37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 196984 |
Time | |
Date | 199112 |
Day | Sun |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : sna |
State Reference | CA |
Altitude | msl bound lower : 3000 msl bound upper : 7000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : sna |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Flight Phase | descent : approach descent other |
Route In Use | approach : visual |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : instrument pilot : commercial |
Experience | flight time last 90 days : 250 flight time total : 15000 flight time type : 6000 |
ASRS Report | 196984 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument pilot : atp |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : clearance other anomaly other other spatial deviation |
Independent Detector | aircraft equipment other aircraft equipment : unspecified other flight crewa |
Resolutory Action | none taken : anomaly accepted |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Inbound to sna on kayoh 2 arrival, coast approach advised us we would be vectored across 19R localizer for spacing, for a visual approach. This being a sunday with large numbers of light aircraft, this was later to expose us to a number of conflicting traffic. We ended up being turned north just east of anaheim as lower altitudes to descend to (from 7000 MSL to 3000 MSL). Approach also pointed out several aircraft as traffic. TCASII gave us several traffic alert messages (TA) as well as 3 resolutions advisories (RA). 2 ras commanded dscnts, which we were able to follow, merely by increasing rate to resolve conflict, and still be above altitude descending to. The third commanded a climb (still descending), which was initiated, and after gaining a couple of hundred ft at most, we were clear of conflict. In each case we saw traffic after gaining a couple of hundred ft at most. We were clear of conflict. In each case we saw traffic after getting RA message. Each message gave correct RA. This approach was made extremely busy and difficult, to where our ability to receive and follow ATC instructions were compromised. The controller was advised of this, after we missed what he said while the controller and TCASII computer (audio) were talking at the same time. This happened more than once, significantly increasing the workload for all of us. According to controller, we missed a heading change, and were not aware of this until he questioned our lack of response. The only reason we were able to follow RA commands, was by visual picture on ivsi, as constant chatter garbled audio message. TCASII does not presently fit into ATC system, but adds an element of interruption and confusion to an already overloaded system. Nor does it fit into our present cockpit management, preventing pilots from making timely verbal commands and also their ability to understand same.
Original NASA ASRS Text
Title: ATTEMPTING TO FOLLOW APCH CTLRS INSTRUCTIONS, FLC OF MLG WAS DISTR BY OVER LOUD TCASII ALERTS AND UNABLE TO HEAR CTLR INSTRUCTIONS. MISSING A HDG CHANGE.
Narrative: INBOUND TO SNA ON KAYOH 2 ARR, COAST APCH ADVISED US WE WOULD BE VECTORED ACROSS 19R LOC FOR SPACING, FOR A VISUAL APCH. THIS BEING A SUNDAY WITH LARGE NUMBERS OF LIGHT ACFT, THIS WAS LATER TO EXPOSE US TO A NUMBER OF CONFLICTING TFC. WE ENDED UP BEING TURNED N JUST E OF ANAHEIM AS LOWER ALTS TO DSND TO (FROM 7000 MSL TO 3000 MSL). APCH ALSO POINTED OUT SEVERAL ACFT AS TFC. TCASII GAVE US SEVERAL TFC ALERT MESSAGES (TA) AS WELL AS 3 RESOLUTIONS ADVISORIES (RA). 2 RAS COMMANDED DSCNTS, WHICH WE WERE ABLE TO FOLLOW, MERELY BY INCREASING RATE TO RESOLVE CONFLICT, AND STILL BE ABOVE ALT DSNDING TO. THE THIRD COMMANDED A CLB (STILL DSNDING), WHICH WAS INITIATED, AND AFTER GAINING A COUPLE OF HUNDRED FT AT MOST, WE WERE CLR OF CONFLICT. IN EACH CASE WE SAW TFC AFTER GAINING A COUPLE OF HUNDRED FT AT MOST. WE WERE CLR OF CONFLICT. IN EACH CASE WE SAW TFC AFTER GETTING RA MESSAGE. EACH MESSAGE GAVE CORRECT RA. THIS APCH WAS MADE EXTREMELY BUSY AND DIFFICULT, TO WHERE OUR ABILITY TO RECEIVE AND FOLLOW ATC INSTRUCTIONS WERE COMPROMISED. THE CTLR WAS ADVISED OF THIS, AFTER WE MISSED WHAT HE SAID WHILE THE CTLR AND TCASII COMPUTER (AUDIO) WERE TALKING AT THE SAME TIME. THIS HAPPENED MORE THAN ONCE, SIGNIFICANTLY INCREASING THE WORKLOAD FOR ALL OF US. ACCORDING TO CTLR, WE MISSED A HDG CHANGE, AND WERE NOT AWARE OF THIS UNTIL HE QUESTIONED OUR LACK OF RESPONSE. THE ONLY REASON WE WERE ABLE TO FOLLOW RA COMMANDS, WAS BY VISUAL PICTURE ON IVSI, AS CONSTANT CHATTER GARBLED AUDIO MESSAGE. TCASII DOES NOT PRESENTLY FIT INTO ATC SYS, BUT ADDS AN ELEMENT OF INTERRUPTION AND CONFUSION TO AN ALREADY OVERLOADED SYS. NOR DOES IT FIT INTO OUR PRESENT COCKPIT MGMNT, PREVENTING PLTS FROM MAKING TIMELY VERBAL COMMANDS AND ALSO THEIR ABILITY TO UNDERSTAND SAME.
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.