37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 389379 |
Time | |
Date | 199712 |
Day | Mon |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : ord |
State Reference | IL |
Altitude | msl bound lower : 5000 msl bound upper : 5000 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : ord |
Operator | common carrier : air carrier |
Make Model Name | MD-80 Super 80 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other |
Flight Phase | descent : approach descent other |
Route In Use | enroute other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
ASRS Report | 389379 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial |
ASRS Report | 389380 |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude altitude deviation : crossing restriction not met non adherence : published procedure non adherence : clearance |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : became reoriented flight crew : returned to intended course or assigned course |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
ATC facility: ord approach. Location: runway 4R localizer, 16.9 DME. While on approach runway 4R ord, I was hand flying the ILS and mistakenly departed 5000 ft at 16.9 DME instead of 14.4 DME. I believe this was due to my being focused on following the localizer which was very erratic. I did not pay enough attention to xchking the approach plate. Supplemental information from acn 389380: the wrong altitude was set for step down. We discovered this, and corrected the problem and continued the approach.
Original NASA ASRS Text
Title: AN S80 FLC FAILS TO ADHERE TO THE STEPDOWN PROFILE OF THE ILS PROC FOR RWY 4R AT ORD. PIC, HAND FLYING THE ACFT, STARTED DOWN TOO SOON FROM 5000 FT AT THE 16 PT 9 DME VICE THE 14 PT 4 DME. HE WAS DISTR IN FOLLOWING THE ERRATIC LOC AND THE ALT ALERTER HAD BEEN MISSET.
Narrative: ATC FACILITY: ORD APCH. LOCATION: RWY 4R LOC, 16.9 DME. WHILE ON APCH RWY 4R ORD, I WAS HAND FLYING THE ILS AND MISTAKENLY DEPARTED 5000 FT AT 16.9 DME INSTEAD OF 14.4 DME. I BELIEVE THIS WAS DUE TO MY BEING FOCUSED ON FOLLOWING THE LOC WHICH WAS VERY ERRATIC. I DID NOT PAY ENOUGH ATTN TO XCHKING THE APCH PLATE. SUPPLEMENTAL INFO FROM ACN 389380: THE WRONG ALT WAS SET FOR STEP DOWN. WE DISCOVERED THIS, AND CORRECTED THE PROB AND CONTINUED THE APCH.
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.