37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 227108 |
Time | |
Date | 199211 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : 3ck |
State Reference | IL |
Altitude | msl bound lower : 16000 msl bound upper : 16800 |
Environment | |
Flight Conditions | IMC |
Light | Night |
Aircraft 1 | |
Operator | general aviation : corporate |
Make Model Name | Small Transport, Low Wing, 2 Recip Eng |
Flight Phase | cruise other |
Route In Use | enroute airway : zau |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : single pilot |
Qualification | pilot : cfi pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 7000 flight time type : 1050 |
ASRS Report | 227108 |
Person 2 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : radar |
Events | |
Anomaly | aircraft equipment problem : critical altitude deviation : excursion from assigned altitude non adherence : clearance |
Independent Detector | atc equipment other atc equipment : unspecified other controllera other flight crewa |
Resolutory Action | flight crew : became reoriented flight crew : returned to intended course or assigned course other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
I was cruising at 16000 ft. I had burned my tips (mains) down to approximately 30 gallons a side. I switched both fuel selectors to the auxiliary position as I routinely do in these model series aircraft manufacture. The right engine began to quit! I quickly switched back to the right main and it began to run smoothly once again. I tried to slowly switch back to the right auxiliary position and watched flow. It immediately began to drop off so I switched back to right main. The dying engine startled my passenger. I assured them everything was ok. When I turned around I saw that we were now at 16800 ft instead of level at 16000 ft. The autoplt had kicked off and in all this confusion I failed to notice it. As I started an immediate descent to 16000 ft, center called me to let me know that I was 800 ft high. I told them I was correcting! That was all that he said to me other than the current altimeter setting. He then asked me to report level 16000 ft as I was leveling 16000! I don't feel I did anything wrong, but if I had glanced at the panel during all this confusion I would have caught the fact that the autoplt had kicked off (ie, fly the airplane)! After getting the aircraft in our shop, I found that the right auxiliary fuel pump, which had just been replaced prior to my flight, had been installed backwards and was sucking fuel from the engine, not pumping it from the auxiliary tank! I feel the aircraft should have been test flown to insure proper transfer of fuel prior to my flight that night! Fortunately I had plenty of fuel and was able to xfeed to insure adequate reserve fuel at my destination. Callback conversation with reporter revealed the following information: reporter stated that he had accidentally 'kicked off' the autoplt when turning around to inform the passenger of the aircraft status. He further stated that he had learned through this experience to not agree to fly another unfamiliar aircraft when he was tired, at night and in WX.
Original NASA ASRS Text
Title: PLT OF CPR SMT ACFT DEVIATED FROM ASSIGNED ALT WHEN HE ACCIDENTALLY DISCONNECTED THE AUTOPLT.
Narrative: I WAS CRUISING AT 16000 FT. I HAD BURNED MY TIPS (MAINS) DOWN TO APPROX 30 GALLONS A SIDE. I SWITCHED BOTH FUEL SELECTORS TO THE AUX POS AS I ROUTINELY DO IN THESE MODEL SERIES ACFT MANUFACTURE. THE R ENG BEGAN TO QUIT! I QUICKLY SWITCHED BACK TO THE R MAIN AND IT BEGAN TO RUN SMOOTHLY ONCE AGAIN. I TRIED TO SLOWLY SWITCH BACK TO THE R AUX POS AND WATCHED FLOW. IT IMMEDIATELY BEGAN TO DROP OFF SO I SWITCHED BACK TO R MAIN. THE DYING ENG STARTLED MY PAX. I ASSURED THEM EVERYTHING WAS OK. WHEN I TURNED AROUND I SAW THAT WE WERE NOW AT 16800 FT INSTEAD OF LEVEL AT 16000 FT. THE AUTOPLT HAD KICKED OFF AND IN ALL THIS CONFUSION I FAILED TO NOTICE IT. AS I STARTED AN IMMEDIATE DSCNT TO 16000 FT, CTR CALLED ME TO LET ME KNOW THAT I WAS 800 FT HIGH. I TOLD THEM I WAS CORRECTING! THAT WAS ALL THAT HE SAID TO ME OTHER THAN THE CURRENT ALTIMETER SETTING. HE THEN ASKED ME TO RPT LEVEL 16000 FT AS I WAS LEVELING 16000! I DON'T FEEL I DID ANYTHING WRONG, BUT IF I HAD GLANCED AT THE PANEL DURING ALL THIS CONFUSION I WOULD HAVE CAUGHT THE FACT THAT THE AUTOPLT HAD KICKED OFF (IE, FLY THE AIRPLANE)! AFTER GETTING THE ACFT IN OUR SHOP, I FOUND THAT THE R AUX FUEL PUMP, WHICH HAD JUST BEEN REPLACED PRIOR TO MY FLT, HAD BEEN INSTALLED BACKWARDS AND WAS SUCKING FUEL FROM THE ENG, NOT PUMPING IT FROM THE AUX TANK! I FEEL THE ACFT SHOULD HAVE BEEN TEST FLOWN TO INSURE PROPER TRANSFER OF FUEL PRIOR TO MY FLT THAT NIGHT! FORTUNATELY I HAD PLENTY OF FUEL AND WAS ABLE TO XFEED TO INSURE ADEQUATE RESERVE FUEL AT MY DEST. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: RPTR STATED THAT HE HAD ACCIDENTALLY 'KICKED OFF' THE AUTOPLT WHEN TURNING AROUND TO INFORM THE PAX OF THE ACFT STATUS. HE FURTHER STATED THAT HE HAD LEARNED THROUGH THIS EXPERIENCE TO NOT AGREE TO FLY ANOTHER UNFAMILIAR ACFT WHEN HE WAS TIRED, AT NIGHT AND IN WX.
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.