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|
Attributes | |
ACN | 317302 |
Time | |
Date | 199510 |
Day | Mon |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : sea airport : pwt |
State Reference | WA |
Altitude | msl bound lower : 1500 msl bound upper : 2500 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : sea |
Operator | general aviation : instructional |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Operating Under FAR Part | Part 91 |
Flight Phase | descent : approach |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | instruction : instructor |
Qualification | pilot : cfi pilot : atp |
Experience | flight time last 90 days : 240 flight time total : 3600 flight time type : 1100 |
ASRS Report | 317302 |
Person 2 | |
Affiliation | Other |
Function | instruction : trainee |
Qualification | pilot : student |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : clearance non adherence : published procedure other anomaly |
Independent Detector | other controllera other flight crewa |
Resolutory Action | controller : issued new clearance flight crew : returned to intended course or assigned course |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
On missed approach at pwt in western wa (ILS runway 19 approach), the student entered an unusual attitude in IMC conditions while turning to our amended missed approach instructions heading. I recovered from the unusual attitude and leveled the aircraft at 1500 ft MSL, returning to straight and level flight and continuing the instruction I failed to notice I had misread the altimeter. We were level at 1500 ft and our assigned altitude was 2500 ft (minimum GS intercept altitude). We cruised at 1500 for a couple (3-5?) mins when approach hinted 'maintain 2500 ft turn left.' catching the hint we climbed immediately. A wake-up call to never become complacent. I tell my students that a chain of events is usually responsible for accidents. Thank god for radar. Xchk! Xchk! Xchk! And don't let yourself see what you want to see or expect to see.
Original NASA ASRS Text
Title: STUDENT PLT LOST CTL OF ACFT IN IMC INSTRUCTOR REGAINED CTL, BUT LEVELED AT WRONG ALT.
Narrative: ON MISSED APCH AT PWT IN WESTERN WA (ILS RWY 19 APCH), THE STUDENT ENTERED AN UNUSUAL ATTITUDE IN IMC CONDITIONS WHILE TURNING TO OUR AMENDED MISSED APCH INSTRUCTIONS HDG. I RECOVERED FROM THE UNUSUAL ATTITUDE AND LEVELED THE ACFT AT 1500 FT MSL, RETURNING TO STRAIGHT AND LEVEL FLT AND CONTINUING THE INSTRUCTION I FAILED TO NOTICE I HAD MISREAD THE ALTIMETER. WE WERE LEVEL AT 1500 FT AND OUR ASSIGNED ALT WAS 2500 FT (MINIMUM GS INTERCEPT ALT). WE CRUISED AT 1500 FOR A COUPLE (3-5?) MINS WHEN APCH HINTED 'MAINTAIN 2500 FT TURN L.' CATCHING THE HINT WE CLBED IMMEDIATELY. A WAKE-UP CALL TO NEVER BECOME COMPLACENT. I TELL MY STUDENTS THAT A CHAIN OF EVENTS IS USUALLY RESPONSIBLE FOR ACCIDENTS. THANK GOD FOR RADAR. XCHK! XCHK! XCHK! AND DON'T LET YOURSELF SEE WHAT YOU WANT TO SEE OR EXPECT TO SEE.
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.