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|
Attributes | |
ACN | 306030 |
Time | |
Date | 199505 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : nas |
State Reference | FO |
Altitude | msl bound lower : 600 msl bound upper : 1500 |
Environment | |
Flight Conditions | Mixed |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : nas tower : nas |
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 descent other |
Route In Use | approach : straight in |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 250 flight time total : 12000 |
ASRS Report | 306030 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Events | |
Anomaly | altitude deviation : overshoot altitude deviation : excursion from assigned altitude non adherence : published procedure other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : unspecified other flight crewa |
Resolutory Action | none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
On arrival at bermuda, WX was reported to be 2800 ft overcast with better than 10 mi visibility. We were cleared the VOR runway 12 approach and descended to 1500 ft. At 1500 ft we misread our EFIS displays showing the 6 DME fix and descended to our MDA of 600 ft about 3 mi early. This was caused by our EFIS showing 6 mi to go to the 6 mi fix of the approach. As we leveled at the MDA and crosschecked the DME reading, we realized our error. We elected to remain at the MDA and not climb back up as we were over the water, were in visual conditions, and had the field in sight. At no time did we go lower than the MDA until we were in a position for a normal visual approach to landing. No traffic conflict occurred and safety was never compromised. Suggestion: on EFIS equipped aircraft, attention be stressed on VOR approachs where DME fixes (named 'xx- 06' as a point in the FMC) be checked with actual DME from VOR, not confused with 6 mi from the 6 mi fix!
Original NASA ASRS Text
Title: AN ACR CREW GOT LOW ON A VOR APCH.
Narrative: ON ARR AT BERMUDA, WX WAS RPTED TO BE 2800 FT OVCST WITH BETTER THAN 10 MI VISIBILITY. WE WERE CLRED THE VOR RWY 12 APCH AND DSNDED TO 1500 FT. AT 1500 FT WE MISREAD OUR EFIS DISPLAYS SHOWING THE 6 DME FIX AND DSNDED TO OUR MDA OF 600 FT ABOUT 3 MI EARLY. THIS WAS CAUSED BY OUR EFIS SHOWING 6 MI TO GO TO THE 6 MI FIX OF THE APCH. AS WE LEVELED AT THE MDA AND XCHKED THE DME READING, WE REALIZED OUR ERROR. WE ELECTED TO REMAIN AT THE MDA AND NOT CLB BACK UP AS WE WERE OVER THE WATER, WERE IN VISUAL CONDITIONS, AND HAD THE FIELD IN SIGHT. AT NO TIME DID WE GO LOWER THAN THE MDA UNTIL WE WERE IN A POS FOR A NORMAL VISUAL APCH TO LNDG. NO TFC CONFLICT OCCURRED AND SAFETY WAS NEVER COMPROMISED. SUGGESTION: ON EFIS EQUIPPED ACFT, ATTN BE STRESSED ON VOR APCHS WHERE DME FIXES (NAMED 'XX- 06' AS A POINT IN THE FMC) BE CHKED WITH ACTUAL DME FROM VOR, NOT CONFUSED WITH 6 MI FROM THE 6 MI FIX!
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.