37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 435980 |
Time | |
Date | 199904 |
Day | Wed |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : hou.airport |
State Reference | TX |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | IMC |
Light | Night |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Baron 55/Cochise |
Operating Under FAR Part | Part 135 |
Navigation In Use | ils localizer only : 4 |
Flight Phase | landing : roll |
Route In Use | approach : instrument precision |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : single pilot |
Qualification | pilot : multi engine pilot : instrument pilot : commercial |
Experience | flight time last 90 days : 250 flight time total : 2400 flight time type : 60 |
ASRS Report | 435980 |
Person 2 | |
Affiliation | government : faa |
Function | controller : approach |
Qualification | controller : radar |
Events | |
Anomaly | incursion : landing without clearance non adherence : published procedure non adherence : far |
Independent Detector | other controllera other flight crewa |
Resolutory Action | none taken : detected after the fact |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Weather ATC Human Performance Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
I was inbound to houston hobby airport on the ILS runway 12R. I had intercepted the localizer about 15 mi out and doing a slam dunk approach out of 5000 ft in order to intercept the GS outside the OM. I made the 6.5 DME 2000 ft intercept coordinates 1 mi early and was given a new clearance to turn to 210 degrees and climb 2500 ft for vectors ILS runway 4. After several miscoms (the approach controller was calling the wrong tail numbers with directions), we were able to get set up for the ILS runway 4. I was turned to join the localizer close in and observed we were already above the GS. I reduced power and pushed over to catch the GS and at the OM I had just over 1/2 deflection and was gaining on it. I knew the approach had to be nailed at the middle marker due to the low ceiling and visibility. At the middle marker the approach was nailed and I was able to pick out the rabbit and continued the descent. I picked up the centerline shortly thereafter and continued for a landing. On the rollout, I realized we were still with houston approach and that we had never been handed off to tower. I quickly called them and told them we were down and was instructed to expedite clearing the runway. We cleared, were given taxi instructions and asked to call the tower. How the problem arose: failure to verify landing clearance. Contributing factors: high pilot workload, poor WX, pilot/approach communication problems. Corrective action: incorporate confirmation of landing clearance in gumps check. Human performance considerations: 1) extremely high workload. 2) failure to confirm clrncs. 3) pushed a less than optimum approach.
Original NASA ASRS Text
Title: BE55 PLT LANDED WITHOUT CLRNC.
Narrative: I WAS INBOUND TO HOUSTON HOBBY ARPT ON THE ILS RWY 12R. I HAD INTERCEPTED THE LOC ABOUT 15 MI OUT AND DOING A SLAM DUNK APCH OUT OF 5000 FT IN ORDER TO INTERCEPT THE GS OUTSIDE THE OM. I MADE THE 6.5 DME 2000 FT INTERCEPT COORDINATES 1 MI EARLY AND WAS GIVEN A NEW CLRNC TO TURN TO 210 DEGS AND CLB 2500 FT FOR VECTORS ILS RWY 4. AFTER SEVERAL MISCOMS (THE APCH CTLR WAS CALLING THE WRONG TAIL NUMBERS WITH DIRECTIONS), WE WERE ABLE TO GET SET UP FOR THE ILS RWY 4. I WAS TURNED TO JOIN THE LOC CLOSE IN AND OBSERVED WE WERE ALREADY ABOVE THE GS. I REDUCED PWR AND PUSHED OVER TO CATCH THE GS AND AT THE OM I HAD JUST OVER 1/2 DEFLECTION AND WAS GAINING ON IT. I KNEW THE APCH HAD TO BE NAILED AT THE MIDDLE MARKER DUE TO THE LOW CEILING AND VISIBILITY. AT THE MIDDLE MARKER THE APCH WAS NAILED AND I WAS ABLE TO PICK OUT THE RABBIT AND CONTINUED THE DSCNT. I PICKED UP THE CTRLINE SHORTLY THEREAFTER AND CONTINUED FOR A LNDG. ON THE ROLLOUT, I REALIZED WE WERE STILL WITH HOUSTON APCH AND THAT WE HAD NEVER BEEN HANDED OFF TO TWR. I QUICKLY CALLED THEM AND TOLD THEM WE WERE DOWN AND WAS INSTRUCTED TO EXPEDITE CLRING THE RWY. WE CLRED, WERE GIVEN TAXI INSTRUCTIONS AND ASKED TO CALL THE TWR. HOW THE PROB AROSE: FAILURE TO VERIFY LNDG CLRNC. CONTRIBUTING FACTORS: HIGH PLT WORKLOAD, POOR WX, PLT/APCH COM PROBS. CORRECTIVE ACTION: INCORPORATE CONFIRMATION OF LNDG CLRNC IN GUMPS CHK. HUMAN PERFORMANCE CONSIDERATIONS: 1) EXTREMELY HIGH WORKLOAD. 2) FAILURE TO CONFIRM CLRNCS. 3) PUSHED A LESS THAN OPTIMUM APCH.
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.