37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 195342 |
Time | |
Date | 199111 |
Day | Tue |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : bfi |
State Reference | WA |
Altitude | msl bound lower : 700 msl bound upper : 1000 |
Environment | |
Flight Conditions | IMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : sea |
Operator | general aviation : corporate |
Make Model Name | Light Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other Other |
Flight Phase | descent : approach |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 100 flight time total : 3700 flight time type : 300 |
ASRS Report | 195342 |
Person 2 | |
Affiliation | Other |
Function | flight crew : first officer |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance non adherence : published procedure other spatial deviation |
Independent Detector | atc equipment other atc equipment : unspecified other controllera |
Resolutory Action | flight crew : returned to intended course or assigned course other |
Consequence | Other Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We descended to various step down altitudes on approach based on DME. During the final step down (1600 ft - 700 ft) the approach controller got an altitude warning on us and notified us we were too low. Our DME had been in 'hold' off the sea VOR by mistake, and not the bfi localizer as they should have been. When the controller called we were just breaking out, we stopped descent, got the field in sight and landed normally. Both pilots had been on duty for +12 hours and dealing with WX, ice, etc. Fatigue was a factor. My reliance on the other pilot to set up the approach was also a factor. We fly together often and are both good instrument pilots (most of the time)! Thank you ATC for having this altitude warning capability -- we are embarrassed and wiser -- but very much alive!
Original NASA ASRS Text
Title: CORP FLC LOCKS DME ON WRONG FACILITY. APCH CTLR ISSUES LOW ALT WARNING.
Narrative: WE DSNDED TO VARIOUS STEP DOWN ALTS ON APCH BASED ON DME. DURING THE FINAL STEP DOWN (1600 FT - 700 FT) THE APCH CTLR GOT AN ALT WARNING ON US AND NOTIFIED US WE WERE TOO LOW. OUR DME HAD BEEN IN 'HOLD' OFF THE SEA VOR BY MISTAKE, AND NOT THE BFI LOC AS THEY SHOULD HAVE BEEN. WHEN THE CTLR CALLED WE WERE JUST BREAKING OUT, WE STOPPED DSCNT, GOT THE FIELD IN SIGHT AND LANDED NORMALLY. BOTH PLTS HAD BEEN ON DUTY FOR +12 HRS AND DEALING WITH WX, ICE, ETC. FATIGUE WAS A FACTOR. MY RELIANCE ON THE OTHER PLT TO SET UP THE APCH WAS ALSO A FACTOR. WE FLY TOGETHER OFTEN AND ARE BOTH GOOD INST PLTS (MOST OF THE TIME)! THANK YOU ATC FOR HAVING THIS ALT WARNING CAPABILITY -- WE ARE EMBARRASSED AND WISER -- BUT VERY MUCH ALIVE!
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.