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|
Attributes | |
ACN | 432630 |
Time | |
Date | 199903 |
Day | Fri |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : dca.airport |
State Reference | DC |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : dca.tracon tower : dca.tower |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | descent : approach landing : go around |
Route In Use | approach : visual |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : cfi pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 200 flight time total : 15000 flight time type : 1000 |
ASRS Report | 432630 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument pilot : multi engine |
Events | |
Anomaly | other anomaly |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | aircraft : automation overrode flight crew controller : issued new clearance flight crew : overrode automation flight crew : executed go around |
Supplementary | |
Problem Areas | Flight Crew Human Performance Aircraft |
Primary Problem | Flight Crew Human Performance |
Narrative:
We were on final approach to runway 36 at dca. I selected 3500 ft in the altitude window, as this was the planned missed approach altitude. The airplane was below 3500 ft. Shortly thereafter, in an attempt to get the autothrottle to go to idle thrust so that we could start a descent down the GS, I pulled the altitude knob. Since the altitude in the altitude window was above the airplane altitude, the autoflt system commanded a climb and the autothrottle went to climb thrust. By the time we disconnected the autoflt system, the airplane was too high to land and a go around was performed. We were then vectored back around for another approach and landed normally. Contributing factors were fatigue (we had a short layover and an early wake-up the night before) and negative xfer of habit patterns when using the autoflt system. Often (but not always) when setting a new altitude in the altitude window, the altitude knob is pulled. This inadvertent pulling of the knob caused the autothrottle to go to climb thrust and resulted in a go around.
Original NASA ASRS Text
Title: IMPROPER FMC OP CAUSES GAR OF LGT JET.
Narrative: WE WERE ON FINAL APCH TO RWY 36 AT DCA. I SELECTED 3500 FT IN THE ALT WINDOW, AS THIS WAS THE PLANNED MISSED APCH ALT. THE AIRPLANE WAS BELOW 3500 FT. SHORTLY THEREAFTER, IN AN ATTEMPT TO GET THE AUTOTHROTTLE TO GO TO IDLE THRUST SO THAT WE COULD START A DSCNT DOWN THE GS, I PULLED THE ALT KNOB. SINCE THE ALT IN THE ALT WINDOW WAS ABOVE THE AIRPLANE ALT, THE AUTOFLT SYS COMMANDED A CLB AND THE AUTOTHROTTLE WENT TO CLB THRUST. BY THE TIME WE DISCONNECTED THE AUTOFLT SYS, THE AIRPLANE WAS TOO HIGH TO LAND AND A GAR WAS PERFORMED. WE WERE THEN VECTORED BACK AROUND FOR ANOTHER APCH AND LANDED NORMALLY. CONTRIBUTING FACTORS WERE FATIGUE (WE HAD A SHORT LAYOVER AND AN EARLY WAKE-UP THE NIGHT BEFORE) AND NEGATIVE XFER OF HABIT PATTERNS WHEN USING THE AUTOFLT SYS. OFTEN (BUT NOT ALWAYS) WHEN SETTING A NEW ALT IN THE ALT WINDOW, THE ALT KNOB IS PULLED. THIS INADVERTENT PULLING OF THE KNOB CAUSED THE AUTOTHROTTLE TO GO TO CLB THRUST AND RESULTED IN A GAR.
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.