37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 290676 |
Time | |
Date | 199412 |
Day | Wed |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : cle |
State Reference | OH |
Altitude | msl bound lower : 2000 msl bound upper : 2800 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : cle |
Operator | common carrier : air carrier |
Make Model Name | Jetstream 32 |
Operating Under FAR Part | Part 135 |
Flight Phase | descent : approach landing : missed approach |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 2600 flight time type : 150 |
ASRS Report | 290676 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : clearance other spatial deviation |
Independent Detector | aircraft equipment other aircraft equipment : unspecified other flight crewa |
Resolutory Action | flight crew : became reoriented other |
Consequence | Other |
Supplementary | |
Primary Problem | Aircraft |
Air Traffic Incident | other |
Narrative:
We were joining the cle runway 5R ILS at 3000 ft MSL. The approach clearance allowed us to descend to 2800 ft before picking up the GS. Unknown to me, the captain's GS on the ADI was deflected down. So, as we were cleared for the approach, he began to descend to get the glide. As he left 2800 ft descending, my GS was still full-scale deflection up. So, I said 'watch altitude.' he acknowledged and responded, but at that time neither of us knew we were referring to opposite directions. To make matters worse, the controller gave us a lousy turn-on, so the localizer was also way off. The captain remarked about what a bad turn-on we had and thinking he only meant the localizer, I agreed. He was still pushing the airplane down, so I said 'I have full-scale deflection.' he agreed, but we still didn't know they were in different directions. Both of us then exchanged the 'full-scale deflection' comment again. I then asked if we were going around and he agreed it was necessary. When we went around, we got 'too low gear' on the GPWS twice. On the climb out, we informed the tower we had gotten a bad turn- on and were going around. We were vectored around again and landed without incident. During the go around/missed approach, we discussed it and discovered that the deflections had been in the opposite directions. This was a classic situation where both pilots made appropriate comments, but because the information available to each of us was different, each other's comments were repeatedly interpreted with different meanings from what was intended.
Original NASA ASRS Text
Title: COMMUTER ACFT MAKES GAR AS GS DEFLECTION IS OPPOSITE ON EACH PLT'S EQUIP.
Narrative: WE WERE JOINING THE CLE RWY 5R ILS AT 3000 FT MSL. THE APCH CLRNC ALLOWED US TO DSND TO 2800 FT BEFORE PICKING UP THE GS. UNKNOWN TO ME, THE CAPT'S GS ON THE ADI WAS DEFLECTED DOWN. SO, AS WE WERE CLRED FOR THE APCH, HE BEGAN TO DSND TO GET THE GLIDE. AS HE LEFT 2800 FT DSNDING, MY GS WAS STILL FULL-SCALE DEFLECTION UP. SO, I SAID 'WATCH ALT.' HE ACKNOWLEDGED AND RESPONDED, BUT AT THAT TIME NEITHER OF US KNEW WE WERE REFERRING TO OPPOSITE DIRECTIONS. TO MAKE MATTERS WORSE, THE CTLR GAVE US A LOUSY TURN-ON, SO THE LOC WAS ALSO WAY OFF. THE CAPT REMARKED ABOUT WHAT A BAD TURN-ON WE HAD AND THINKING HE ONLY MEANT THE LOC, I AGREED. HE WAS STILL PUSHING THE AIRPLANE DOWN, SO I SAID 'I HAVE FULL-SCALE DEFLECTION.' HE AGREED, BUT WE STILL DIDN'T KNOW THEY WERE IN DIFFERENT DIRECTIONS. BOTH OF US THEN EXCHANGED THE 'FULL-SCALE DEFLECTION' COMMENT AGAIN. I THEN ASKED IF WE WERE GOING AROUND AND HE AGREED IT WAS NECESSARY. WHEN WE WENT AROUND, WE GOT 'TOO LOW GEAR' ON THE GPWS TWICE. ON THE CLBOUT, WE INFORMED THE TWR WE HAD GOTTEN A BAD TURN- ON AND WERE GOING AROUND. WE WERE VECTORED AROUND AGAIN AND LANDED WITHOUT INCIDENT. DURING THE GAR/MISSED APCH, WE DISCUSSED IT AND DISCOVERED THAT THE DEFLECTIONS HAD BEEN IN THE OPPOSITE DIRECTIONS. THIS WAS A CLASSIC SIT WHERE BOTH PLTS MADE APPROPRIATE COMMENTS, BUT BECAUSE THE INFO AVAILABLE TO EACH OF US WAS DIFFERENT, EACH OTHER'S COMMENTS WERE REPEATEDLY INTERPRETED WITH DIFFERENT MEANINGS FROM WHAT WAS INTENDED.
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.