37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 233730 |
Time | |
Date | 199302 |
Day | Sun |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : phl |
State Reference | PA |
Altitude | msl bound lower : 6500 msl bound upper : 7000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : phl |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other Other |
Flight Phase | descent other |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Aircraft 2 | |
Operator | general aviation : personal |
Make Model Name | Small Aircraft, Low Wing, 1 Eng, Retractable Gear |
Flight Phase | cruise other |
Route In Use | enroute : direct |
Flight Plan | VFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : cfi pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 150 flight time total : 13000 flight time type : 1000 |
ASRS Report | 233730 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 180 flight time total : 8000 flight time type : 1000 |
ASRS Report | 233440 |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude altitude deviation : overshoot conflict : nmac non adherence : required legal separation non adherence : clearance other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : unspecified other controllera other flight crewa |
Resolutory Action | flight crew : returned to intended course or assigned course flight crew : took evasive action |
Consequence | faa : reviewed incident with flight crew |
Miss Distance | horizontal : 6000 vertical : 350 |
Supplementary | |
Primary Problem | Aircraft |
Air Traffic Incident | Pilot Deviation |
Narrative:
While approaching phl international for landing, ATC called traffic 11 O'clock, left to right at 6500 ft. We were through 8000 ft for 7000 ft. TCASII then called 'traffic, traffic.' traffic was not spotted visually yet. TCASII called 'descend' and EFIS displayed a descent attitude to avoid incursion. Autoplt was disconnected and descent began. Then I made visual contact with an small aircraft Y. Descent was stopped due to aircraft below us. TCASII later called 'climb, climb' when traffic was 1 mi away. In short, TCASII had instructed us to descend into another aircraft. Because I have been trained to follow TCASII advisories (RA's), I followed the descent instructions, despite knowing that an aircraft was below. Our training has suggested that TCASII can track multiple aircraft simultaneously and therefore I initially believed the machine and surmised that there may have been a second aircraft nearby and that a descent was necessary. Supplemental information from acn 233440: no altitude deviation occurred. Having visual on the intruding aircraft, we elected to maintain 7000 ft. I do not pretend to understand the electronic functions of the TCASII but still wonder why it commanded what would have been a midair collision if its (TCASII) directives had been followed.
Original NASA ASRS Text
Title: FLC RPTS ERRONEOUS COMMAND FROM TCASII RA, COMMANDING A DSCNT INTO XING TFC BELOW PRIOR TO ORDERING A REVERSAL CLB COMMAND AFTER ACFT Y'S PASSAGE.
Narrative: WHILE APCHING PHL INTL FOR LNDG, ATC CALLED TFC 11 O'CLOCK, L TO R AT 6500 FT. WE WERE THROUGH 8000 FT FOR 7000 FT. TCASII THEN CALLED 'TFC, TFC.' TFC WAS NOT SPOTTED VISUALLY YET. TCASII CALLED 'DSND' AND EFIS DISPLAYED A DSCNT ATTITUDE TO AVOID INCURSION. AUTOPLT WAS DISCONNECTED AND DSCNT BEGAN. THEN I MADE VISUAL CONTACT WITH AN SMA Y. DSCNT WAS STOPPED DUE TO ACFT BELOW US. TCASII LATER CALLED 'CLB, CLB' WHEN TFC WAS 1 MI AWAY. IN SHORT, TCASII HAD INSTRUCTED US TO DSND INTO ANOTHER ACFT. BECAUSE I HAVE BEEN TRAINED TO FOLLOW TCASII ADVISORIES (RA'S), I FOLLOWED THE DSCNT INSTRUCTIONS, DESPITE KNOWING THAT AN ACFT WAS BELOW. OUR TRAINING HAS SUGGESTED THAT TCASII CAN TRACK MULTIPLE ACFT SIMULTANEOUSLY AND THEREFORE I INITIALLY BELIEVED THE MACHINE AND SURMISED THAT THERE MAY HAVE BEEN A SECOND ACFT NEARBY AND THAT A DSCNT WAS NECESSARY. SUPPLEMENTAL INFO FROM ACN 233440: NO ALTDEV OCCURRED. HAVING VISUAL ON THE INTRUDING ACFT, WE ELECTED TO MAINTAIN 7000 FT. I DO NOT PRETEND TO UNDERSTAND THE ELECTRONIC FUNCTIONS OF THE TCASII BUT STILL WONDER WHY IT COMMANDED WHAT WOULD HAVE BEEN A MIDAIR COLLISION IF ITS (TCASII) DIRECTIVES HAD BEEN FOLLOWED.
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.