37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 210478 |
Time | |
Date | 199205 |
Day | Sat |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : ord |
State Reference | IL |
Altitude | msl bound lower : 10000 msl bound upper : 11500 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : ord |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other Other |
Flight Phase | cruise other descent other |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Flight Phase | climbout : intermediate altitude cruise other |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 125 flight time total : 3400 flight time type : 560 |
ASRS Report | 210478 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : cfi pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 8600 flight time type : 800 |
ASRS Report | 210471 |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : undershoot conflict : airborne less severe non adherence : clearance other anomaly other other spatial deviation |
Independent Detector | aircraft equipment other aircraft equipment : unspecified |
Resolutory Action | controller : issued new clearance flight crew : overcame equipment problem flight crew : took evasive action |
Consequence | Other |
Miss Distance | horizontal : 22500 vertical : 300 |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation other |
Narrative:
On descent into ord we left FL240 for 10000 ft, airspeed 300 KTS, heading 060. Center told us to expedite descent, then later told us to slow to 250 KTS. We discovered at that point a minor flight control problem with the flight spoilers. They would deploy, but we had to hold the handle in the deployed position. Normally, it stays in the deployed position automatically until we stow the spoilers. We were handed over to approach and they acknowledged our descent to 1000 ft. Normally, we are advised to expect a certain runway for landing, but not today. I was flying the aircraft when the flight attendants informed the captain of a maintenance item in the cabin at the same time approach told us to fly heading 100 and intercept the 14 right localizer. It seems like everything happened at once now. I was flying the aircraft holding the spoiler lever constantly with 1 hand, dialing in the localizer frequency (we had no prior notice to expect this runway), the captain was coordination the maintenance item with the flight attendant, acknowledging our new clearance, and, still slowing to 250 KTS with a significant tailwind, we had a fast ground speed. The autoplt captured the localizer, but shot right through it. Approach told us to turn to 150 to re-intercept the localizer, about that time, we noticed traffic on the TCASII approximately 4-5 mi at 10 O'clock and 500 ft below. We leveled off at approximately 11000 ft and the TCASII issued a TA. The traffic passed off our 9 O'clock at about 3 1/2 to 4 mi, 300 ft below. When the alert was over, we continued our descent to 1000 ft. Approach then told us to fly 160 to intercept the localizer, then finally 170 to intercept the localizer. The remainder of the flight was without incident. I learned several things from this incident. After 2 1/2 hours of non-eventful cruise, a normal descent became an expedited descent and the workload on the pilots became extremely high during the seconds prior to joining the localizer. Normally, you expect crunch points during a flight and are ready for them. But throw in 2 or 3 extra, unexpected things during those crunch points and the chance for distraction become geometrically greater. It's at these times, when your attention is drawn in several directions at once that you must first of all, fly the airplane. Do only 1 thing at a time before you move on to the next. I never realized how important that advisory call from center to expect a certain runway is. The next time, if it is not offered, I will ask. Supplemental information from acn 210471: during the descent, the flight attendants informed me that the forward galley carpet was wet. As the PNF, I was handling communications, identing navaids, reading checklists, giving passenger PA's and attempting to utilize our airline's new automatic malfunction reporting system through ACARS. I believe that this incident was caused by the extremely high workload on the pilots at the time. I intend to inform the company of this incident and recommend that they remind our other pilots of the need to remain extremely vigilant of the aircraft flight path during these critical phases of flight and high work loads.
Original NASA ASRS Text
Title: ALTDEV ALT UNDERSHOT IN DSCNT DUE TO RESPONSE TO TCASII RA. THIS RA CREATED BY HDG TRACK DEV DURING RADAR VECTORING DURING APCH PROC.
Narrative: ON DSCNT INTO ORD WE LEFT FL240 FOR 10000 FT, AIRSPD 300 KTS, HDG 060. CTR TOLD US TO EXPEDITE DSCNT, THEN LATER TOLD US TO SLOW TO 250 KTS. WE DISCOVERED AT THAT POINT A MINOR FLT CTL PROBLEM WITH THE FLT SPOILERS. THEY WOULD DEPLOY, BUT WE HAD TO HOLD THE HANDLE IN THE DEPLOYED POS. NORMALLY, IT STAYS IN THE DEPLOYED POS AUTOMATICALLY UNTIL WE STOW THE SPOILERS. WE WERE HANDED OVER TO APCH AND THEY ACKNOWLEDGED OUR DSCNT TO 1000 FT. NORMALLY, WE ARE ADVISED TO EXPECT A CERTAIN RWY FOR LNDG, BUT NOT TODAY. I WAS FLYING THE ACFT WHEN THE FLT ATTENDANTS INFORMED THE CAPT OF A MAINT ITEM IN THE CABIN AT THE SAME TIME APCH TOLD US TO FLY HDG 100 AND INTERCEPT THE 14 R LOC. IT SEEMS LIKE EVERYTHING HAPPENED AT ONCE NOW. I WAS FLYING THE ACFT HOLDING THE SPOILER LEVER CONSTANTLY WITH 1 HAND, DIALING IN THE LOC FREQ (WE HAD NO PRIOR NOTICE TO EXPECT THIS RWY), THE CAPT WAS COORD THE MAINT ITEM WITH THE FLT ATTENDANT, ACKNOWLEDGING OUR NEW CLRNC, AND, STILL SLOWING TO 250 KTS WITH A SIGNIFICANT TAILWIND, WE HAD A FAST GND SPD. THE AUTOPLT CAPTURED THE LOC, BUT SHOT RIGHT THROUGH IT. APCH TOLD US TO TURN TO 150 TO RE-INTERCEPT THE LOC, ABOUT THAT TIME, WE NOTICED TFC ON THE TCASII APPROX 4-5 MI AT 10 O'CLOCK AND 500 FT BELOW. WE LEVELED OFF AT APPROX 11000 FT AND THE TCASII ISSUED A TA. THE TFC PASSED OFF OUR 9 O'CLOCK AT ABOUT 3 1/2 TO 4 MI, 300 FT BELOW. WHEN THE ALERT WAS OVER, WE CONTINUED OUR DSCNT TO 1000 FT. APCH THEN TOLD US TO FLY 160 TO INTERCEPT THE LOC, THEN FINALLY 170 TO INTERCEPT THE LOC. THE REMAINDER OF THE FLT WAS WITHOUT INCIDENT. I LEARNED SEVERAL THINGS FROM THIS INCIDENT. AFTER 2 1/2 HRS OF NON-EVENTFUL CRUISE, A NORMAL DSCNT BECAME AN EXPEDITED DSCNT AND THE WORKLOAD ON THE PLTS BECAME EXTREMELY HIGH DURING THE SECONDS PRIOR TO JOINING THE LOC. NORMALLY, YOU EXPECT CRUNCH POINTS DURING A FLT AND ARE READY FOR THEM. BUT THROW IN 2 OR 3 EXTRA, UNEXPECTED THINGS DURING THOSE CRUNCH POINTS AND THE CHANCE FOR DISTR BECOME GEOMETRICALLY GREATER. IT'S AT THESE TIMES, WHEN YOUR ATTN IS DRAWN IN SEVERAL DIRECTIONS AT ONCE THAT YOU MUST FIRST OF ALL, FLY THE AIRPLANE. DO ONLY 1 THING AT A TIME BEFORE YOU MOVE ON TO THE NEXT. I NEVER REALIZED HOW IMPORTANT THAT ADVISORY CALL FROM CTR TO EXPECT A CERTAIN RWY IS. THE NEXT TIME, IF IT IS NOT OFFERED, I WILL ASK. SUPPLEMENTAL INFO FROM ACN 210471: DURING THE DSCNT, THE FLT ATTENDANTS INFORMED ME THAT THE FORWARD GALLEY CARPET WAS WET. AS THE PNF, I WAS HANDLING COMS, IDENTING NAVAIDS, READING CHKLISTS, GIVING PAX PA'S AND ATTEMPTING TO UTILIZE OUR AIRLINE'S NEW AUTOMATIC MALFUNCTION RPTING SYS THROUGH ACARS. I BELIEVE THAT THIS INCIDENT WAS CAUSED BY THE EXTREMELY HIGH WORKLOAD ON THE PLTS AT THE TIME. I INTEND TO INFORM THE COMPANY OF THIS INCIDENT AND RECOMMEND THAT THEY REMIND OUR OTHER PLTS OF THE NEED TO REMAIN EXTREMELY VIGILANT OF THE ACFT FLT PATH DURING THESE CRITICAL PHASES OF FLT AND HIGH WORK LOADS.
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.