37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 330391 |
Time | |
Date | 199603 |
Day | Thu |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : ord |
State Reference | IL |
Altitude | msl bound lower : 4000 msl bound upper : 6000 |
Environment | |
Flight Conditions | Mixed |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : ord tower : cdg |
Operator | common carrier : air carrier |
Make Model Name | A310 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | descent : approach |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : instrument pilot : flight engineer pilot : commercial pilot : atp pilot : cfi |
Experience | flight time last 90 days : 200 flight time total : 13000 flight time type : 200 |
ASRS Report | 330391 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 5000 flight time type : 350 |
ASRS Report | 330272 |
Events | |
Anomaly | aircraft equipment problem : critical altitude deviation : excursion from assigned altitude non adherence : clearance other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : unspecified other flight crewa |
Resolutory Action | controller : issued new clearance flight crew : declared emergency flight crew : regained aircraft control other |
Consequence | Other |
Supplementary | |
Primary Problem | Aircraft |
Narrative:
Airspeed input to the captain flight director went bad, probably due to probe icing. Airspeed decay. Autoflt protection system commanded maximum power. Airspeed (actual) increased rapidly into overspd range for the flap setting. Aircraft was allowed to climb from 4000 ft to 6000 ft for airframe stress protection. Autothrottles could not be reconnected. First officer flew remainder of flight on his good instruments. Otherwise, normal landing. Seems there's a real need for some kind of comparator warnings in these autoflt system. Aircraft type: A300-600F. Callback conversation with reporter revealed the following information: reporter captain says at first he thought the problem was a failed #1 air data computer, but then realized that there was a pitot heat warning also. Thus, he believes the pitot heat failed, it iced up giving an erroneous airspeed, followed by the aircraft air data computer now believing they were approaching a stall, alpha floor, and the autothrottles went to full power. However, the autoplt was still maintaining the ILS approach until the flight crew disconnected it, but by then the speed had increased rapidly and resulted in an overspd for the flap setting. Reporter noted that there was no major trim problem with the elevator, though, after disconnecting the autoplt the nose did pitch up. Because of the excessive airspeed for the flap setting, the flight crew changed PF, the first officer took over the controls because the #2 air data computer was still good and they let the aircraft climb to dissipate the airspeed. Then they disconnected the autothrottles with the master switch off and apparently that resulted in being unable to reconnect the autothr ottles. Reporter says that their manual didn't instruct them to take any action when the pitot heat inoperative came on, but to be aware that the airspeed may be inaccurate. However, reporter says that after getting feedback from his company safety department, they say that in some procedure manuals that, with a pitot fail, flight crew's are instructed to select the standby air data computer. Their manual doesn't say that. Also, reporter has since found the procedure for getting the autothrottles back after disconnecting with the master switch. That involves resetting a circuit breaker.
Original NASA ASRS Text
Title: ACFT EQUIP PROB. ON ILS APCH, PITOT HEAT FAILED FOLLOWED BY RAPID AIRSPD DROP ON CAPT AIRSPD. THE ERRONEOUS AIRSPD IN THE AIR DATA COMPUTER, ADC, PUT ACFT IN THE AUTOMATIC 'ALPHA FLOOR' PROTECTION. AUTOTHROTTLES WENT TO MAX PWR (FOR AIRSPD RECOVERY). AUTOPLT WAS DISCONNECTED, ACFT PITCHED UP, OVERSPD FOR FLAP SETTING. FO TOOK OVER FLYING USING THE #2 ADC AND NORMAL LNDG ACCOMPLISHED.
Narrative: AIRSPD INPUT TO THE CAPT FLT DIRECTOR WENT BAD, PROBABLY DUE TO PROBE ICING. AIRSPD DECAY. AUTOFLT PROTECTION SYS COMMANDED MAX PWR. AIRSPD (ACTUAL) INCREASED RAPIDLY INTO OVERSPD RANGE FOR THE FLAP SETTING. ACFT WAS ALLOWED TO CLB FROM 4000 FT TO 6000 FT FOR AIRFRAME STRESS PROTECTION. AUTOTHROTTLES COULD NOT BE RECONNECTED. FO FLEW REMAINDER OF FLT ON HIS GOOD INSTS. OTHERWISE, NORMAL LNDG. SEEMS THERE'S A REAL NEED FOR SOME KIND OF COMPARATOR WARNINGS IN THESE AUTOFLT SYS. ACFT TYPE: A300-600F. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: RPTR CAPT SAYS AT FIRST HE THOUGHT THE PROB WAS A FAILED #1 ADC, BUT THEN REALIZED THAT THERE WAS A PITOT HEAT WARNING ALSO. THUS, HE BELIEVES THE PITOT HEAT FAILED, IT ICED UP GIVING AN ERRONEOUS AIRSPD, FOLLOWED BY THE ACFT ADC NOW BELIEVING THEY WERE APCHING A STALL, ALPHA FLOOR, AND THE AUTOTHROTTLES WENT TO FULL PWR. HOWEVER, THE AUTOPLT WAS STILL MAINTAINING THE ILS APCH UNTIL THE FLC DISCONNECTED IT, BUT BY THEN THE SPD HAD INCREASED RAPIDLY AND RESULTED IN AN OVERSPD FOR THE FLAP SETTING. RPTR NOTED THAT THERE WAS NO MAJOR TRIM PROB WITH THE ELEVATOR, THOUGH, AFTER DISCONNECTING THE AUTOPLT THE NOSE DID PITCH UP. BECAUSE OF THE EXCESSIVE AIRSPD FOR THE FLAP SETTING, THE FLC CHANGED PF, THE FO TOOK OVER THE CTLS BECAUSE THE #2 ADC WAS STILL GOOD AND THEY LET THE ACFT CLB TO DISSIPATE THE AIRSPD. THEN THEY DISCONNECTED THE AUTOTHROTTLES WITH THE MASTER SWITCH OFF AND APPARENTLY THAT RESULTED IN BEING UNABLE TO RECONNECT THE AUTOTHR OTTLES. RPTR SAYS THAT THEIR MANUAL DIDN'T INSTRUCT THEM TO TAKE ANY ACTION WHEN THE PITOT HEAT INOP CAME ON, BUT TO BE AWARE THAT THE AIRSPD MAY BE INACCURATE. HOWEVER, RPTR SAYS THAT AFTER GETTING FEEDBACK FROM HIS COMPANY SAFETY DEPT, THEY SAY THAT IN SOME PROC MANUALS THAT, WITH A PITOT FAIL, FLC'S ARE INSTRUCTED TO SELECT THE STANDBY ADC. THEIR MANUAL DOESN'T SAY THAT. ALSO, RPTR HAS SINCE FOUND THE PROC FOR GETTING THE AUTOTHROTTLES BACK AFTER DISCONNECTING WITH THE MASTER SWITCH. THAT INVOLVES RESETTING A CIRCUIT BREAKER.
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.