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|
Attributes | |
ACN | 290025 |
Time | |
Date | 199411 |
Day | Wed |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : acv |
State Reference | CA |
Altitude | msl bound lower : 3000 msl bound upper : 3000 |
Environment | |
Flight Conditions | Mixed |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zse |
Operator | common carrier : air carrier |
Make Model Name | Jetstream 31 |
Operating Under FAR Part | Part 135 |
Flight Phase | descent : approach descent other landing other |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : commercial pilot : instrument |
Experience | flight time last 90 days : 190 flight time total : 2700 flight time type : 190 |
ASRS Report | 296025 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial |
Events | |
Anomaly | aircraft equipment problem : critical altitude deviation : excursion from assigned altitude other anomaly other other spatial deviation |
Independent Detector | other controllera other flight crewa |
Resolutory Action | flight crew : overcame equipment problem flight crew : exited adverse environment |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
The jetstream 3100 has a DME readout with 4 buttons (DME, KTS, time, timer) the buttons do not remain depressed when a specific mode is selected and the readout does not indicate whether you are in distance, time, or KTS. The only way to know the mode being displayed is to push the button especially between 'DME' and 'time' modes. I was the PF. My copilot pushed 'time' to assure that his call to our base operations was accurate. He never pushed it back to the DME mode. I began a VOR DME 14 approach to arcata. Thinking that I was inside 'wheel' intersection, I started my descent based on what I thought I was an indication of less than 10.8 DME. However, the readout was actually indicating 'min to the station.' I was actually over 22 NM out and started down way too early. ZSE caught our mistake before we did. Chain of events: how the problem arose: switchology. Contributing factors: deceiving to the point of deceptive readout display. How it was discovered: ZSE query. Corrective actions: part of my instrument approach brief from now on. Human factors: due to direct routing and complacency both my copilot and myself failed to perceive the proper distance from arcata during a crucial phase of flight (ie, poor situational awareness).
Original NASA ASRS Text
Title: ALTDEV.
Narrative: THE JETSTREAM 3100 HAS A DME READOUT WITH 4 BUTTONS (DME, KTS, TIME, TIMER) THE BUTTONS DO NOT REMAIN DEPRESSED WHEN A SPECIFIC MODE IS SELECTED AND THE READOUT DOES NOT INDICATE WHETHER YOU ARE IN DISTANCE, TIME, OR KTS. THE ONLY WAY TO KNOW THE MODE BEING DISPLAYED IS TO PUSH THE BUTTON ESPECIALLY BTWN 'DME' AND 'TIME' MODES. I WAS THE PF. MY COPLT PUSHED 'TIME' TO ASSURE THAT HIS CALL TO OUR BASE OPS WAS ACCURATE. HE NEVER PUSHED IT BACK TO THE DME MODE. I BEGAN A VOR DME 14 APCH TO ARCATA. THINKING THAT I WAS INSIDE 'WHEEL' INTXN, I STARTED MY DSCNT BASED ON WHAT I THOUGHT I WAS AN INDICATION OF LESS THAN 10.8 DME. HOWEVER, THE READOUT WAS ACTUALLY INDICATING 'MIN TO THE STATION.' I WAS ACTUALLY OVER 22 NM OUT AND STARTED DOWN WAY TOO EARLY. ZSE CAUGHT OUR MISTAKE BEFORE WE DID. CHAIN OF EVENTS: HOW THE PROB AROSE: SWITCHOLOGY. CONTRIBUTING FACTORS: DECEIVING TO THE POINT OF DECEPTIVE READOUT DISPLAY. HOW IT WAS DISCOVERED: ZSE QUERY. CORRECTIVE ACTIONS: PART OF MY INST APCH BRIEF FROM NOW ON. HUMAN FACTORS: DUE TO DIRECT RTING AND COMPLACENCY BOTH MY COPLT AND MYSELF FAILED TO PERCEIVE THE PROPER DISTANCE FROM ARCATA DURING A CRUCIAL PHASE OF FLT (IE, POOR SITUATIONAL AWARENESS).
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.