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|
Attributes | |
ACN | 192622 |
Time | |
Date | 199110 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : bna |
State Reference | TN |
Altitude | msl bound lower : 3000 msl bound upper : 3000 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : bna |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other Other |
Flight Phase | descent : approach |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Flight Phase | descent : approach |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : flight engineer pilot : cfi pilot : commercial |
Experience | flight time last 90 days : 220 flight time total : 5000 flight time type : 2600 |
ASRS Report | 192622 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : instrument pilot : flight engineer pilot : commercial pilot : atp |
Experience | flight time last 90 days : 170 flight time total : 10000 flight time type : 1400 |
ASRS Report | 192855 |
Events | |
Anomaly | conflict : airborne less severe non adherence : clearance other anomaly other other spatial deviation |
Independent Detector | aircraft equipment other aircraft equipment : unspecified other controllera |
Resolutory Action | flight crew : became reoriented flight crew : returned to intended course or assigned course |
Consequence | Other |
Miss Distance | horizontal : 700 vertical : 400 |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Flying the GHM1 arrival to bna, we encountered several areas of light to moderate turbulence, moderate to heavy rain, and embedded thunderstorms which required some course deviation. Also suffered intermittent static radio interference and a static discharge/lightning strike off the radome. We were told to expect ILS to runway 20R and broken off arrival for approach vectors. I was flying and briefed the approach correctly, leaving the approach plate in a binder on the map table to my right. During approach vectors cockpit workload became quite high as WX deteriorated somewhat and autoplt had an uncommanded disconnect while in a 30 degree bank descending turn. Upon receiving approach vectors I tuned in ILS frequency, but mistakenly tuned in the frequency for runway 31 at bna. At some point the captain said 'idented', which I took to mean the ILS had been idented when in fact only the LOM had been idented. Captain's navigation radio remained tuned to bna VOR for DME identify. The moment I tuned my ILS both localizer and GS indications were intermittent, which I did not consider abnormal given our angular displacement from the runway. When cleared for localizer intercept my localizer/GS indications remained intermittent. I was able to intercept localizer course by following traffic ahead on approach, less than 3 mi in front of us according to TCASII display and visible through thin cloud layer. I notified the captain of unreliable localizer/GS indications and questioned our ability to continue the approach. At about this time approach control advised us to 'switch to tower', which caused more confusion as we were sure that we were never actually cleared for the approach. We continued inbound as the captain tuned his navigation radio to match the frequency on my side and check the accuracy of the signals and queried the tower as to whether the ILS was working properly. Running through my mind was the possibility that my localizer receiver had been affected by the static discharge or that the signal was being affected by the aircraft ahead, which appeared to be closer than normal. I stayed above the GS not wanting to commit to the approach with still intermittent local/GS signal. The captain told me that his side was working and I was slightly right of course. On making a slight left correction I believe the captain lost his localizer/GS signal and we got a TCASII 'traffic -- monitor vertical speed -- clear of conflict' RA. The TCASII display showed traffic 400 ft below us, slightly to our left, and descending, obviously an aircraft on the ILS to 20L. The captain then realized that we had tuned in the wrong localizer frequency. The tower called us notifying us that we were left of course and requesting an immediate right turn. I turned right, we retuned the proper frequency, established a normal approach to an uneventful landing. In retrospect, the best way to avoid this incident would have been strict adherence to company procedures, including positive identify of navaids and a more timely and forthright notification to ATC of our inability to track the localizer. Additionally, the entire incident could have been avoided had I placed the proper approach plate on the yoke in front of me rather than the map table to my right, minimizing the risk of reading the wrong plate. From now on, in bad WX or high workload situations, that is exactly what I will do.
Original NASA ASRS Text
Title: ACR ON ILS APCH DEVIATES OFF COURSE. RECEIVES TCASII RA, TWR ADVISORY AND VECTOR.
Narrative: FLYING THE GHM1 ARR TO BNA, WE ENCOUNTERED SEVERAL AREAS OF LIGHT TO MODERATE TURB, MODERATE TO HVY RAIN, AND EMBEDDED TSTMS WHICH REQUIRED SOME COURSE DEV. ALSO SUFFERED INTERMITTENT STATIC RADIO INTERFERENCE AND A STATIC DISCHARGE/LIGHTNING STRIKE OFF THE RADOME. WE WERE TOLD TO EXPECT ILS TO RWY 20R AND BROKEN OFF ARR FOR APCH VECTORS. I WAS FLYING AND BRIEFED THE APCH CORRECTLY, LEAVING THE APCH PLATE IN A BINDER ON THE MAP TABLE TO MY R. DURING APCH VECTORS COCKPIT WORKLOAD BECAME QUITE HIGH AS WX DETERIORATED SOMEWHAT AND AUTOPLT HAD AN UNCOMMANDED DISCONNECT WHILE IN A 30 DEG BANK DSNDING TURN. UPON RECEIVING APCH VECTORS I TUNED IN ILS FREQ, BUT MISTAKENLY TUNED IN THE FREQ FOR RWY 31 AT BNA. AT SOME POINT THE CAPT SAID 'IDENTED', WHICH I TOOK TO MEAN THE ILS HAD BEEN IDENTED WHEN IN FACT ONLY THE LOM HAD BEEN IDENTED. CAPT'S NAV RADIO REMAINED TUNED TO BNA VOR FOR DME IDENT. THE MOMENT I TUNED MY ILS BOTH LOC AND GS INDICATIONS WERE INTERMITTENT, WHICH I DID NOT CONSIDER ABNORMAL GIVEN OUR ANGULAR DISPLACEMENT FROM THE RWY. WHEN CLRED FOR LOC INTERCEPT MY LOC/GS INDICATIONS REMAINED INTERMITTENT. I WAS ABLE TO INTERCEPT LOC COURSE BY FOLLOWING TFC AHEAD ON APCH, LESS THAN 3 MI IN FRONT OF US ACCORDING TO TCASII DISPLAY AND VISIBLE THROUGH THIN CLOUD LAYER. I NOTIFIED THE CAPT OF UNRELIABLE LOC/GS INDICATIONS AND QUESTIONED OUR ABILITY TO CONTINUE THE APCH. AT ABOUT THIS TIME APCH CTL ADVISED US TO 'SWITCH TO TWR', WHICH CAUSED MORE CONFUSION AS WE WERE SURE THAT WE WERE NEVER ACTUALLY CLRED FOR THE APCH. WE CONTINUED INBOUND AS THE CAPT TUNED HIS NAV RADIO TO MATCH THE FREQ ON MY SIDE AND CHK THE ACCURACY OF THE SIGNALS AND QUERIED THE TWR AS TO WHETHER THE ILS WAS WORKING PROPERLY. RUNNING THROUGH MY MIND WAS THE POSSIBILITY THAT MY LOC RECEIVER HAD BEEN AFFECTED BY THE STATIC DISCHARGE OR THAT THE SIGNAL WAS BEING AFFECTED BY THE ACFT AHEAD, WHICH APPEARED TO BE CLOSER THAN NORMAL. I STAYED ABOVE THE GS NOT WANTING TO COMMIT TO THE APCH WITH STILL INTERMITTENT LCL/GS SIGNAL. THE CAPT TOLD ME THAT HIS SIDE WAS WORKING AND I WAS SLIGHTLY R OF COURSE. ON MAKING A SLIGHT L CORRECTION I BELIEVE THE CAPT LOST HIS LOC/GS SIGNAL AND WE GOT A TCASII 'TFC -- MONITOR VERT SPD -- CLR OF CONFLICT' RA. THE TCASII DISPLAY SHOWED TFC 400 FT BELOW US, SLIGHTLY TO OUR L, AND DSNDING, OBVIOUSLY AN ACFT ON THE ILS TO 20L. THE CAPT THEN REALIZED THAT WE HAD TUNED IN THE WRONG LOC FREQ. THE TWR CALLED US NOTIFYING US THAT WE WERE L OF COURSE AND REQUESTING AN IMMEDIATE R TURN. I TURNED R, WE RETUNED THE PROPER FREQ, ESTABLISHED A NORMAL APCH TO AN UNEVENTFUL LNDG. IN RETROSPECT, THE BEST WAY TO AVOID THIS INCIDENT WOULD HAVE BEEN STRICT ADHERENCE TO COMPANY PROCS, INCLUDING POSITIVE IDENT OF NAVAIDS AND A MORE TIMELY AND FORTHRIGHT NOTIFICATION TO ATC OF OUR INABILITY TO TRACK THE LOC. ADDITIONALLY, THE ENTIRE INCIDENT COULD HAVE BEEN AVOIDED HAD I PLACED THE PROPER APCH PLATE ON THE YOKE IN FRONT OF ME RATHER THAN THE MAP TABLE TO MY R, MINIMIZING THE RISK OF READING THE WRONG PLATE. FROM NOW ON, IN BAD WX OR HIGH WORKLOAD SITUATIONS, THAT IS EXACTLY WHAT I WILL DO.
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.