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|
Attributes | |
ACN | 425447 |
Time | |
Date | 199901 |
Day | Thu |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : irw |
State Reference | OK |
Altitude | msl bound lower : 20600 msl bound upper : 21000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Flight Phase | descent other |
Flight Plan | IFR |
Aircraft 2 | |
Flight Phase | cruise other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Experience | flight time last 90 days : 30 flight time total : 6600 flight time type : 400 |
ASRS Report | 425447 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : instrument pilot : commercial pilot : flight engineer pilot : cfi |
Experience | flight time last 90 days : 220 flight time total : 14000 flight time type : 220 |
ASRS Report | 425465 |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : overshoot conflict : airborne less severe non adherence : clearance other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : unspecified other flight crewa |
Resolutory Action | other |
Consequence | Other |
Miss Distance | vertical : 600 |
Supplementary | |
Air Traffic Incident | Pilot Deviation |
Narrative:
We were on a cruise descent into okc. Our original clearance was pilot's discretion to FL240, then amended during the descent to FL210. The altitudes were set properly in the altitude alerter during the descent, on autoplt. We were starting to brief the approach into okc. We were slightly behind because the flight engineer was late getting the landing card ready, but did not feel rushed. As we passed through FL208, I realized we didn't hear the alerter, clicked off the autoplt, and climbed back to FL210. Both the captain and I observed our altitude to be as low as FL206. As luck would have it, there was traffic at FL200. We got a TCASII TA, but no RA. The descent continued after passing traffic. We were both disturbed that we missed the 1000 ft call and alerter. It turns out the alerter did not work. The rest of the way into okc was a continuous descent to a visual approach. Leaving okc, we discovered the alerter to be inoperative, which we wrote up. Bottom line: it is very easy to take the 'gadgets' for granted, even on a very basic airplane, and when they fail, it takes you by surprise. It is a strong reminder to do your job first and not get dependent on the back-up tools of automation. Much easier said than done, though. Supplemental information from acn 425465: during descent to FL210 on air carrier flight abcd, our altitude alert system failed -- no light, no tone. We were briefing the approach. Aircraft descended to FL206 before we took corrective action. Action was taken before center alerted us. There was other aircraft at FL190. Failure of altitude alert system contributed but briefing could have been accomplished earlier in descent or in a different manner.
Original NASA ASRS Text
Title: B727 CREW HAD ALT BUST ON DSCNT.
Narrative: WE WERE ON A CRUISE DSCNT INTO OKC. OUR ORIGINAL CLRNC WAS PLT'S DISCRETION TO FL240, THEN AMENDED DURING THE DSCNT TO FL210. THE ALTS WERE SET PROPERLY IN THE ALT ALERTER DURING THE DSCNT, ON AUTOPLT. WE WERE STARTING TO BRIEF THE APCH INTO OKC. WE WERE SLIGHTLY BEHIND BECAUSE THE FE WAS LATE GETTING THE LNDG CARD READY, BUT DID NOT FEEL RUSHED. AS WE PASSED THROUGH FL208, I REALIZED WE DIDN'T HEAR THE ALERTER, CLICKED OFF THE AUTOPLT, AND CLBED BACK TO FL210. BOTH THE CAPT AND I OBSERVED OUR ALT TO BE AS LOW AS FL206. AS LUCK WOULD HAVE IT, THERE WAS TFC AT FL200. WE GOT A TCASII TA, BUT NO RA. THE DSCNT CONTINUED AFTER PASSING TFC. WE WERE BOTH DISTURBED THAT WE MISSED THE 1000 FT CALL AND ALERTER. IT TURNS OUT THE ALERTER DID NOT WORK. THE REST OF THE WAY INTO OKC WAS A CONTINUOUS DSCNT TO A VISUAL APCH. LEAVING OKC, WE DISCOVERED THE ALERTER TO BE INOP, WHICH WE WROTE UP. BOTTOM LINE: IT IS VERY EASY TO TAKE THE 'GADGETS' FOR GRANTED, EVEN ON A VERY BASIC AIRPLANE, AND WHEN THEY FAIL, IT TAKES YOU BY SURPRISE. IT IS A STRONG REMINDER TO DO YOUR JOB FIRST AND NOT GET DEPENDENT ON THE BACK-UP TOOLS OF AUTOMATION. MUCH EASIER SAID THAN DONE, THOUGH. SUPPLEMENTAL INFO FROM ACN 425465: DURING DSCNT TO FL210 ON ACR FLT ABCD, OUR ALT ALERT SYS FAILED -- NO LIGHT, NO TONE. WE WERE BRIEFING THE APCH. ACFT DSNDED TO FL206 BEFORE WE TOOK CORRECTIVE ACTION. ACTION WAS TAKEN BEFORE CTR ALERTED US. THERE WAS OTHER ACFT AT FL190. FAILURE OF ALT ALERT SYS CONTRIBUTED BUT BRIEFING COULD HAVE BEEN ACCOMPLISHED EARLIER IN DSCNT OR IN A DIFFERENT MANNER.
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.