37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 275413 |
Time | |
Date | 199406 |
Day | Thu |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : bwi |
State Reference | MD |
Altitude | msl bound lower : 7600 msl bound upper : 8000 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : bwi |
Operator | common carrier : air carrier |
Make Model Name | MD-88 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | descent other |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 115 flight time total : 8000 flight time type : 650 |
ASRS Report | 275413 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : overshoot 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 other |
Consequence | Other |
Miss Distance | vertical : 700 |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Our aircraft was en route from bos to dca. We were in the initial approach phase of the flight being controled by bwi approach control. WX was IMC conditions, extremely hazy and an obscured ceiling. At the time of the altitude deviation incident, the first officer was flying the aircraft on autoplt and autothrottles. We were given successive level off altitudes by ATC as the aircraft continued a descent in the approach environment. From a stabilized altitude of 12000 MSL we were cleared to 10000 MSL and then down to 8000 MSL before stopping at 10000 MSL. The aircraft speed was 250 KIAS with slats deployed as we descended through 10000 ft MSL. At approximately 8500 MSL, ATC requested we slow to 210 KIAS. The first officer had been controling the descent rate and speed using the 'IAS' function on the digital flight guidance panel and idle power selected. Both pilots had verified that 8000 ft was selected on the digital flight guidance panel as the level off altitude. I turned my attention then to loading approach data into the FMS to aid in flying the runway 18 river visual approach into dca. At this point, to comply with the 210 KIAS speed request by ATC, the first officer selected the 'vertical speed' function on the digital flight guidance panel, setting 600 FPM descent rate and changing the 'speed select' window to show 210 KTS. Because of a flaw in the md-88's digital flight guidance program, last second changes in any of the vertical control functions will remove the altitude level off command previously selected. The altitude warning signal and a TCASII 'TA' going off simultaneously at 7700 MSL brought our attention to the deviation. Full power and pitch increase to 20 degrees nose up stopped our descent at 7600 MSL and provided a quick climb back to 8000 MSL. Approach control questioned us about our altitude as we climbed back through 7900 MSL. No further comments were received from ATC about the incident. It is my opinion that this scenario is repeated at the very least, daily, in the md-88 aircraft. The workload that confronts pilots in the ATC system will never decrease and will only increase with system expansion and increased flying levels in the united states. The most effective solution to this recurring problem is to change the software program for the md-88 digital flight guidance system to allow last second changes to pitch commands without removing the altitude level off function.
Original NASA ASRS Text
Title: ALTDEV ALT OVERSHOT IN DSCNT IN MD-88 FLC DEV FROM ATC CLRNC.
Narrative: OUR ACFT WAS ENRTE FROM BOS TO DCA. WE WERE IN THE INITIAL APCH PHASE OF THE FLT BEING CTLED BY BWI APCH CTL. WX WAS IMC CONDITIONS, EXTREMELY HAZY AND AN OBSCURED CEILING. AT THE TIME OF THE ALTDEV INCIDENT, THE FO WAS FLYING THE ACFT ON AUTOPLT AND AUTOTHROTTLES. WE WERE GIVEN SUCCESSIVE LEVEL OFF ALTS BY ATC AS THE ACFT CONTINUED A DSCNT IN THE APCH ENVIRONMENT. FROM A STABILIZED ALT OF 12000 MSL WE WERE CLRED TO 10000 MSL AND THEN DOWN TO 8000 MSL BEFORE STOPPING AT 10000 MSL. THE ACFT SPD WAS 250 KIAS WITH SLATS DEPLOYED AS WE DSNDED THROUGH 10000 FT MSL. AT APPROX 8500 MSL, ATC REQUESTED WE SLOW TO 210 KIAS. THE FO HAD BEEN CTLING THE DSCNT RATE AND SPD USING THE 'IAS' FUNCTION ON THE DIGITAL FLT GUIDANCE PANEL AND IDLE PWR SELECTED. BOTH PLTS HAD VERIFIED THAT 8000 FT WAS SELECTED ON THE DIGITAL FLT GUIDANCE PANEL AS THE LEVEL OFF ALT. I TURNED MY ATTN THEN TO LOADING APCH DATA INTO THE FMS TO AID IN FLYING THE RWY 18 RIVER VISUAL APCH INTO DCA. AT THIS POINT, TO COMPLY WITH THE 210 KIAS SPD REQUEST BY ATC, THE FO SELECTED THE 'VERT SPD' FUNCTION ON THE DIGITAL FLT GUIDANCE PANEL, SETTING 600 FPM DSCNT RATE AND CHANGING THE 'SPD SELECT' WINDOW TO SHOW 210 KTS. BECAUSE OF A FLAW IN THE MD-88'S DIGITAL FLT GUIDANCE PROGRAM, LAST SECOND CHANGES IN ANY OF THE VERT CTL FUNCTIONS WILL REMOVE THE ALT LEVEL OFF COMMAND PREVIOUSLY SELECTED. THE ALT WARNING SIGNAL AND A TCASII 'TA' GOING OFF SIMULTANEOUSLY AT 7700 MSL BROUGHT OUR ATTN TO THE DEV. FULL PWR AND PITCH INCREASE TO 20 DEGS NOSE UP STOPPED OUR DSCNT AT 7600 MSL AND PROVIDED A QUICK CLB BACK TO 8000 MSL. APCH CTL QUESTIONED US ABOUT OUR ALT AS WE CLBED BACK THROUGH 7900 MSL. NO FURTHER COMMENTS WERE RECEIVED FROM ATC ABOUT THE INCIDENT. IT IS MY OPINION THAT THIS SCENARIO IS REPEATED AT THE VERY LEAST, DAILY, IN THE MD-88 ACFT. THE WORKLOAD THAT CONFRONTS PLTS IN THE ATC SYS WILL NEVER DECREASE AND WILL ONLY INCREASE WITH SYS EXPANSION AND INCREASED FLYING LEVELS IN THE UNITED STATES. THE MOST EFFECTIVE SOLUTION TO THIS RECURRING PROB IS TO CHANGE THE SOFTWARE PROGRAM FOR THE MD-88 DIGITAL FLT GUIDANCE SYS TO ALLOW LAST SECOND CHANGES TO PITCH COMMANDS WITHOUT REMOVING THE ALT LEVEL OFF FUNCTION.
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.