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|
Attributes | |
ACN | 336065 |
Time | |
Date | 199605 |
Day | Fri |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : hut |
State Reference | KS |
Altitude | msl bound lower : 3000 msl bound upper : 3000 |
Environment | |
Flight Conditions | IMC |
Light | Dusk |
Aircraft 1 | |
Controlling Facilities | tracon : ict |
Operator | general aviation : personal |
Make Model Name | Cessna 310/T310C |
Operating Under FAR Part | Part 91 |
Flight Phase | descent : approach |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : single pilot |
Qualification | pilot : instrument pilot : commercial |
Experience | flight time last 90 days : 35 flight time total : 1311 flight time type : 270 |
ASRS Report | 336065 |
Person 2 | |
Affiliation | government : faa |
Function | controller : approach |
Qualification | controller : radar |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : clearance non adherence : published procedure other spatial deviation |
Independent Detector | other flight crewa |
Resolutory Action | controller : issued new clearance flight crew : became reoriented other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Fri evening flight after a hectic work week. Normal full WX brief, hut: IFR with 1200-1300 ft AGL ceiling at hut with tops at 3500-4000 ft MSL, and visibility 10 mi. Uneventful IFR flight from hays in VFR conditions above a solid overcast as forecast. ATIS at hut gave WX as per forecast, and 'expect localizer back course runway 31 circle to land runway 35.' handoff from ZKC to wichita approach uneventful. Vectors and altitude changes to intercept the localizer back course were flown with the autoplt on with heading bug selected, and altitude hold (during level segments of the flight and approach). Everything was as expected until the turn onto the localizer. While completing the turn onto the localizer at 3000 ft MSL I did push the altitude hold, but before I could look to see if the hold altitude confirmation light came on I changed to tower frequency. When I checked in with the tower I was requested to report crossing storg intersection. Although I had already dialed in the VOR and radial for storg in the #2 radio, I did not recognize the name and looked down onto the approach plate to confirm that it was not a point I had already passed or was currently over as I had just intercepted the localizer back course for runway 31. As twilight was in process and the aircraft was in IMC conditions, lighting at lap level was less than optimum. Rather than take the time to bring up the cabin lights I made the mistake of setting the small metal clipboard with the approach plates against the top of the pilot control yoke. As I looked up to confirm the VOR and radial settings I noted that I was crossing out of the localizer but did not yet comprehend that I had turned off the autoplt. With the false assumption that the altitude hold was engaged I looked up at the GPS display that did confirm the worsening position error. As I reached over and turned off the autoplt switch on the face plate I saw that I had descended and was off course. Still not comprehending how I had turned off the autoplt I assumed that there was some other problem. I did reapply power, climb, and request missed approach vectors as I was not in a position to reintercept the localizer back course. As I was vectored for a second approach for the localizer back course runway 31 I was not completely sure what I had done or did not do on the first approach that had resulted in both directional and altitude errors. I had both anxiety and concern about the previous approach and was distracted as I started the second intercept of the localizer back course runway 31. In fact I was distracted enough that I was trying to fly the corrections as if it was a localizer rather than the reversed corrections required for a localizer back course. I requested vectors and a climb to 4000 ft so that I could analyze the situation as I neither trusted the localizer back course signal nor my receiver. In VFR conditions above the cloud tops I finally realized what I had done. I then requested the VOR runway 3 and had an uneventful approach and landing. In retrospect it has been a long time since I flew a localizer back course other than on a simulator. In addition there is a button on the aircraft autoplt (localizer back course) that allows the navigation function to fly reversed corrections. Since I have not used this function in practice sits I did not trust it to work in actual IFR conditions. The unexpected descent below altitude caused enough distracting anxiety that I should have refused the second approach until I either understood the first problem or was calmer. The second approach only added to the stress. I did not have my full attention on the second approach as I found myself comparing it to the first rather than starting with a clean slate. I have never rested the approach plates on the top of the pilot yoke before and will never do so again. As I have not used the yoke mounted autoplt release switch I did not realize that I had a problem until it was well developed.
Original NASA ASRS Text
Title: A C310 PLT BECAME DISORIENTED DURING A LOC BACK COURSE APCH. THE PLT RPTS SEARCHING THE IAP LOC BACK COURSE APCH PLATE FOR AN INTXN AND INADVERTENTLY DISCONNECTING THE AUTOPLT IN THE PROCESS. AFTER THE PLT WAS VECTORED FOR ANOTHER APCH, HE MISTAKENLY CORRECTED TOWARD THE COURSE INDICATOR, AND HAD TO MISS THE APCH, AGAIN. AFTER A BRIEF DELAY AT 4000 FT, THE PLT WAS ABLE TO REALIZE HIS ERROR.
Narrative: FRI EVENING FLT AFTER A HECTIC WORK WK. NORMAL FULL WX BRIEF, HUT: IFR WITH 1200-1300 FT AGL CEILING AT HUT WITH TOPS AT 3500-4000 FT MSL, AND VISIBILITY 10 MI. UNEVENTFUL IFR FLT FROM HAYS IN VFR CONDITIONS ABOVE A SOLID OVCST AS FORECAST. ATIS AT HUT GAVE WX AS PER FORECAST, AND 'EXPECT LOC BACK COURSE RWY 31 CIRCLE TO LAND RWY 35.' HDOF FROM ZKC TO WICHITA APCH UNEVENTFUL. VECTORS AND ALT CHANGES TO INTERCEPT THE LOC BACK COURSE WERE FLOWN WITH THE AUTOPLT ON WITH HDG BUG SELECTED, AND ALT HOLD (DURING LEVEL SEGMENTS OF THE FLT AND APCH). EVERYTHING WAS AS EXPECTED UNTIL THE TURN ONTO THE LOC. WHILE COMPLETING THE TURN ONTO THE LOC AT 3000 FT MSL I DID PUSH THE ALT HOLD, BUT BEFORE I COULD LOOK TO SEE IF THE HOLD ALT CONFIRMATION LIGHT CAME ON I CHANGED TO TWR FREQ. WHEN I CHKED IN WITH THE TWR I WAS REQUESTED TO RPT XING STORG INTXN. ALTHOUGH I HAD ALREADY DIALED IN THE VOR AND RADIAL FOR STORG IN THE #2 RADIO, I DID NOT RECOGNIZE THE NAME AND LOOKED DOWN ONTO THE APCH PLATE TO CONFIRM THAT IT WAS NOT A POINT I HAD ALREADY PASSED OR WAS CURRENTLY OVER AS I HAD JUST INTERCEPTED THE LOC BACK COURSE FOR RWY 31. AS TWILIGHT WAS IN PROCESS AND THE ACFT WAS IN IMC CONDITIONS, LIGHTING AT LAP LEVEL WAS LESS THAN OPTIMUM. RATHER THAN TAKE THE TIME TO BRING UP THE CABIN LIGHTS I MADE THE MISTAKE OF SETTING THE SMALL METAL CLIPBOARD WITH THE APCH PLATES AGAINST THE TOP OF THE PLT CTL YOKE. AS I LOOKED UP TO CONFIRM THE VOR AND RADIAL SETTINGS I NOTED THAT I WAS XING OUT OF THE LOC BUT DID NOT YET COMPREHEND THAT I HAD TURNED OFF THE AUTOPLT. WITH THE FALSE ASSUMPTION THAT THE ALT HOLD WAS ENGAGED I LOOKED UP AT THE GPS DISPLAY THAT DID CONFIRM THE WORSENING POS ERROR. AS I REACHED OVER AND TURNED OFF THE AUTOPLT SWITCH ON THE FACE PLATE I SAW THAT I HAD DSNDED AND WAS OFF COURSE. STILL NOT COMPREHENDING HOW I HAD TURNED OFF THE AUTOPLT I ASSUMED THAT THERE WAS SOME OTHER PROB. I DID REAPPLY PWR, CLB, AND REQUEST MISSED APCH VECTORS AS I WAS NOT IN A POS TO REINTERCEPT THE LOC BACK COURSE. AS I WAS VECTORED FOR A SECOND APCH FOR THE LOC BACK COURSE RWY 31 I WAS NOT COMPLETELY SURE WHAT I HAD DONE OR DID NOT DO ON THE FIRST APCH THAT HAD RESULTED IN BOTH DIRECTIONAL AND ALT ERRORS. I HAD BOTH ANXIETY AND CONCERN ABOUT THE PREVIOUS APCH AND WAS DISTRACTED AS I STARTED THE SECOND INTERCEPT OF THE LOC BACK COURSE RWY 31. IN FACT I WAS DISTRACTED ENOUGH THAT I WAS TRYING TO FLY THE CORRECTIONS AS IF IT WAS A LOC RATHER THAN THE REVERSED CORRECTIONS REQUIRED FOR A LOC BACK COURSE. I REQUESTED VECTORS AND A CLB TO 4000 FT SO THAT I COULD ANALYZE THE SIT AS I NEITHER TRUSTED THE LOC BACK COURSE SIGNAL NOR MY RECEIVER. IN VFR CONDITIONS ABOVE THE CLOUD TOPS I FINALLY REALIZED WHAT I HAD DONE. I THEN REQUESTED THE VOR RWY 3 AND HAD AN UNEVENTFUL APCH AND LNDG. IN RETROSPECT IT HAS BEEN A LONG TIME SINCE I FLEW A LOC BACK COURSE OTHER THAN ON A SIMULATOR. IN ADDITION THERE IS A BUTTON ON THE ACFT AUTOPLT (LOC BACK COURSE) THAT ALLOWS THE NAV FUNCTION TO FLY REVERSED CORRECTIONS. SINCE I HAVE NOT USED THIS FUNCTION IN PRACTICE SITS I DID NOT TRUST IT TO WORK IN ACTUAL IFR CONDITIONS. THE UNEXPECTED DSCNT BELOW ALT CAUSED ENOUGH DISTRACTING ANXIETY THAT I SHOULD HAVE REFUSED THE SECOND APCH UNTIL I EITHER UNDERSTOOD THE FIRST PROB OR WAS CALMER. THE SECOND APCH ONLY ADDED TO THE STRESS. I DID NOT HAVE MY FULL ATTN ON THE SECOND APCH AS I FOUND MYSELF COMPARING IT TO THE FIRST RATHER THAN STARTING WITH A CLEAN SLATE. I HAVE NEVER RESTED THE APCH PLATES ON THE TOP OF THE PLT YOKE BEFORE AND WILL NEVER DO SO AGAIN. AS I HAVE NOT USED THE YOKE MOUNTED AUTOPLT RELEASE SWITCH I DID NOT REALIZE THAT I HAD A PROB UNTIL IT WAS WELL DEVELOPED.
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.