37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 302609 |
Time | |
Date | 199504 |
Day | Thu |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : shb |
State Reference | IN |
Altitude | msl bound lower : 22600 msl bound upper : 23000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zid |
Operator | common carrier : air carrier |
Make Model Name | B727-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | descent other |
Route In Use | arrival other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 22000 flight time type : 150 |
ASRS Report | 302609 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : excursion from assigned altitude non adherence : clearance other anomaly other |
Independent Detector | other flight crewa other other : unspecified cockpit |
Resolutory Action | flight crew : returned to intended course or assigned course |
Consequence | Other |
Supplementary | |
Primary Problem | Aircraft |
Air Traffic Incident | Pilot Deviation other |
Narrative:
During descent to FL230 on a modified milan 2 arrival where several vectors or changes in routings occurred, just prior to level off at FL230. A direct to shb VOR was given. Autoplt was being used, altitude hold engaged at FL230. Both pilots began to reset VOR's frequency/course and reprogram omega navigation. Autoplt disengaged and started rapid descent. I attempted autoplt re-engagement and commanded a return to FL230. As fast as I tried and, because autoplt did not respond quickly enough, our aircraft descended to 300-400 ft below FL230 before recovering back to FL230. Both pilots saw what was happening but could not respond quickly enough to avoid the deviation. The autoplt worked normally throughout the flight before and after incident. Since both pilots's most recent experience (previous 7-8 yrs) was in more modern glass cockpit aircraft with highly reliable navigation and autoplt system, probably, too much was expected of this older and less reliable system.
Original NASA ASRS Text
Title: FLC DEVIATES 300-400 FT BELOW ASSIGNED ALT.
Narrative: DURING DSCNT TO FL230 ON A MODIFIED MILAN 2 ARR WHERE SEVERAL VECTORS OR CHANGES IN ROUTINGS OCCURRED, JUST PRIOR TO LEVEL OFF AT FL230. A DIRECT TO SHB VOR WAS GIVEN. AUTOPLT WAS BEING USED, ALT HOLD ENGAGED AT FL230. BOTH PLTS BEGAN TO RESET VOR'S FREQ/COURSE AND REPROGRAM OMEGA NAV. AUTOPLT DISENGAGED AND STARTED RAPID DSCNT. I ATTEMPTED AUTOPLT RE-ENGAGEMENT AND COMMANDED A RETURN TO FL230. AS FAST AS I TRIED AND, BECAUSE AUTOPLT DID NOT RESPOND QUICKLY ENOUGH, OUR ACFT DSNDED TO 300-400 FT BELOW FL230 BEFORE RECOVERING BACK TO FL230. BOTH PLTS SAW WHAT WAS HAPPENING BUT COULD NOT RESPOND QUICKLY ENOUGH TO AVOID THE DEV. THE AUTOPLT WORKED NORMALLY THROUGHOUT THE FLT BEFORE AND AFTER INCIDENT. SINCE BOTH PLTS'S MOST RECENT EXPERIENCE (PREVIOUS 7-8 YRS) WAS IN MORE MODERN GLASS COCKPIT ACFT WITH HIGHLY RELIABLE NAV AND AUTOPLT SYS, PROBABLY, TOO MUCH WAS EXPECTED OF THIS OLDER AND LESS RELIABLE SYS.
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.