37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 237461 |
Time | |
Date | 199303 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : dsm |
State Reference | IA |
Altitude | msl bound lower : 3000 msl bound upper : 3500 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : dsm tower : aus |
Operator | common carrier : air taxi |
Make Model Name | Helicopter |
Flight Phase | climbout : intermediate altitude cruise other landing : missed approach |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air taxi |
Function | flight crew : single pilot instruction : trainee |
Qualification | pilot : instrument pilot : commercial |
Experience | flight time last 90 days : 25 flight time total : 3650 flight time type : 130 |
ASRS Report | 237461 |
Person 2 | |
Affiliation | company : air taxi |
Function | instruction : instructor oversight : pic |
Qualification | pilot : cfi pilot : commercial pilot : instrument |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
I was on climb out from missed approach at tnu on a radar vector to ILS runway 13L dsm. I had selected the altitude but failed to push the preselect arm button on the flight director, so when I was occupied with getting ready for the next approach, I allowed the aircraft to fly through the assigned altitude. A faster xchk would have eliminated the error. Callback conversation with reporter revealed the following information: reporter stated this was training flight with check pilot on board. Reporter was performing emergency procedure at time of altitude deviation and was distracted. Workload was very high.
Original NASA ASRS Text
Title: ALTDEV ALT OVERSHOT IN MISSED APCH PROC.
Narrative: I WAS ON CLBOUT FROM MISSED APCH AT TNU ON A RADAR VECTOR TO ILS RWY 13L DSM. I HAD SELECTED THE ALT BUT FAILED TO PUSH THE PRESELECT ARM BUTTON ON THE FLT DIRECTOR, SO WHEN I WAS OCCUPIED WITH GETTING READY FOR THE NEXT APCH, I ALLOWED THE ACFT TO FLY THROUGH THE ASSIGNED ALT. A FASTER XCHK WOULD HAVE ELIMINATED THE ERROR. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: RPTR STATED THIS WAS TRAINING FLT WITH CHK PLT ON BOARD. RPTR WAS PERFORMING EMER PROC AT TIME OF ALTDEV AND WAS DISTRACTED. WORKLOAD WAS VERY HIGH.
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.