37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 318230 |
Time | |
Date | 199510 |
Day | Wed |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : sfo |
State Reference | CA |
Altitude | msl bound lower : 5300 msl bound upper : 6000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tower : oak tower : iad |
Operator | common carrier : air carrier |
Make Model Name | B757-200 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | descent : approach descent other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : cfi pilot : flight engineer |
Experience | flight time last 90 days : 180 flight time total : 12600 flight time type : 500 |
ASRS Report | 318230 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : overshoot non adherence : published procedure non adherence : clearance other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : returned to intended course or assigned course |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We descended below 6000 ft (to 5300 ft) on quiet bridge visual to runway 28R, sfo prior to the 18.0 DME fix. So we actually descended below floor of class B airspace. We were cleared for the approach (visual). All points were programmed into the FMC. First officer was flying. I was PNF. In autoplt mode 'flch' flight level change, instead of VNAV, first officer dialed in 1900 ft on altitude window in mode control panel. By operating in flch, aircraft was going for 1900 ft (a constraint at the 6.0 DME fix). Bottom line: mismanagement of the autoplt by the first officer and my failure to catch it soon enough. Result: descended below a mandatory altitude on a charted visual approach, going below floor of class B airspace.
Original NASA ASRS Text
Title: ALTDEV. MODE CONFUSION.
Narrative: WE DSNDED BELOW 6000 FT (TO 5300 FT) ON QUIET BRIDGE VISUAL TO RWY 28R, SFO PRIOR TO THE 18.0 DME FIX. SO WE ACTUALLY DSNDED BELOW FLOOR OF CLASS B AIRSPACE. WE WERE CLRED FOR THE APCH (VISUAL). ALL POINTS WERE PROGRAMMED INTO THE FMC. FO WAS FLYING. I WAS PNF. IN AUTOPLT MODE 'FLCH' FLT LEVEL CHANGE, INSTEAD OF VNAV, FO DIALED IN 1900 FT ON ALT WINDOW IN MODE CTL PANEL. BY OPERATING IN FLCH, ACFT WAS GOING FOR 1900 FT (A CONSTRAINT AT THE 6.0 DME FIX). BOTTOM LINE: MISMANAGEMENT OF THE AUTOPLT BY THE FO AND MY FAILURE TO CATCH IT SOON ENOUGH. RESULT: DSNDED BELOW A MANDATORY ALT ON A CHARTED VISUAL APCH, GOING BELOW FLOOR OF CLASS B AIRSPACE.
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.