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|
Attributes | |
ACN | 411385 |
Time | |
Date | 199807 |
Day | Mon |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : day |
State Reference | OH |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Challenger CL604 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | descent : approach landing other |
Route In Use | approach : visual |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 285 flight time total : 10000 flight time type : 2000 |
ASRS Report | 411385 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Experience | flight time last 90 days : 230 flight time total : 5500 flight time type : 1002 |
ASRS Report | 411243 |
Events | |
Anomaly | incursion : landing without clearance non adherence : clearance non adherence : far other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | none taken : insufficient time |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Forgot to contact tower, due to the following reasons: 1) ATC told us to contact tower when joining final, but it was issued on downwind (cleared for the visual approach). 2) there was a lot of noise coming from the cabin, we were concerned that the flight attendant may not make it to her jump seat in time. Debrief -- the flight attendant reported that she did make it to her seat, but it was very close. Also, she reported that she got the correct signals from me, the captain, and that it was her fault she served on this short flight. She knows that I (the captain) used the correct signals and that she was also briefed on the company's standard signals since there was a recent change. She apologized and said it would not happen again. 3) we were thinking go around not landing, but when she made it to her jump seat we knew we could land since the noise of the jump seat confirmed it. 4) after 13 1/2 hours of duty, we had flown 6 previous flts, now over 8 hours 30 mins and now on our 7TH flight. We were tired and this very short flight (16 mins, 5 airborne) did not help. This incident was coupled with many ingredients, even though there was no incident involving other aircraft or any other problem noted by ATC. I have been flying since 1982 (16+ yrs) and nothing like this has ever happened. I am very concerned because it only takes 1, 2, or 3 more factors and there is a major accident, and people die, but they will just blame the pilots. Supplemental information from acn 411243: factors which I feel are relevant: 1) captain was preoccupied with programming FMS and was distraction. 2) captain preoccupied with monitoring my flying, instructing me as to what he thought I should do in order to descend and slow (none of which are required -- approach was stabilized on GS and localizer). 3) when turning final (at about 4 mi) loud noise from galley was heard. Flight attendant was up after the final signal for her to be seated. We were thinking possible go around. 4) we were on the 7TH leg of the day, which was a 13 1/2 hour duty day. Crew fatigue was definitely a factor.
Original NASA ASRS Text
Title: CL65 CREW LANDED WITHOUT GETTING LNDG CLRNC FROM THE TWR.
Narrative: FORGOT TO CONTACT TWR, DUE TO THE FOLLOWING REASONS: 1) ATC TOLD US TO CONTACT TWR WHEN JOINING FINAL, BUT IT WAS ISSUED ON DOWNWIND (CLRED FOR THE VISUAL APCH). 2) THERE WAS A LOT OF NOISE COMING FROM THE CABIN, WE WERE CONCERNED THAT THE FLT ATTENDANT MAY NOT MAKE IT TO HER JUMP SEAT IN TIME. DEBRIEF -- THE FLT ATTENDANT RPTED THAT SHE DID MAKE IT TO HER SEAT, BUT IT WAS VERY CLOSE. ALSO, SHE RPTED THAT SHE GOT THE CORRECT SIGNALS FROM ME, THE CAPT, AND THAT IT WAS HER FAULT SHE SERVED ON THIS SHORT FLT. SHE KNOWS THAT I (THE CAPT) USED THE CORRECT SIGNALS AND THAT SHE WAS ALSO BRIEFED ON THE COMPANY'S STANDARD SIGNALS SINCE THERE WAS A RECENT CHANGE. SHE APOLOGIZED AND SAID IT WOULD NOT HAPPEN AGAIN. 3) WE WERE THINKING GAR NOT LNDG, BUT WHEN SHE MADE IT TO HER JUMP SEAT WE KNEW WE COULD LAND SINCE THE NOISE OF THE JUMP SEAT CONFIRMED IT. 4) AFTER 13 1/2 HRS OF DUTY, WE HAD FLOWN 6 PREVIOUS FLTS, NOW OVER 8 HRS 30 MINS AND NOW ON OUR 7TH FLT. WE WERE TIRED AND THIS VERY SHORT FLT (16 MINS, 5 AIRBORNE) DID NOT HELP. THIS INCIDENT WAS COUPLED WITH MANY INGREDIENTS, EVEN THOUGH THERE WAS NO INCIDENT INVOLVING OTHER ACFT OR ANY OTHER PROB NOTED BY ATC. I HAVE BEEN FLYING SINCE 1982 (16+ YRS) AND NOTHING LIKE THIS HAS EVER HAPPENED. I AM VERY CONCERNED BECAUSE IT ONLY TAKES 1, 2, OR 3 MORE FACTORS AND THERE IS A MAJOR ACCIDENT, AND PEOPLE DIE, BUT THEY WILL JUST BLAME THE PLTS. SUPPLEMENTAL INFO FROM ACN 411243: FACTORS WHICH I FEEL ARE RELEVANT: 1) CAPT WAS PREOCCUPIED WITH PROGRAMMING FMS AND WAS DISTR. 2) CAPT PREOCCUPIED WITH MONITORING MY FLYING, INSTRUCTING ME AS TO WHAT HE THOUGHT I SHOULD DO IN ORDER TO DSND AND SLOW (NONE OF WHICH ARE REQUIRED -- APCH WAS STABILIZED ON GS AND LOC). 3) WHEN TURNING FINAL (AT ABOUT 4 MI) LOUD NOISE FROM GALLEY WAS HEARD. FLT ATTENDANT WAS UP AFTER THE FINAL SIGNAL FOR HER TO BE SEATED. WE WERE THINKING POSSIBLE GAR. 4) WE WERE ON THE 7TH LEG OF THE DAY, WHICH WAS A 13 1/2 HR DUTY DAY. CREW FATIGUE WAS DEFINITELY A FACTOR.
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.