37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 1249901 |
Time | |
Date | 201503 |
Local Time Of Day | 0001-0600 |
Place | |
Locale Reference | SDF.Airport |
State Reference | KY |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Make Model Name | Widebody Transport |
Operating Under FAR Part | Part 121 |
Flight Phase | Final Approach Initial Approach |
Route In Use | Other RNAV 35L STAR DLAMP3 |
Flight Plan | IFR |
Person 1 | |
Function | First Officer Instructor Pilot Flying Check Pilot |
Qualification | Flight Crew Air Transport Pilot (ATP) |
Experience | Flight Crew Last 90 Days 80 |
Person 2 | |
Function | Captain Pilot Not Flying |
Qualification | Flight Crew Air Transport Pilot (ATP) |
Experience | Flight Crew Last 90 Days 116 Flight Crew Total 14097 Flight Crew Type 4878 |
Events | |
Anomaly | Deviation - Altitude Overshoot Deviation - Procedural Clearance Deviation - Procedural Published Material / Policy Deviation - Speed All Types Deviation - Track / Heading All Types Inflight Event / Encounter Unstabilized Approach |
Narrative:
This flight was an IOE trip with myself; a PIC conducting oe [operating experience] for an upgrade captain. I was the PF [pilot flying] as the upgrade captain had numerous previous legs and requested a leg as pm [pilot monitoring]. The crew was augmented with an additional first officer [first officer] and international relief officer [international relief officer]. The flight progressed normally until the arrival into sdf. A visual approach was planned to 35R backed up by an RNAV approach. I used the RNAV approach for backup because the upgrade captain had only seen one non-precision approach during oe. We were cleared for the arrival and expected to land on 35R. The arrival was normal until approaching dlamp when we were cleared to 4000 ft. Dlamp has a published altitude of +6000 and 210 kts. I called for 4000 ft. In the altitude window and asked the pm to clear the /+6000 restriction at dlamp. On clearing the restriction; I observed the 210 kt profile was also cleared and FMS speed intervened (speed select 210) to comply with the speed. I actually had to select 230 since we had not extended slats and out min clean speed was about 230. After rolling out on downwind I called for slats and re-selected 210. I observed oncoming traffic for the north runways and elected stay on profile to 4000. We were subsequently cleared to 3000 ft but I stayed on profile for fuel efficiency believing that we would have an extended downwind. After passing getta I expected the aircraft to descend to 3000 ft. But since getta is the exit fix for the arrival the FMS leveled the aircraft at 4000 ft. I selected level change to descend to 3000 ft. ATC turned us to base leg shortly after passing getta. I accepted the turn and then realized we were going to be too high to descend on profile and called for flaps 15. We then accepted a clearance for a visual approach to 35R and I called for direct parcl with a 348 intercept to comply with note 4 on the published approach. Once that intercept was in the FMS I selected navigation to get at least one magenta field in the FMS (we were still in speed select and level change in the other fields). I asked the pm to set MDA in the altitude window but realized we were not going to reach profile prior to parcl. I called for gear down and flaps 28 but we were still above flaps 35 speed. I disconnected the ap in an effort to level the aircraft to slow but that effort was futile. At 1700 AGL I announced to the pm that this wasn't going to work and he agreed. At 1500 ft AGL I called for missed approach. Since we only had about 1000 ft to climb; I wanted to select level change rather than hit the toga button which would give us go-around thrust but MDA was still set in the altitude window so I hit the toga button (probably should have just used vs but it didn't occur to me until too late). We executed the missed approach but I was still hand flying and overshot the 3000 ft clearance by about 200 ft. We notified ATC of the deviation. I also over sped the flaps in the process of trying to maintain level flight and documented this overspeed in the aircraft logbook and event report.once leveled off I re-established autoflight and we were vectored for a second approach. I briefed the same approach and it progressed normally until base leg. When cleared for the approach; I initiated a turn to intercept final. I intended to call for direct parcl with a 348 intercept as we had done previously but I apparently called for direct pgsus instead. The pm gave me what I asked for. Pgsus was behind us so the aircraft began a left turn across final rather than a right turn to intercept. I disconnected the autopilot to correct the aircraft flight path but could not avoid overshooting the final approach course. The pm notified ATC of this deviation. I gave up on automation and hand flew a visual approach to 35R; landing uneventfully. We did have both augmented crewmembers in the cockpit observing this approach and landing. I would like to emphasize that all other crewmembers were instrumental in calling deviations and helping me to mitigate the errors. I am humiliated by my performance and take full responsibility for any consequences. I had ample opportunity for crew rest prior to the flight but found myself not mentally alert per my normal standard and after the initial error; struggling to get back ahead of the aircraft. I am submitting this report to hopefully aid in data collection and help those that follow to learn from my mistakes.
Original NASA ASRS Text
Title: Air Carrier flight crew describes an unstabilized approach with the Check Captain flying from the right seat that results in a go-around. On the go around the assigned altitude is exceeded and the flap speed may have been exceeded. The second approach is stabilized but has an initial overshoot into the adjacent approach path. Fatigue was cited as a possible factor.
Narrative: This flight was an IOE trip with myself; a PIC conducting OE [Operating Experience] for an upgrade captain. I was the PF [Pilot Flying] as the upgrade captain had numerous previous legs and requested a leg as PM [Pilot Monitoring]. The crew was augmented with an additional FO [First Officer] and IRO [International Relief Officer]. The flight progressed normally until the arrival into SDF. A visual approach was planned to 35R backed up by an RNAV approach. I used the RNAV approach for backup because the upgrade captain had only seen one non-precision approach during OE. We were cleared for the arrival and expected to land on 35R. The arrival was normal until approaching DLAMP when we were cleared to 4000 ft. DLAMP has a published altitude of +6000 and 210 kts. I called for 4000 ft. in the altitude window and asked the PM to clear the /+6000 restriction at DLAMP. On clearing the restriction; I observed the 210 kt profile was also cleared and FMS speed intervened (speed select 210) to comply with the speed. I actually had to select 230 since we had not extended slats and out min clean speed was about 230. After rolling out on downwind I called for slats and re-selected 210. I observed oncoming traffic for the north runways and elected stay on profile to 4000. We were subsequently cleared to 3000 ft but I stayed on profile for fuel efficiency believing that we would have an extended downwind. After passing GETTA I expected the aircraft to descend to 3000 ft. but since GETTA is the exit fix for the arrival the FMS leveled the aircraft at 4000 ft. I selected level change to descend to 3000 ft. ATC turned us to base leg shortly after passing GETTA. I accepted the turn and then realized we were going to be too high to descend on profile and called for flaps 15. We then accepted a clearance for a visual approach to 35R and I called for direct PARCL with a 348 intercept to comply with note 4 on the published approach. Once that intercept was in the FMS I selected NAV to get at least one magenta field in the FMS (We were still in speed select and level change in the other fields). I asked the PM to set MDA in the ALT window but realized we were not going to reach profile prior to PARCL. I called for gear down and flaps 28 but we were still above flaps 35 speed. I disconnected the AP in an effort to level the aircraft to slow but that effort was futile. At 1700 AGL I announced to the PM that this wasn't going to work and he agreed. At 1500 ft AGL I called for missed approach. Since we only had about 1000 ft to climb; I wanted to select level change rather than hit the TOGA button which would give us go-around thrust but MDA was still set in the altitude window so I hit the TOGA button (probably should have just used VS but it didn't occur to me until too late). We executed the missed approach but I was still hand flying and overshot the 3000 ft clearance by about 200 ft. We notified ATC of the deviation. I also over sped the flaps in the process of trying to maintain level flight and documented this overspeed in the aircraft logbook and event report.Once leveled off I re-established autoflight and we were vectored for a second approach. I briefed the same approach and it progressed normally until base leg. When cleared for the approach; I initiated a turn to intercept final. I intended to call for direct PARCL with a 348 intercept as we had done previously but I apparently called for direct PGSUS instead. The PM gave me what I asked for. PGSUS was behind us so the aircraft began a left turn across final rather than a right turn to intercept. I disconnected the autopilot to correct the aircraft flight path but could not avoid overshooting the final approach course. The PM notified ATC of this deviation. I gave up on automation and hand flew a visual approach to 35R; landing uneventfully. We did have both augmented crewmembers in the cockpit observing this approach and landing. I would like to emphasize that all other crewmembers were instrumental in calling deviations and helping me to mitigate the errors. I am humiliated by my performance and take full responsibility for any consequences. I had ample opportunity for crew rest prior to the flight but found myself not mentally alert per my normal standard and after the initial error; struggling to get back ahead of the aircraft. I am submitting this report to hopefully aid in data collection and help those that follow to learn from my mistakes.
Data retrieved from NASA's ASRS site 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.