37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 430444 |
Time | |
Date | 199903 |
Day | Sat |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | navaid : hom.vortac |
State Reference | AK |
Altitude | msl single value : 3000 |
Environment | |
Flight Conditions | VMC |
Weather Elements | Turbulence |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zan.artcc |
Operator | general aviation : personal |
Make Model Name | Skyhawk 172/Cutlass 172 |
Operating Under FAR Part | Part 91 |
Navigation In Use | other vortac |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure : other published ifr departure |
Flight Plan | IFR |
Person 1 | |
Affiliation | other |
Function | instruction : instructor |
Qualification | pilot : multi engine pilot : cfi pilot : commercial pilot : instrument |
Experience | flight time last 90 days : 125 flight time total : 1850 flight time type : 450 |
ASRS Report | 430444 |
Person 2 | |
Affiliation | other |
Function | instruction : trainee |
Qualification | pilot : private |
Experience | flight time last 90 days : 19 flight time total : 132 flight time type : 44 |
ASRS Report | 430182 |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : published procedure non adherence : far non adherence : clearance other spatial deviation |
Independent Detector | other controllera other flight crewa |
Resolutory Action | controller : provided flight assist flight crew : became reoriented |
Consequence | faa : reviewed incident with flight crew faa : investigated |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
3000-5000 ft, approximately 5 mi west of homer airport, ak. Dual instrument training flight on the localizer/DME back course runway 21 approach. During our preflight briefing of the approachs that we were going to execute, we talked about the hazards of the homer missed approach procedure, which involves holding 17 DME out over the open water at 2600 ft. We discussed asking center for an amended missed approach procedure which involved climbing to 5000 ft and then to the homer VOR to continue to our next destination for an additional approach. Before we were cleared for the approach, center asked what our intentions were and we stated that we wanted to shoot the approach, do a touch-and-go, and then execute the missed approach. It was accepted and we were then cleared. Because of the winds we ended up doing a circling approach for the touch-and-go and then turned downwind to continue in the direction of the missed approach procedure, which further complicated our situation. The problem arose when we accepted our clearance I forgot to ask for the amended departure procedure that I had discussed previously with my student. When the time came to do the missed approach, we executed the missed approach procedure that we had talked about prior to the flight, not the one that we had accepted from center. Big mistake. We were then advised that we had committed a pilot deviation and talked to the center supervisor upon landing. The factors that I feel led to my miscom/mistake were: 1) light to moderate turbulence encountered during the whole approach. 2) my preoccupation with talking to my student explaining the necessary corrections for the approach. 3) heavy flight schedule for the preceding 13 days. 4) instructor fatigue. After thinking about this for a while I feel that the significant contributing factor leading to this event was fatigue. I had not exceeded my 8 hours of flight time within 24 consecutive hours, but have been working doing preflight/postflt briefs and ground instruction leading up to 10-12 hour work days for the past 13 days. Sitting down and thinking about this, I have decided to restrict my work day to 8 hours of actual flight and ground instruction.
Original NASA ASRS Text
Title: A PVT PLT TRAINING FOR HIS INST RATING IN A C172 FAILED TO PROPERLY FLY THE MISSED APCH PROC THAT ATC EXPECTED.
Narrative: 3000-5000 FT, APPROX 5 MI W OF HOMER ARPT, AK. DUAL INST TRAINING FLT ON THE LOC/DME BACK COURSE RWY 21 APCH. DURING OUR PREFLT BRIEFING OF THE APCHS THAT WE WERE GOING TO EXECUTE, WE TALKED ABOUT THE HAZARDS OF THE HOMER MISSED APCH PROC, WHICH INVOLVES HOLDING 17 DME OUT OVER THE OPEN WATER AT 2600 FT. WE DISCUSSED ASKING CTR FOR AN AMENDED MISSED APCH PROC WHICH INVOLVED CLBING TO 5000 FT AND THEN TO THE HOMER VOR TO CONTINUE TO OUR NEXT DEST FOR AN ADDITIONAL APCH. BEFORE WE WERE CLRED FOR THE APCH, CTR ASKED WHAT OUR INTENTIONS WERE AND WE STATED THAT WE WANTED TO SHOOT THE APCH, DO A TOUCH-AND-GO, AND THEN EXECUTE THE MISSED APCH. IT WAS ACCEPTED AND WE WERE THEN CLRED. BECAUSE OF THE WINDS WE ENDED UP DOING A CIRCLING APCH FOR THE TOUCH-AND-GO AND THEN TURNED DOWNWIND TO CONTINUE IN THE DIRECTION OF THE MISSED APCH PROC, WHICH FURTHER COMPLICATED OUR SIT. THE PROB AROSE WHEN WE ACCEPTED OUR CLRNC I FORGOT TO ASK FOR THE AMENDED DEP PROC THAT I HAD DISCUSSED PREVIOUSLY WITH MY STUDENT. WHEN THE TIME CAME TO DO THE MISSED APCH, WE EXECUTED THE MISSED APCH PROC THAT WE HAD TALKED ABOUT PRIOR TO THE FLT, NOT THE ONE THAT WE HAD ACCEPTED FROM CTR. BIG MISTAKE. WE WERE THEN ADVISED THAT WE HAD COMMITTED A PLTDEV AND TALKED TO THE CTR SUPVR UPON LNDG. THE FACTORS THAT I FEEL LED TO MY MISCOM/MISTAKE WERE: 1) LIGHT TO MODERATE TURB ENCOUNTERED DURING THE WHOLE APCH. 2) MY PREOCCUPATION WITH TALKING TO MY STUDENT EXPLAINING THE NECESSARY CORRECTIONS FOR THE APCH. 3) HVY FLT SCHEDULE FOR THE PRECEDING 13 DAYS. 4) INSTRUCTOR FATIGUE. AFTER THINKING ABOUT THIS FOR A WHILE I FEEL THAT THE SIGNIFICANT CONTRIBUTING FACTOR LEADING TO THIS EVENT WAS FATIGUE. I HAD NOT EXCEEDED MY 8 HRS OF FLT TIME WITHIN 24 CONSECUTIVE HRS, BUT HAVE BEEN WORKING DOING PREFLT/POSTFLT BRIEFS AND GND INSTRUCTION LEADING UP TO 10-12 HR WORK DAYS FOR THE PAST 13 DAYS. SITTING DOWN AND THINKING ABOUT THIS, I HAVE DECIDED TO RESTRICT MY WORK DAY TO 8 HRS OF ACTUAL FLT AND GND INSTRUCTION.
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.