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|
Attributes | |
ACN | 332271 |
Time | |
Date | 199604 |
Day | Mon |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : lax airport : oax |
State Reference | CA |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : lax |
Operator | common carrier : air carrier |
Make Model Name | Widebody, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other Other |
Flight Phase | descent : approach landing other |
Route In Use | arrival other arrival star : star |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 40 flight time total : 20000 flight time type : 35 |
ASRS Report | 332271 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 75 flight time total : 8100 flight time type : 500 |
ASRS Report | 332675 |
Events | |
Anomaly | aircraft equipment problem : less severe incursion : landing without clearance non adherence : far non adherence : clearance |
Independent Detector | aircraft equipment other aircraft equipment : unspecified other flight crewa |
Resolutory Action | flight crew : overcame equipment problem none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation other |
Narrative:
I landed at lax without a clearance from the control tower. The problem arose from a number of small distrs, compounded by the lack of crew experience in the airplane. I was on my first flight as a captain, and I was flying a new piece of equipment. On approach to runway 25L at lax we received a runway change to runway 24R. On the crossover we had trouble channeling the ILS course selector because of a defective control head. Then the autoplt was giving the aircraft erroneous turn signals and had to be disconnected and the approach flown manually. All of this while the TCASII was blaring out RA's for traffic in the vicinity of the aircraft. I ended up being mentally behind the aircraft, consequently focusing too much attention on playing catch-up for the landing. It was only after vacating the runway that we discovered we were still on approach control and had never changed over to the tower at the OM for landing clearance. The inexperience of the crew on the equipment was probably the major factor in this oversight. The first officer was on his first flight after having just returned from 6 weeks of training on a new piece of equipment (L1011). Even though he had logged over 500 hours in the B767 most of that time was spent as a relief pilot. To avoid having 2 inexperienced crew members in the cockpit the FAA mandates that 1 pilot have a minimum number of flight hours on the equipment. On a 2-MAN aircraft maybe they should take into consideration the timing and quality of the flight time and not just numerical numbers.
Original NASA ASRS Text
Title: A B767 FLC LANDED WITHOUT A CLRNC AFTER RECEIVING A RWY CHANGE. THEY RPTED DISTR CAUSED BY NAV COURSE SELECTION PROBS AND A TCASII RA DURING THE FINAL APCH SEGMENT. THE CAPT WAS ON A FIRST FLT AFTER COMPLETING IOE AND CITED CREW EXPERIENCE AS A MAJOR CONTRIBUTING FACTOR.
Narrative: I LANDED AT LAX WITHOUT A CLRNC FROM THE CTL TWR. THE PROB AROSE FROM A NUMBER OF SMALL DISTRS, COMPOUNDED BY THE LACK OF CREW EXPERIENCE IN THE AIRPLANE. I WAS ON MY FIRST FLT AS A CAPT, AND I WAS FLYING A NEW PIECE OF EQUIP. ON APCH TO RWY 25L AT LAX WE RECEIVED A RWY CHANGE TO RWY 24R. ON THE CROSSOVER WE HAD TROUBLE CHANNELING THE ILS COURSE SELECTOR BECAUSE OF A DEFECTIVE CTL HEAD. THEN THE AUTOPLT WAS GIVING THE ACFT ERRONEOUS TURN SIGNALS AND HAD TO BE DISCONNECTED AND THE APCH FLOWN MANUALLY. ALL OF THIS WHILE THE TCASII WAS BLARING OUT RA'S FOR TFC IN THE VICINITY OF THE ACFT. I ENDED UP BEING MENTALLY BEHIND THE ACFT, CONSEQUENTLY FOCUSING TOO MUCH ATTN ON PLAYING CATCH-UP FOR THE LNDG. IT WAS ONLY AFTER VACATING THE RWY THAT WE DISCOVERED WE WERE STILL ON APCH CTL AND HAD NEVER CHANGED OVER TO THE TWR AT THE OM FOR LNDG CLRNC. THE INEXPERIENCE OF THE CREW ON THE EQUIP WAS PROBABLY THE MAJOR FACTOR IN THIS OVERSIGHT. THE FO WAS ON HIS FIRST FLT AFTER HAVING JUST RETURNED FROM 6 WKS OF TRAINING ON A NEW PIECE OF EQUIP (L1011). EVEN THOUGH HE HAD LOGGED OVER 500 HRS IN THE B767 MOST OF THAT TIME WAS SPENT AS A RELIEF PLT. TO AVOID HAVING 2 INEXPERIENCED CREW MEMBERS IN THE COCKPIT THE FAA MANDATES THAT 1 PLT HAVE A MINIMUM NUMBER OF FLT HRS ON THE EQUIP. ON A 2-MAN ACFT MAYBE THEY SHOULD TAKE INTO CONSIDERATION THE TIMING AND QUALITY OF THE FLT TIME AND NOT JUST NUMERICAL NUMBERS.
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.