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|
Attributes | |
ACN | 290772 |
Time | |
Date | 199412 |
Day | Mon |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : sat |
State Reference | TX |
Altitude | msl bound lower : 2000 msl bound upper : 3000 |
Environment | |
Flight Conditions | IMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tower : sat artcc : tjzs |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | descent : approach |
Route In Use | approach : straight in |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain observation : company check pilot |
Qualification | pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 100 flight time total : 10500 flight time type : 4000 |
ASRS Report | 290772 |
Person 2 | |
Affiliation | company : air carrier |
Function | instruction : trainee |
Qualification | pilot : instrument pilot : commercial |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : clearance non adherence : published procedure 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 |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Approaching sat we received the ATIS and the WX was stated as VFR. We concluded our preliminary landing checklist with a VFR approach briefing. When ZHU turned us over to sat approach, approach updated the WX as 800 broken, 3 mi visibility. I waited for the PF to update the approach brief to an ILS approach. When it was obvious he was not going to do an update, I briefed the approach. Soon after the brief, approach gave us a 150 degree heading and told us to maintain 3000 ft until established and cleared for the approach and to contact the tower. I confirmed the PF was in approach mode and looked at my audio panel to confirm the ILS identify. When I looked back up the altitude window was set at 2000 ft and we were descending. At the same time sat tower and GPWS started to warn us of our altitude. After some direction, the PF initiated a pull up. He established ourselves on the GS and continued the approach. I feel the incident could have been avoided if the PF had followed established procedures. The altitude awareness program at our airline says any time a new altitude is assigned, the altitude window will be set and both pilots agree before an altitude change is made. The PF took it upon himself to change the altitude window to 2000 ft and start down without including me in the loop. The PF was under the impression the approach controller said to maintain 2000 ft until established. The PF again should have given a proper ILS brief once he knew it was IMC. Even though I gave the brief, he was not paying attention and did not realize the IAF altitude was 3000 ft. This was a line check/training flight. The PF will be back for more training before being released to the line.
Original NASA ASRS Text
Title: ALTDEV FROM PUBLISHED ILS APCH.
Narrative: APCHING SAT WE RECEIVED THE ATIS AND THE WX WAS STATED AS VFR. WE CONCLUDED OUR PRELIMINARY LNDG CHKLIST WITH A VFR APCH BRIEFING. WHEN ZHU TURNED US OVER TO SAT APCH, APCH UPDATED THE WX AS 800 BROKEN, 3 MI VISIBILITY. I WAITED FOR THE PF TO UPDATE THE APCH BRIEF TO AN ILS APCH. WHEN IT WAS OBVIOUS HE WAS NOT GOING TO DO AN UPDATE, I BRIEFED THE APCH. SOON AFTER THE BRIEF, APCH GAVE US A 150 DEG HDG AND TOLD US TO MAINTAIN 3000 FT UNTIL ESTABLISHED AND CLRED FOR THE APCH AND TO CONTACT THE TWR. I CONFIRMED THE PF WAS IN APCH MODE AND LOOKED AT MY AUDIO PANEL TO CONFIRM THE ILS IDENT. WHEN I LOOKED BACK UP THE ALT WINDOW WAS SET AT 2000 FT AND WE WERE DSNDING. AT THE SAME TIME SAT TWR AND GPWS STARTED TO WARN US OF OUR ALT. AFTER SOME DIRECTION, THE PF INITIATED A PULL UP. HE ESTABLISHED OURSELVES ON THE GS AND CONTINUED THE APCH. I FEEL THE INCIDENT COULD HAVE BEEN AVOIDED IF THE PF HAD FOLLOWED ESTABLISHED PROCS. THE ALT AWARENESS PROGRAM AT OUR AIRLINE SAYS ANY TIME A NEW ALT IS ASSIGNED, THE ALT WINDOW WILL BE SET AND BOTH PLTS AGREE BEFORE AN ALT CHANGE IS MADE. THE PF TOOK IT UPON HIMSELF TO CHANGE THE ALT WINDOW TO 2000 FT AND START DOWN WITHOUT INCLUDING ME IN THE LOOP. THE PF WAS UNDER THE IMPRESSION THE APCH CTLR SAID TO MAINTAIN 2000 FT UNTIL ESTABLISHED. THE PF AGAIN SHOULD HAVE GIVEN A PROPER ILS BRIEF ONCE HE KNEW IT WAS IMC. EVEN THOUGH I GAVE THE BRIEF, HE WAS NOT PAYING ATTN AND DID NOT REALIZE THE IAF ALT WAS 3000 FT. THIS WAS A LINE CHK/TRAINING FLT. THE PF WILL BE BACK FOR MORE TRAINING BEFORE BEING RELEASED TO THE LINE.
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.