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|
Attributes | |
ACN | 223044 |
Time | |
Date | 199209 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : ard |
State Reference | NJ |
Altitude | msl bound lower : 11000 msl bound upper : 21000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zdc |
Operator | common carrier : air carrier |
Make Model Name | Widebody, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other Other |
Flight Phase | descent other |
Route In Use | enroute : on vectors enroute airway : zdc |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 175 flight time total : 7000 flight time type : 600 |
ASRS Report | 223044 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : crossing restriction not met altitude deviation : undershoot |
Independent Detector | other flight crewa |
Resolutory Action | controller : issued new clearance flight crew : returned to intended course or assigned course |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
At FL260 center gave us a restriction to cross somto intersection at 11000 ft. The first officer was flying (myself) and the captain read back the restriction. I programmed the FMS to cross somto at 11000. At the time the clearance was received, we were approximately 40 mi south of somto. The FMS captured VNAV path and began to descend. The captain excused himself to use the lavatory descending. While he was away, I began to program the approach into lga. When I was finished, I went to the descent page on the FMC in order to check the progress of our descent. I noticed that the FMC was predicating the descent on dials at 2500 ft, an altitude which I had programmed in for the approach. At that moment, I turned to the direct intercept to see distance from somto. I observed that we were 13 mi south of somto at FL210. I immediately called center to confirm somto at 11000 ft. The controller issued an immediate turn to heading 180 degrees. During this clearance the captain returned to the cockpit. I immediately made a right and increased the rate of descent to over 6000 FPM. After about 30 degrees of turn, center turned us back to the north to intercept the nanci arrival north of somto. One of the mistakes I made was assuming that after the aircraft captured VNAV path in the descent that it would make the crossing restriction and require no supervision. When I put the 2500 ft altitude at dials in, somehow the FMC accepted that as its crossing restriction. It is possible that I may have erred with my input, but I don't know how. Another mistake was changing from the map display to the plan display in programming the approach. With 1 pilot out of the seat and the other in the plan mode, there is certainly diminished position awareness. No amount of technology relieves the pilots of their duties of basic airmanship. Technological advancements have in my opinion greatly enhanced and improved virtually all facets of aviation, however, errors will still be made by both the machinery and the pilots who control the machinery and in this particular incident, complacency was certainly a factor.
Original NASA ASRS Text
Title: WDB ACFT ON DSCNT MISSES XING RESTRICTION.
Narrative: AT FL260 CTR GAVE US A RESTRICTION TO CROSS SOMTO INTXN AT 11000 FT. THE FO WAS FLYING (MYSELF) AND THE CAPT READ BACK THE RESTRICTION. I PROGRAMMED THE FMS TO CROSS SOMTO AT 11000. AT THE TIME THE CLRNC WAS RECEIVED, WE WERE APPROX 40 MI S OF SOMTO. THE FMS CAPTURED VNAV PATH AND BEGAN TO DSND. THE CAPT EXCUSED HIMSELF TO USE THE LAVATORY DSNDING. WHILE HE WAS AWAY, I BEGAN TO PROGRAM THE APCH INTO LGA. WHEN I WAS FINISHED, I WENT TO THE DSCNT PAGE ON THE FMC IN ORDER TO CHK THE PROGRESS OF OUR DSCNT. I NOTICED THAT THE FMC WAS PREDICATING THE DSCNT ON DIALS AT 2500 FT, AN ALT WHICH I HAD PROGRAMMED IN FOR THE APCH. AT THAT MOMENT, I TURNED TO THE DIRECT INTERCEPT TO SEE DISTANCE FROM SOMTO. I OBSERVED THAT WE WERE 13 MI S OF SOMTO AT FL210. I IMMEDIATELY CALLED CTR TO CONFIRM SOMTO AT 11000 FT. THE CTLR ISSUED AN IMMEDIATE TURN TO HDG 180 DEGS. DURING THIS CLRNC THE CAPT RETURNED TO THE COCKPIT. I IMMEDIATELY MADE A R AND INCREASED THE RATE OF DSCNT TO OVER 6000 FPM. AFTER ABOUT 30 DEGS OF TURN, CTR TURNED US BACK TO THE N TO INTERCEPT THE NANCI ARR N OF SOMTO. ONE OF THE MISTAKES I MADE WAS ASSUMING THAT AFTER THE ACFT CAPTURED VNAV PATH IN THE DSCNT THAT IT WOULD MAKE THE XING RESTRICTION AND REQUIRE NO SUPERVISION. WHEN I PUT THE 2500 FT ALT AT DIALS IN, SOMEHOW THE FMC ACCEPTED THAT AS ITS XING RESTRICTION. IT IS POSSIBLE THAT I MAY HAVE ERRED WITH MY INPUT, BUT I DON'T KNOW HOW. ANOTHER MISTAKE WAS CHANGING FROM THE MAP DISPLAY TO THE PLAN DISPLAY IN PROGRAMMING THE APCH. WITH 1 PLT OUT OF THE SEAT AND THE OTHER IN THE PLAN MODE, THERE IS CERTAINLY DIMINISHED POS AWARENESS. NO AMOUNT OF TECHNOLOGY RELIEVES THE PLTS OF THEIR DUTIES OF BASIC AIRMANSHIP. TECHNOLOGICAL ADVANCEMENTS HAVE IN MY OPINION GREATLY ENHANCED AND IMPROVED VIRTUALLY ALL FACETS OF AVIATION, HOWEVER, ERRORS WILL STILL BE MADE BY BOTH THE MACHINERY AND THE PLTS WHO CTL THE MACHINERY AND IN THIS PARTICULAR INCIDENT, COMPLACENCY WAS CERTAINLY A FACTOR.
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.