTABLISHED ON FINAL, THEN CLRED FOR ILS RWY 19 APCH. THE PLT JOINED FINAL 10 MI N OF ALB AND DSNDED TO 1300' AT THE 10 MI POINT. CTLR OBSERVED DEVIATION AND ADVISED ACR X TO CLB AND ISSUED A LOW ALT ALERT. ACR X HAD DSNDED RAPIDLY. CTLR ISSUED THE ALERT AND CLB WHEN ACR X WAS AT 1300' DSNDING. PLT STATED HE RECEIVED AN ERRONEOUS G/S INDICATION. AS CAN BE SEEN ON THE APCH PLATE, THE RECOMMENDED ALT AT HAWKY IS 1501'. PLT SHOULD HAVE KNOWN SOMETHING WAS WRONG WHEN HE WAS AT 1300' DSNDING AND NOT YET BY THE MARKER. ADDITIONALLY, DME WOULD HAVE INDICATED HE WAS TOO FAR OUT. THE G/S INTERCEPT ALT IS 1600', WHICH IS ALMOST AT THE MARKER, AND HE DID NOT CATCH THAT EITHER. I BELIEVE THE CAUSE OF THIS INCIDENT IS THAT THE CREW DID NOT CROSS-CHK ANY OF THE INFO THAT WAS AVAILABLE TO THEM--THEY JUST INTERCEPTED THE G/S AND FLEW IT DOWN--FORTUNATELY NOT TO THE GND.
Data retrieved from NASA's ASRS site as of August 2007 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.