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|
Attributes | |
ACN | 127918 |
Time | |
Date | 198911 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : pdx |
State Reference | OR |
Altitude | msl bound lower : 2400 msl bound upper : 4100 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : pdx |
Operator | general aviation : personal |
Make Model Name | Small Aircraft, Low Wing, 1 Eng, Retractable Gear |
Flight Phase | descent : approach descent other |
Route In Use | enroute : on vectors enroute airway : v23 |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : single pilot |
Qualification | pilot : instrument pilot : private |
Experience | flight time last 90 days : 40 flight time total : 1014 flight time type : 80 |
ASRS Report | 127918 |
Person 2 | |
Affiliation | government : faa |
Function | controller : approach |
Qualification | controller : radar |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude altitude deviation : crossing restriction not met non adherence : clearance non adherence : published procedure other spatial deviation |
Independent Detector | other controllera other other : unspecified cockpit |
Resolutory Action | controller : issued new clearance other |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
I was northbound at 4000' on V23, about 7 NM south of the btg VOR, when I was cleared for the VOR a approach to pdx. I also received an altitude restriction which I interpreted as 'cross the VOR outbnd at 4100'.' I climbed to 4100' and crossed btg. After checking the approach plate, I started a descent to 2400', proceeded about 6 NM north and started the procedure turn. At this point approach called, asking me to verify altitude. I responded with '3200', descending.' the controller informed me that I had been told to 'maintain 4100' until procedure turn inbound.' I responded with my interpretation of the clearance and began a climb while in the turn. There were no further communications re: this situation. I checked the plate again and found, to my chagrin, that the procedure actually calls for maintaining at or above 4100' until procedure turn inbound, then descending to 2400'. Upon reflection, I tried to determine what had caused me to make such a mess of an approach with which I was extremely familiar. 1) in the past, I had generally approached btg at 5000' or higher, so I was primed for a descent upon reaching the VOR. 2) I apparently misread the chart, substituting the procedure turn inbound altitude for the procedure turn altitude. 3) the flight had gone entirely too smoothly up to this point. I had been able to contact approach on the ground for departure from my home field (instead of relaying through clearance delivery), I was released immediately for departure, and approach indicated they could accommodate my requests west/O modification or delays. (Any one of these constitutes a minor miracle!) I was lulled into complacency, everything going perfectly, headed for an approach that I had flown dozens of times west/O problems. None of these, however, were sufficient grounds for giving my brain the rest of the day off, which I obviously did.
Original NASA ASRS Text
Title: PLT OF SMA IN IMC DESCENDED BELOW PUBLISHED APCH ALT RESTRICTION.
Narrative: I WAS NBOUND AT 4000' ON V23, ABOUT 7 NM S OF THE BTG VOR, WHEN I WAS CLRED FOR THE VOR A APCH TO PDX. I ALSO RECEIVED AN ALT RESTRICTION WHICH I INTERPRETED AS 'CROSS THE VOR OUTBND AT 4100'.' I CLBED TO 4100' AND CROSSED BTG. AFTER CHKING THE APCH PLATE, I STARTED A DSCNT TO 2400', PROCEEDED ABOUT 6 NM N AND STARTED THE PROC TURN. AT THIS POINT APCH CALLED, ASKING ME TO VERIFY ALT. I RESPONDED WITH '3200', DSNDING.' THE CTLR INFORMED ME THAT I HAD BEEN TOLD TO 'MAINTAIN 4100' UNTIL PROC TURN INBND.' I RESPONDED WITH MY INTERP OF THE CLRNC AND BEGAN A CLB WHILE IN THE TURN. THERE WERE NO FURTHER COMS RE: THIS SITUATION. I CHKED THE PLATE AGAIN AND FOUND, TO MY CHAGRIN, THAT THE PROC ACTUALLY CALLS FOR MAINTAINING AT OR ABOVE 4100' UNTIL PROC TURN INBND, THEN DSNDING TO 2400'. UPON REFLECTION, I TRIED TO DETERMINE WHAT HAD CAUSED ME TO MAKE SUCH A MESS OF AN APCH WITH WHICH I WAS EXTREMELY FAMILIAR. 1) IN THE PAST, I HAD GENERALLY APCHED BTG AT 5000' OR HIGHER, SO I WAS PRIMED FOR A DSCNT UPON REACHING THE VOR. 2) I APPARENTLY MISREAD THE CHART, SUBSTITUTING THE PROC TURN INBOUND ALT FOR THE PROC TURN ALT. 3) THE FLT HAD GONE ENTIRELY TOO SMOOTHLY UP TO THIS POINT. I HAD BEEN ABLE TO CONTACT APCH ON THE GND FOR DEP FROM MY HOME FIELD (INSTEAD OF RELAYING THROUGH CLRNC DELIVERY), I WAS RELEASED IMMEDIATELY FOR DEP, AND APCH INDICATED THEY COULD ACCOMMODATE MY REQUESTS W/O MODIFICATION OR DELAYS. (ANY ONE OF THESE CONSTITUTES A MINOR MIRACLE!) I WAS LULLED INTO COMPLACENCY, EVERYTHING GOING PERFECTLY, HEADED FOR AN APCH THAT I HAD FLOWN DOZENS OF TIMES W/O PROBS. NONE OF THESE, HOWEVER, WERE SUFFICIENT GNDS FOR GIVING MY BRAIN THE REST OF THE DAY OFF, WHICH I OBVIOUSLY DID.
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.