Altitude deviation altitude overshot with a heading track deviation during an IAP VOR approach misse...

Attributes
ACN	191813
Time
Date	199110
Day	Mon
Local Time Of Day	1201 To 1800
Place
Locale Reference	airport : gnv
State Reference	FL
Altitude	msl bound lower : 2000 msl bound upper : 2800
Environment
Flight Conditions	VMC
Light	Daylight
Aircraft 1
Controlling Facilities	artcc : zjx tower : iah
Operator	general aviation : corporate
Make Model Name	Small Transport, Low Wing, 2 Recip Eng
Flight Phase	descent : approach landing : missed approach
Flight Plan	IFR
Aircraft 2
Make Model Name	Any Unknown or Unlisted Aircraft Manufacturer
Flight Phase	cruise other descent : approach
Flight Plan	IFR
Person 1
Affiliation	Other
Function	instruction : instructor oversight : pic
Qualification	pilot : instrument pilot : commercial pilot : cfi
Experience	flight time last 90 days : 80 flight time total : 988 flight time type : 80
ASRS Report	191813
Person 2
Affiliation	Other
Function	flight crew : single pilot instruction : trainee
Qualification	pilot : instrument pilot : commercial
Events
Anomaly	altitude deviation : overshoot conflict : airborne less severe non adherence : clearance non adherence : published procedure non adherence : required legal separation other spatial deviation
Independent Detector	other controllera
Resolutory Action	controller : issued new clearance flight crew : exited adverse environment other
Consequence	faa : investigated faa : reviewed incident with flight crew
Miss Distance	horizontal : 28500 vertical : 0
Supplementary
Primary Problem	Flight Crew Human Performance
Air Traffic Incident	Pilot Deviation

Narrative:

PIC was conducting IFR training flight in an small transport twin with single flight controls and having student fly the VOR-a approach to gnv. At MDA (900 ft MSL) instructor simulated engine out at approximately 2 mi from airport. Student engaged in appropriate engine out action including clean up of plane and climb out for published missed approach, however, student was slow in making left turn to published missed approach heading due to the distraction of the simulated engine out and a reluctance to make standard rate turns with simulated engine out. In addition, student assumed it would be safer to obtain additional altitude due to simulated engine out and proceeded to climb through the published missed altitude of 2000 ft MSL. The instructor, being occupied with the engine out procedure noticed the overclb at approximately 2800 ft MSL and instructed an immediate descent to 2000 ft which the student accomplished. The instructor then returned the simulated out engine to service and noticed that the student, due to the distracting circumstances, had continued the left turn through the published 295 degree heading to a heading of approximately 245 degree. At this time, ATC advised an immediate turn to 360 degree for vectors to the hold at draft intersection and asked that ATC be notified by phone due to a possible pilot deviation. Later conversations with ATC indicated that the flight path had brought the aircraft within 4.75 NM of another aircraft on an IFR flight plan which was inbound for gnv airport and had received a clearance for a visual approach to land. Factors contributing to the incident included the simulated engine out, the distraction to student and instructor from the overclb and descent, return of simulated out engine and the non-dual control confign of the aircraft which forced the instructor to coach the student through the corrections rather than take more immediate recovery actions.

Original NASA ASRS Text

Title: ALT DEV ALT OVERSHOT WITH A HDG TRACK DEV DURING AN IAP VOR APCH MISSED APCH PROC WITH A SIMULATED INFLT ENG SHUT DOWN. POTENTIAL CONLICT LTSS ENSUED WITH ACFT Y ON APCH.

Narrative: PIC WAS CONDUCTING IFR TRAINING FLT IN AN SMT TWIN WITH SINGLE FLT CTLS AND HAVING STUDENT FLY THE VOR-A APCH TO GNV. AT MDA (900 FT MSL) INSTRUCTOR SIMULATED ENG OUT AT APPROX 2 MI FROM ARPT. STUDENT ENGAGED IN APPROPRIATE ENG OUT ACTION INCLUDING CLEAN UP OF PLANE AND CLBOUT FOR PUBLISHED MISSED APCH, HOWEVER, STUDENT WAS SLOW IN MAKING L TURN TO PUBLISHED MISSED APCH HDG DUE TO THE DISTR OF THE SIMULATED ENG OUT AND A RELUCTANCE TO MAKE STANDARD RATE TURNS WITH SIMULATED ENG OUT. IN ADDITION, STUDENT ASSUMED IT WOULD BE SAFER TO OBTAIN ADDITIONAL ALT DUE TO SIMULATED ENG OUT AND PROCEEDED TO CLB THROUGH THE PUBLISHED MISSED ALT OF 2000 FT MSL. THE INSTRUCTOR, BEING OCCUPIED WITH THE ENG OUT PROC NOTICED THE OVERCLB AT APPROX 2800 FT MSL AND INSTRUCTED AN IMMEDIATE DSCNT TO 2000 FT WHICH THE STUDENT ACCOMPLISHED. THE INSTRUCTOR THEN RETURNED THE SIMULATED OUT ENG TO SVC AND NOTICED THAT THE STUDENT, DUE TO THE DISTRACTING CIRCUMSTANCES, HAD CONTINUED THE L TURN THROUGH THE PUBLISHED 295 DEG HDG TO A HDG OF APPROX 245 DEG. AT THIS TIME, ATC ADVISED AN IMMEDIATE TURN TO 360 DEG FOR VECTORS TO THE HOLD AT DRAFT INTXN AND ASKED THAT ATC BE NOTIFIED BY PHONE DUE TO A POSSIBLE PLT DEV. LATER CONVERSATIONS WITH ATC INDICATED THAT THE FLT PATH HAD BROUGHT THE ACFT WITHIN 4.75 NM OF ANOTHER ACFT ON AN IFR FLT PLAN WHICH WAS INBOUND FOR GNV ARPT AND HAD RECEIVED A CLRNC FOR A VISUAL APCH TO LAND. FACTORS CONTRIBUTING TO THE INCIDENT INCLUDED THE SIMULATED ENG OUT, THE DISTR TO STUDENT AND INSTRUCTOR FROM THE OVERCLB AND DSCNT, RETURN OF SIMULATED OUT ENG AND THE NON-DUAL CTL CONFIGN OF THE ACFT WHICH FORCED THE INSTRUCTOR TO COACH THE STUDENT THROUGH THE CORRECTIONS RATHER THAN TAKE MORE IMMEDIATE RECOVERY ACTIONS.

Data retrieved from NASA's ASRS site as of July 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.

Altitude deviation altitude overshot with a heading track deviation during an IAP VOR approach missed approach procedure with a simulated in-flight engine shut down. Potential conlict less than standard separation ensued with aircraft Y on approach.