37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 282861 |
Time | |
Date | 199409 |
Day | Mon |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : bru |
State Reference | FO |
Altitude | msl bound lower : 15000 msl bound upper : 17000 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | DC-8F |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure other departure sid : sid |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : second officer |
Qualification | pilot : flight engineer |
Experience | flight time last 90 days : 95 flight time total : 20000 flight time type : 300 |
ASRS Report | 282861 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 100 flight time total : 10000 flight time type : 50 |
ASRS Report | 282860 |
Events | |
Anomaly | aircraft equipment problem : critical altitude deviation : excursion from assigned altitude inflight encounter : weather other anomaly other other spatial deviation |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : declared emergency flight crew : overcame equipment problem |
Consequence | Other |
Supplementary | |
Primary Problem | Aircraft |
Air Traffic Incident | Pilot Deviation |
Narrative:
Dc-8 depart bru. On climb out, INS failure. 3 on aircraft. #3 probably had not counted down before we started taxi. This was the 4TH leg for the captain after IOE -- brand new, no heavy turbo jet time. The first officer has had 5 days off in the last 90 days -- completely worn out. The captain had no differences training. This aircraft is different from the rest of fleet. The first officer and myself had initial together in jan-feb 1994 we had no INS training at all. On this aircraft, when INS fail, flight instruments also fail. We did not know that the INS can be turned to the 'att' position and that lets the flight instrument switch to gyroscope. We were in IMC conditions about 1700 ft. The aircraft was in unusual attitudes. The standby gyroscope also was acting up. We declared emergency. Bru gave us a separate frequency while they worked us. We got the flight instruments back, canceled the emergency. The INS was never recovered. When the INS failed, the captain and first officer turned off 1 and 2 INS. They were never right. We were in a very, very bad way for a few mins. I was very concerned for us. We continued to destination without INS and no more events. Supplemental information from acn 282860: I was new in type (only 50 hours) and unfamiliar with this individual aircraft and its gyroscope arrangement (it's unique in our fleet). I agreed to the first officer's suggestion that we turn off the INS since we felt them all to be unreliable. A lack of adequate differences training. Both the first officer and myself were not sufficiently aware of the unique features of this airplane. Furthermore, the first officer was fatigued from continuous international operations and had previously requested to be relieved, citing an average of only 4 or 5 days off a month for the past 6 months. Since he was more experienced in the airplane, his input was very important and I believe his run down condition was a factor.
Original NASA ASRS Text
Title: AN ACR HVT FREIGHTER CREW TURNED ITS INS TO 'OFF.'
Narrative: DC-8 DEPART BRU. ON CLBOUT, INS FAILURE. 3 ON ACFT. #3 PROBABLY HAD NOT COUNTED DOWN BEFORE WE STARTED TAXI. THIS WAS THE 4TH LEG FOR THE CAPT AFTER IOE -- BRAND NEW, NO HVY TURBO JET TIME. THE FO HAS HAD 5 DAYS OFF IN THE LAST 90 DAYS -- COMPLETELY WORN OUT. THE CAPT HAD NO DIFFERENCES TRAINING. THIS ACFT IS DIFFERENT FROM THE REST OF FLEET. THE FO AND MYSELF HAD INITIAL TOGETHER IN JAN-FEB 1994 WE HAD NO INS TRAINING AT ALL. ON THIS ACFT, WHEN INS FAIL, FLT INSTS ALSO FAIL. WE DID NOT KNOW THAT THE INS CAN BE TURNED TO THE 'ATT' POS AND THAT LETS THE FLT INST SWITCH TO GYROSCOPE. WE WERE IN IMC CONDITIONS ABOUT 1700 FT. THE ACFT WAS IN UNUSUAL ATTITUDES. THE STANDBY GYROSCOPE ALSO WAS ACTING UP. WE DECLARED EMER. BRU GAVE US A SEPARATE FREQ WHILE THEY WORKED US. WE GOT THE FLT INSTS BACK, CANCELED THE EMER. THE INS WAS NEVER RECOVERED. WHEN THE INS FAILED, THE CAPT AND FO TURNED OFF 1 AND 2 INS. THEY WERE NEVER RIGHT. WE WERE IN A VERY, VERY BAD WAY FOR A FEW MINS. I WAS VERY CONCERNED FOR US. WE CONTINUED TO DEST WITHOUT INS AND NO MORE EVENTS. SUPPLEMENTAL INFO FROM ACN 282860: I WAS NEW IN TYPE (ONLY 50 HRS) AND UNFAMILIAR WITH THIS INDIVIDUAL ACFT AND ITS GYROSCOPE ARRANGEMENT (IT'S UNIQUE IN OUR FLEET). I AGREED TO THE FO'S SUGGESTION THAT WE TURN OFF THE INS SINCE WE FELT THEM ALL TO BE UNRELIABLE. A LACK OF ADEQUATE DIFFERENCES TRAINING. BOTH THE FO AND MYSELF WERE NOT SUFFICIENTLY AWARE OF THE UNIQUE FEATURES OF THIS AIRPLANE. FURTHERMORE, THE FO WAS FATIGUED FROM CONTINUOUS INTL OPS AND HAD PREVIOUSLY REQUESTED TO BE RELIEVED, CITING AN AVERAGE OF ONLY 4 OR 5 DAYS OFF A MONTH FOR THE PAST 6 MONTHS. SINCE HE WAS MORE EXPERIENCED IN THE AIRPLANE, HIS INPUT WAS VERY IMPORTANT AND I BELIEVE HIS RUN DOWN CONDITION WAS A FACTOR.
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.