37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 379620 |
Time | |
Date | 199709 |
Day | Thu |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : etg |
State Reference | PA |
Altitude | msl bound lower : 33000 msl bound upper : 33000 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zob |
Operator | common carrier : air carrier |
Make Model Name | MD-80 Series (DC-9-80) Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | cruise other other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 180 flight time total : 17000 flight time type : 500 |
ASRS Report | 379620 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Events | |
Anomaly | aircraft equipment problem : less severe non adherence : clearance other spatial deviation |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : returned to intended course or assigned course flight crew : became reoriented |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
A classic automation bites you story. Holding at miget intersection on J146, cleared for 20 mi legs. Controller told us to change leg length to 10 mi. I went to hold page on FMS and entered 10 mi leg length. It accepted the entry and the execute key illuminated. I pushed the execute key. I then changed to a longer range display on the navigation display to enter an expected route following holding. We were very busy deciding how long we could hold and talking to the dispatcher to select an alternate for possible refueling. What happened was that although the FMS accepted the 10 mi leg input, it did not actually fly 10 mi legs but continued to fly 20 mi legs. I had etg VOR tuned to doublechk the FMS. Miget intersection is 33 mi west on J146. By the time we finished talking to the dispatcher and I noticed the DME, it said 55, not 43, which would represent the end of the outbound leg of a 10 mi leg holding pattern. I turned inbound immediately. No other aircraft were on TCASII and the controller never said anything to us. However, the mistake was mine for not monitoring the FMS.
Original NASA ASRS Text
Title: FLC OF MD80 RESETS THE FMS TO CHANGE FROM 20 MI TO 10 MI LEGS IN HOLDING PATTERN. THOUGH THEY FOLLOW CORRECT PROCS THE FMS DOES NOT CHANGE TO 10 MI LEGS.
Narrative: A CLASSIC AUTOMATION BITES YOU STORY. HOLDING AT MIGET INTXN ON J146, CLRED FOR 20 MI LEGS. CTLR TOLD US TO CHANGE LEG LENGTH TO 10 MI. I WENT TO HOLD PAGE ON FMS AND ENTERED 10 MI LEG LENGTH. IT ACCEPTED THE ENTRY AND THE EXECUTE KEY ILLUMINATED. I PUSHED THE EXECUTE KEY. I THEN CHANGED TO A LONGER RANGE DISPLAY ON THE NAV DISPLAY TO ENTER AN EXPECTED RTE FOLLOWING HOLDING. WE WERE VERY BUSY DECIDING HOW LONG WE COULD HOLD AND TALKING TO THE DISPATCHER TO SELECT AN ALTERNATE FOR POSSIBLE REFUELING. WHAT HAPPENED WAS THAT ALTHOUGH THE FMS ACCEPTED THE 10 MI LEG INPUT, IT DID NOT ACTUALLY FLY 10 MI LEGS BUT CONTINUED TO FLY 20 MI LEGS. I HAD ETG VOR TUNED TO DOUBLECHK THE FMS. MIGET INTXN IS 33 MI W ON J146. BY THE TIME WE FINISHED TALKING TO THE DISPATCHER AND I NOTICED THE DME, IT SAID 55, NOT 43, WHICH WOULD REPRESENT THE END OF THE OUTBOUND LEG OF A 10 MI LEG HOLDING PATTERN. I TURNED INBOUND IMMEDIATELY. NO OTHER ACFT WERE ON TCASII AND THE CTLR NEVER SAID ANYTHING TO US. HOWEVER, THE MISTAKE WAS MINE FOR NOT MONITORING THE FMS.
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.