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|
Attributes | |
ACN | 241153 |
Time | |
Date | 199305 |
Day | Mon |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : eze |
State Reference | FO |
Altitude | msl bound lower : 266 msl bound upper : 2150 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : eze |
Operator | common carrier : air carrier |
Make Model Name | Widebody Transport |
Navigation In Use | Other Other |
Flight Phase | descent : approach descent other |
Route In Use | approach : straight in |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : second officer |
Qualification | pilot : instrument pilot : flight engineer pilot : commercial pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 18000 flight time type : 1500 |
ASRS Report | 241153 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | non adherence : published procedure other anomaly other other spatial deviation other spatial deviation |
Independent Detector | other flight crewa |
Resolutory Action | none taken : anomaly accepted |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Situations | |
Navigational Aid | Unspecified |
Narrative:
Captain attempted to navigation to arsot intersection using inertial navigation. When transition to VOR and ILS navigation was made a route of flight was followed that resulted in an intercept that apparently would be inside the OM (oc 330KC). Localizer capture was accomplished at approximately 300 ft AGL with an intercept angle in excess of 30 degrees. When the aircraft broke out at 200 ft it had deviated right of centerline, corrections were made by the captain and the aircraft crossed the runway threshold over the left edge of the runway. Flare was made with the aircraft on the left side of the runway and the copilot prompting the captain to go around. The aircraft touched down just within the runway boundaries. This approach was made with the aircraft never established on the ILS localizer -- the localizer showed full scale deviation to the right until approximately 350 ft AGL. The captain relied on promptings from the copilot and so regarding his flight path situation, continued an unstabilized approach that luckily established the aircraft on the localizer 1 mi from the airport. The captain's sense of situational awareness, crew coordination and command were grossly inadequate. I believe the captain was motivated to get the airplane on the ground because of marginal WX, and a distant alternate (mendoza). Although the approach was started with 65000 pounds of fuel, the captain had burned up his 10000 pound holding fuel en route due to poor fuel conservation practices. However, montevideo was available as a suitable airport with WX well above minimums and on the uptrend. The captain attempted to navigation to arsot using INS, a procedure contrary to the airline's policy. Lacking a good transition routing to arsot, the captain should have requested clearance direct to the tvor at eze and the published #2 VOR DME ILS localizer ILS approach to runway 11. Instead the captain accepted the #1 DME ILS localizer approach to runway 11 -- with a clearance over arsot intersection. It should be noted that the captain initially made a perfunctory briefing for the #2 approach (over eze tvor), however, while navigating to arsot the copilot told him that the #1 approach plate was the appropriate chart and procedure. In compliance with the approach descent checklist and SOP, INS navigation was discontinued and the radio navigation resumed prior to reaching arsot intersection. At this point a navigation error was made in selecting an intercept heading for the ILS. By way of a suggestion I would recommend arsot intersection be relocated on the 289 degree radial of eze VOR and a DME arc transition routing published for the procedure with a lead in radial for the turn at arsot. Additionally, I suggest that the airlines be required to furnish area charts and stars and sids to second officers.
Original NASA ASRS Text
Title: IAP ILS APCH FROM A DESTABILIZED APCH WITH MINIMUM DECISION HT.
Narrative: CAPT ATTEMPTED TO NAV TO ARSOT INTXN USING INERTIAL NAV. WHEN TRANSITION TO VOR AND ILS NAV WAS MADE A RTE OF FLT WAS FOLLOWED THAT RESULTED IN AN INTERCEPT THAT APPARENTLY WOULD BE INSIDE THE OM (OC 330KC). LOC CAPTURE WAS ACCOMPLISHED AT APPROX 300 FT AGL WITH AN INTERCEPT ANGLE IN EXCESS OF 30 DEGS. WHEN THE ACFT BROKE OUT AT 200 FT IT HAD DEVIATED R OF CTRLINE, CORRECTIONS WERE MADE BY THE CAPT AND THE ACFT CROSSED THE RWY THRESHOLD OVER THE L EDGE OF THE RWY. FLARE WAS MADE WITH THE ACFT ON THE L SIDE OF THE RWY AND THE COPLT PROMPTING THE CAPT TO GAR. THE ACFT TOUCHED DOWN JUST WITHIN THE RWY BOUNDARIES. THIS APCH WAS MADE WITH THE ACFT NEVER ESTABLISHED ON THE ILS LOC -- THE LOC SHOWED FULL SCALE DEV TO THE R UNTIL APPROX 350 FT AGL. THE CAPT RELIED ON PROMPTINGS FROM THE COPLT AND SO REGARDING HIS FLT PATH SIT, CONTINUED AN UNSTABILIZED APCH THAT LUCKILY ESTABLISHED THE ACFT ON THE LOC 1 MI FROM THE ARPT. THE CAPT'S SENSE OF SITUATIONAL AWARENESS, CREW COORD AND COMMAND WERE GROSSLY INADEQUATE. I BELIEVE THE CAPT WAS MOTIVATED TO GET THE AIRPLANE ON THE GND BECAUSE OF MARGINAL WX, AND A DISTANT ALTERNATE (MENDOZA). ALTHOUGH THE APCH WAS STARTED WITH 65000 LBS OF FUEL, THE CAPT HAD BURNED UP HIS 10000 LB HOLDING FUEL ENRTE DUE TO POOR FUEL CONSERVATION PRACTICES. HOWEVER, MONTEVIDEO WAS AVAILABLE AS A SUITABLE ARPT WITH WX WELL ABOVE MINIMUMS AND ON THE UPTREND. THE CAPT ATTEMPTED TO NAV TO ARSOT USING INS, A PROC CONTRARY TO THE AIRLINE'S POLICY. LACKING A GOOD TRANSITION RTING TO ARSOT, THE CAPT SHOULD HAVE REQUESTED CLRNC DIRECT TO THE TVOR AT EZE AND THE PUBLISHED #2 VOR DME ILS LOCALIZER ILS APCH TO RWY 11. INSTEAD THE CAPT ACCEPTED THE #1 DME ILS LOCALIZER APCH TO RWY 11 -- WITH A CLRNC OVER ARSOT INTXN. IT SHOULD BE NOTED THAT THE CAPT INITIALLY MADE A PERFUNCTORY BRIEFING FOR THE #2 APCH (OVER EZE TVOR), HOWEVER, WHILE NAVING TO ARSOT THE COPLT TOLD HIM THAT THE #1 APCH PLATE WAS THE APPROPRIATE CHART AND PROC. IN COMPLIANCE WITH THE APCH DSCNT CHKLIST AND SOP, INS NAV WAS DISCONTINUED AND THE RADIO NAV RESUMED PRIOR TO REACHING ARSOT INTXN. AT THIS POINT A NAV ERROR WAS MADE IN SELECTING AN INTERCEPT HDG FOR THE ILS. BY WAY OF A SUGGESTION I WOULD RECOMMEND ARSOT INTXN BE RELOCATED ON THE 289 DEG RADIAL OF EZE VOR AND A DME ARC TRANSITION RTING PUBLISHED FOR THE PROC WITH A LEAD IN RADIAL FOR THE TURN AT ARSOT. ADDITIONALLY, I SUGGEST THAT THE AIRLINES BE REQUIRED TO FURNISH AREA CHARTS AND STARS AND SIDS TO SECOND OFFICERS.
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.