37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 419649 |
Time | |
Date | 199811 |
Day | Tue |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : ord airport : ord |
State Reference | IL |
Altitude | msl bound lower : 11300 msl bound upper : 12000 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : ord |
Operator | common carrier : air carrier |
Make Model Name | DC-10 Undifferentiated or Other Model |
Navigation In Use | Other Other |
Flight Phase | cruise other 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 |
ASRS Report | 419649 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial |
ASRS Report | 419650 |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : overshoot non adherence : clearance non adherence : far other anomaly other |
Independent Detector | other controllera |
Resolutory Action | flight crew : returned to intended course or assigned course other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Descending for landing ord on standard arrival route, first officer flying. Initially cleared to descend and maintain 13000 ft. During descent, received holding instructions and told to expedite through 16000 ft. After entering the hold in the FMS, the #2 FMS became inoperative and the copilot experienced a map failure. The fb and I ran the checklist for map failure in an attempt to regain the #2 FMS and the copilot's map display. At the same time we were looking up maximum landing weights for the runways in use and determining how long we could hold prior to diverting to the alternate. After leveloff the controller advised us to check our altimeters. We had failed to reset the altimeters at the transition level. We reset the altimeters to qnh and adjusted altitude. Factors in this incident were task saturation and fatigue. We were at the end of a 12 hour leg and eventually flew 28 hours in a 48 hour period.
Original NASA ASRS Text
Title: FLC OF AN MD11 FAILED TO RESET THEIR ALTIMETERS THROUGH THE TRANSITION LEVEL DURING DSCNT DUE TO DISTR OF THE #2 FMS MAP FAILURE AND CHKLIST REVIEW IN AN ATTEMPT TO RESTORE IT.
Narrative: DSNDING FOR LNDG ORD ON STANDARD ARR RTE, FO FLYING. INITIALLY CLRED TO DSND AND MAINTAIN 13000 FT. DURING DSCNT, RECEIVED HOLDING INSTRUCTIONS AND TOLD TO EXPEDITE THROUGH 16000 FT. AFTER ENTERING THE HOLD IN THE FMS, THE #2 FMS BECAME INOP AND THE COPLT EXPERIENCED A MAP FAILURE. THE FB AND I RAN THE CHKLIST FOR MAP FAILURE IN AN ATTEMPT TO REGAIN THE #2 FMS AND THE COPLT'S MAP DISPLAY. AT THE SAME TIME WE WERE LOOKING UP MAX LNDG WTS FOR THE RWYS IN USE AND DETERMINING HOW LONG WE COULD HOLD PRIOR TO DIVERTING TO THE ALTERNATE. AFTER LEVELOFF THE CTLR ADVISED US TO CHK OUR ALTIMETERS. WE HAD FAILED TO RESET THE ALTIMETERS AT THE TRANSITION LEVEL. WE RESET THE ALTIMETERS TO QNH AND ADJUSTED ALT. FACTORS IN THIS INCIDENT WERE TASK SATURATION AND FATIGUE. WE WERE AT THE END OF A 12 HR LEG AND EVENTUALLY FLEW 28 HRS IN A 48 HR PERIOD.
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.