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|
Attributes | |
ACN | 294593 |
Time | |
Date | 199501 |
Day | Tue |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : dca |
State Reference | DC |
Altitude | msl bound lower : 5000 msl bound upper : 5000 |
Environment | |
Flight Conditions | VMC |
Light | Dusk |
Aircraft 1 | |
Controlling Facilities | tracon : dca tower : dca |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : intermediate altitude ground : preflight |
Route In Use | departure sid : sid |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : second officer |
Qualification | pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 120 flight time total : 3700 flight time type : 1800 |
ASRS Report | 294593 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 120 flight time total : 15000 flight time type : 1600 |
ASRS Report | 295244 |
Events | |
Anomaly | aircraft equipment problem : critical non adherence other other spatial deviation |
Independent Detector | other flight crewa |
Resolutory Action | controller : issued new clearance other |
Consequence | Other |
Supplementary | |
Primary Problem | Aircraft |
Air Traffic Incident | Pilot Deviation other |
Narrative:
Before departure #1 navigation radio was set on the dca VOR 328 radial. The #2 navigation radio was set on the smyrna VOR 091 radial. The #2 VOR flag was displayed during takeoff but should have disappeared after takeoff. The #1 navigation was changed to smyrna VOR after we were cleared direct early in the climb. The problem occurred when the captain changed #1 navigation frequency and unknowingly and inadvertently bumped the volume knob (which is also an off switch) and turned the receiver off. The #2 navigation was off from the blocks with the flag displayed, but was interpreted as an indication of the smyrna VOR out of range. The next result of the above situation was that 2 navigation receiver flags were displayed and it was analyzed as receiver failures, after the electrical supply was checked. ATC was advised of the navigation problem and clearance was obtained to enter downwind and land from visual approach to runway 36 at dca. The question that needs to be asked is why there is an off switch incorporated into the identifier volume knob. In discussing the occurrence with other pilots and mechanics, this is not the first time a crew has been 'trapped' by this scenario, and furthermore none was able to determine why there is a necessity for an off switch to be incorporated in this manner. The good news is that the word is out and hopefully this event will not occur again in the near future, although I am sure it will recur as the 'newness' of the information wears off and someone else will be caught.
Original NASA ASRS Text
Title: COURSE DEV -- NAV RECEIVER FAILURE AND NAV RECEIVER MISOP DESIGN PROB.
Narrative: BEFORE DEP #1 NAV RADIO WAS SET ON THE DCA VOR 328 RADIAL. THE #2 NAV RADIO WAS SET ON THE SMYRNA VOR 091 RADIAL. THE #2 VOR FLAG WAS DISPLAYED DURING TKOF BUT SHOULD HAVE DISAPPEARED AFTER TKOF. THE #1 NAV WAS CHANGED TO SMYRNA VOR AFTER WE WERE CLRED DIRECT EARLY IN THE CLB. THE PROB OCCURRED WHEN THE CAPT CHANGED #1 NAV FREQ AND UNKNOWINGLY AND INADVERTENTLY BUMPED THE VOLUME KNOB (WHICH IS ALSO AN OFF SWITCH) AND TURNED THE RECEIVER OFF. THE #2 NAV WAS OFF FROM THE BLOCKS WITH THE FLAG DISPLAYED, BUT WAS INTERPRETED AS AN INDICATION OF THE SMYRNA VOR OUT OF RANGE. THE NEXT RESULT OF THE ABOVE SIT WAS THAT 2 NAV RECEIVER FLAGS WERE DISPLAYED AND IT WAS ANALYZED AS RECEIVER FAILURES, AFTER THE ELECTRICAL SUPPLY WAS CHKED. ATC WAS ADVISED OF THE NAV PROB AND CLRNC WAS OBTAINED TO ENTER DOWNWIND AND LAND FROM VISUAL APCH TO RWY 36 AT DCA. THE QUESTION THAT NEEDS TO BE ASKED IS WHY THERE IS AN OFF SWITCH INCORPORATED INTO THE IDENTIFIER VOLUME KNOB. IN DISCUSSING THE OCCURRENCE WITH OTHER PLTS AND MECHS, THIS IS NOT THE FIRST TIME A CREW HAS BEEN 'TRAPPED' BY THIS SCENARIO, AND FURTHERMORE NONE WAS ABLE TO DETERMINE WHY THERE IS A NECESSITY FOR AN OFF SWITCH TO BE INCORPORATED IN THIS MANNER. THE GOOD NEWS IS THAT THE WORD IS OUT AND HOPEFULLY THIS EVENT WILL NOT OCCUR AGAIN IN THE NEAR FUTURE, ALTHOUGH I AM SURE IT WILL RECUR AS THE 'NEWNESS' OF THE INFO WEARS OFF AND SOMEONE ELSE WILL BE CAUGHT.
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.