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|
Attributes | |
ACN | 251191 |
Time | |
Date | 199309 |
Day | Tue |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : ctr |
State Reference | MA |
Altitude | msl bound lower : 11000 msl bound upper : 11000 |
Environment | |
Flight Conditions | IMC |
Light | Night |
Aircraft 1 | |
Operator | general aviation : personal |
Make Model Name | Small Aircraft, Low Wing, 1 Eng, Retractable Gear |
Flight Phase | cruise other |
Route In Use | enroute airway : v270 |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : single pilot |
Qualification | pilot : instrument pilot : private |
Experience | flight time total : 200 |
ASRS Report | 251191 |
Person 2 | |
Affiliation | Other |
Function | observation : passenger |
Qualification | other other : other |
Events | |
Anomaly | aircraft equipment problem : critical altitude deviation : excursion from assigned altitude non adherence : clearance other spatial deviation |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : exited adverse environment |
Consequence | Other |
Supplementary | |
Primary Problem | Aircraft |
Air Traffic Incident | Pilot Deviation |
Narrative:
Gradual gyroscope failure at 11000 ft IMC in turbulence. During the 6 1/2 hours of a round trip flight from nashua, nh, to cleveland, oh, and back, we had been plagued by a constant problem of the plane drifting off to the left. We blamed everything from ourselves, to fuel balance, aileron trim and rudder trim. It didn't seem to matter what we did, we kept creeping to the left. About 45 mins from nashua on our return trip, darkness had settled in leaving the cockpit pitch black except for the dimly lit instrument panel. We were taking very light chop from time to time and we had been IMC for maybe 10-15 mins when I found myself in a climbing turn to the right. I attempted to correct for this by lowering the nose and turning slightly to the left. Checking with other instruments I quickly found I was below assigned altitude and descending and my airspeed was increasing. A glance at the attitude indicator contradicted this and showed that I was in even a steeper climb. I checked the turn and bank. It showed a left turn at about 1/2 standard rate. For a few seconds this was confusing. Then, at just about the same instant in time my passenger (a pilot) and I figured out that we had gyroscope failure. Knowing the gyroscope was going its own way, I concentrated on the altimeter and turn and bank for attitude. Leveling the plane out, I started to regain my altitude to our assigned 11000 ft. We advised our ZBW controller that we were having some gyroscope problems and needed an expedited descent to get down under the overcast which was reported in the area to be about 4000 ft. As it turned out, we were to be starting our descent anyway. Controller did an excellent job, giving us a 'no gyroscope' descent down through the overcast. In our post-mortem of the flight we looked back on the 6 hours of flying and wondered how could we not have seen it. It was so obvious. The insidious insignificant error in the gyroscope. In this case we would have been far better off had the gyroscope just quit running. Unfortunately, gyroscope failures are gradual and often near impossible to detect in the early stages. The 3 clues we should have picked up on were: 1) I had flown this plane on a dozen prior training flts with no evidence of any problem in directional control, 2) this is an old plane and I had just recently replaced the other 2 gyroscopes and should have been at least a little suspicious, and 3) both my passenger and I had recalled that every once in a while the attitude indicator would vibrate a little. This latter item should have been a dead giveaway that something was going wrong.
Original NASA ASRS Text
Title: SMA PLT IN NIGHT OP, EXPERIENCES HDG TRACK ALTDEV. NON ADHERENCE TO ATC CLRNC.
Narrative: GRADUAL GYROSCOPE FAILURE AT 11000 FT IMC IN TURB. DURING THE 6 1/2 HRS OF A ROUND TRIP FLT FROM NASHUA, NH, TO CLEVELAND, OH, AND BACK, WE HAD BEEN PLAGUED BY A CONSTANT PROB OF THE PLANE DRIFTING OFF TO THE L. WE BLAMED EVERYTHING FROM OURSELVES, TO FUEL BAL, AILERON TRIM AND RUDDER TRIM. IT DIDN'T SEEM TO MATTER WHAT WE DID, WE KEPT CREEPING TO THE L. ABOUT 45 MINS FROM NASHUA ON OUR RETURN TRIP, DARKNESS HAD SETTLED IN LEAVING THE COCKPIT PITCH BLACK EXCEPT FOR THE DIMLY LIT INST PANEL. WE WERE TAKING VERY LIGHT CHOP FROM TIME TO TIME AND WE HAD BEEN IMC FOR MAYBE 10-15 MINS WHEN I FOUND MYSELF IN A CLBING TURN TO THE R. I ATTEMPTED TO CORRECT FOR THIS BY LOWERING THE NOSE AND TURNING SLIGHTLY TO THE L. CHKING WITH OTHER INSTS I QUICKLY FOUND I WAS BELOW ASSIGNED ALT AND DSNDING AND MY AIRSPD WAS INCREASING. A GLANCE AT THE ATTITUDE INDICATOR CONTRADICTED THIS AND SHOWED THAT I WAS IN EVEN A STEEPER CLB. I CHKED THE TURN AND BANK. IT SHOWED A L TURN AT ABOUT 1/2 STANDARD RATE. FOR A FEW SECONDS THIS WAS CONFUSING. THEN, AT JUST ABOUT THE SAME INSTANT IN TIME MY PAX (A PLT) AND I FIGURED OUT THAT WE HAD GYROSCOPE FAILURE. KNOWING THE GYROSCOPE WAS GOING ITS OWN WAY, I CONCENTRATED ON THE ALTIMETER AND TURN AND BANK FOR ATTITUDE. LEVELING THE PLANE OUT, I STARTED TO REGAIN MY ALT TO OUR ASSIGNED 11000 FT. WE ADVISED OUR ZBW CTLR THAT WE WERE HAVING SOME GYROSCOPE PROBS AND NEEDED AN EXPEDITED DSCNT TO GET DOWN UNDER THE OVCST WHICH WAS RPTED IN THE AREA TO BE ABOUT 4000 FT. AS IT TURNED OUT, WE WERE TO BE STARTING OUR DSCNT ANYWAY. CTLR DID AN EXCELLENT JOB, GIVING US A 'NO GYROSCOPE' DSCNT DOWN THROUGH THE OVCST. IN OUR POST-MORTEM OF THE FLT WE LOOKED BACK ON THE 6 HRS OF FLYING AND WONDERED HOW COULD WE NOT HAVE SEEN IT. IT WAS SO OBVIOUS. THE INSIDIOUS INSIGNIFICANT ERROR IN THE GYROSCOPE. IN THIS CASE WE WOULD HAVE BEEN FAR BETTER OFF HAD THE GYROSCOPE JUST QUIT RUNNING. UNFORTUNATELY, GYROSCOPE FAILURES ARE GRADUAL AND OFTEN NEAR IMPOSSIBLE TO DETECT IN THE EARLY STAGES. THE 3 CLUES WE SHOULD HAVE PICKED UP ON WERE: 1) I HAD FLOWN THIS PLANE ON A DOZEN PRIOR TRAINING FLTS WITH NO EVIDENCE OF ANY PROB IN DIRECTIONAL CTL, 2) THIS IS AN OLD PLANE AND I HAD JUST RECENTLY REPLACED THE OTHER 2 GYROSCOPES AND SHOULD HAVE BEEN AT LEAST A LITTLE SUSPICIOUS, AND 3) BOTH MY PAX AND I HAD RECALLED THAT EVERY ONCE IN A WHILE THE ATTITUDE INDICATOR WOULD VIBRATE A LITTLE. THIS LATTER ITEM SHOULD HAVE BEEN A DEAD GIVEAWAY THAT SOMETHING WAS GOING WRONG.
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.