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|
Attributes | |
ACN | 428430 |
Time | |
Date | 199902 |
Day | Sat |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : tix.airport |
State Reference | FL |
Altitude | msl bound lower : 2400 msl bound upper : 3000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | general aviation : corporate |
Make Model Name | Falcon 900 |
Operating Under FAR Part | Part 91 |
Navigation In Use | other |
Flight Phase | descent : approach |
Route In Use | approach : visual arrival : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : commercial |
Experience | flight time last 90 days : 20 flight time total : 3700 flight time type : 200 |
ASRS Report | 428430 |
Person 2 | |
Affiliation | company : corporate |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : cfi |
Experience | flight time last 90 days : 50 flight time total : 5800 flight time type : 1500 |
ASRS Report | 428086 |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : clearance other anomaly |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | controller : provided flight assist flight crew : returned to original clearance flight crew : regained aircraft control |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Aircraft was on an assigned heading and altitude just prior to being given a clearance for visual approach to the airport. PNF was attempting to quickly demonstrate a new programming technique on the FMS to PF and changed the active course guidance in the primary FMS, causing previously selected lateral and vertical guidance modes to cancel and default to roll and pitch. Altitude deviation from assigned altitudes was approximately 600 ft. PNF did not demonstrate accepted CRM for use in the modern automated cockpit. PNF has realized his mistake and will employ better procedures while operating the highly automated aircraft by: 1) never change aircraft course without first being requested to do so, or getting a clear acknowledgement prior to change. 2) never perform offside changes unless requested to do so.
Original NASA ASRS Text
Title: A FALCON 900 LOSES 600 FT FROM THEIR ASSIGNED ALT OF 3000 FT WHEN THE PIC ATTEMPTS TO DEMONSTRATE A NEW FMC PROGRAMMING TECHNIQUE TO THE FLYING FO. ACFT WAS MAKING AN APCH INTO MERRIT ISLAND AND UNDER CTL OF COCOA APCH CTLR.
Narrative: ACFT WAS ON AN ASSIGNED HDG AND ALT JUST PRIOR TO BEING GIVEN A CLRNC FOR VISUAL APCH TO THE ARPT. PNF WAS ATTEMPTING TO QUICKLY DEMONSTRATE A NEW PROGRAMMING TECHNIQUE ON THE FMS TO PF AND CHANGED THE ACTIVE COURSE GUIDANCE IN THE PRIMARY FMS, CAUSING PREVIOUSLY SELECTED LATERAL AND VERT GUIDANCE MODES TO CANCEL AND DEFAULT TO ROLL AND PITCH. ALTDEV FROM ASSIGNED ALTS WAS APPROX 600 FT. PNF DID NOT DEMONSTRATE ACCEPTED CRM FOR USE IN THE MODERN AUTOMATED COCKPIT. PNF HAS REALIZED HIS MISTAKE AND WILL EMPLOY BETTER PROCS WHILE OPERATING THE HIGHLY AUTOMATED ACFT BY: 1) NEVER CHANGE ACFT COURSE WITHOUT FIRST BEING REQUESTED TO DO SO, OR GETTING A CLR ACKNOWLEDGEMENT PRIOR TO CHANGE. 2) NEVER PERFORM OFFSIDE CHANGES UNLESS REQUESTED TO DO SO.
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.