37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 439097 |
Time | |
Date | 199906 |
Place | |
Locale Reference | airport : boi.airport |
State Reference | ID |
Altitude | agl single value : 2000 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zlc.artcc tower : boi.tower tower : bos.tower |
Operator | common carrier : air carrier |
Make Model Name | B727 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | descent : approach |
Route In Use | approach : instrument non precision |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : commercial pilot : atp |
Experience | flight time last 90 days : 210 flight time total : 17300 flight time type : 10400 |
ASRS Report | 439097 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial pilot : multi engine |
Events | |
Anomaly | non adherence : company policies non adherence : clearance non adherence : far non adherence : published procedure other anomaly other other spatial deviation |
Independent Detector | aircraft equipment : gpws other flight crewa |
Resolutory Action | flight crew : took precautionary avoidance action flight crew : exited adverse environment |
Supplementary | |
Problem Areas | Flight Crew Human Performance Weather |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Approaching boise, ZLC kept us high due to traffic. The first officer was flying. He is new to the airline and the B727. The first officer is an experienced pilot, having flown with 3 other airlines, the last as a captain. I believe he has 100 hours on the B727. The first officer gave me the plane as he briefed the approach. While he was briefing the approach we were cleared from 13000 ft to 11000 ft. I answered the altitude change but I did not descend. This put us further behind. I did not realize until later that the first officer was using his flight director, which will only reverse sense. He got off course early in the approach, which I caught right away, and voiced a correction. He was behind the airplane so I was suggesting flaps and gear actions. Soon I noticed that we were to the right of course, inside the 9.1 DME fix and at 4700 ft. The minimum at this point is 4900 ft. I believe I took the plane just before or just after the GPS warning went off. I only remember one voice warning. I know that I banked left, saw the ground below out my side window, then saw the ground, airport and runway out in front. I was on what looked like a normal VFR approach, normal rate of descent, normal speed, and normal thrust setting. I believe that all 3 of us were behind. On reviewing my actions I could have asked center for descent at the appropriate time, this would have given us the time to brief earlier and talked about the proper instrument setup. I think that I sensed that the first officer was behind and I was trying to do everything myself. Rushing or being behind has no place in the cockpit. The proper action would have been to abandon the approach, go around and do the approach setup properly.
Original NASA ASRS Text
Title: POOR COCKPIT MGMNT AND COCKPIT RESOURCE MGMNT BY ACR FLC RESULTS IN ALT BUST AND GPWS BECAUSE OF TERRAIN CLOSURE.
Narrative: APCHING BOISE, ZLC KEPT US HIGH DUE TO TFC. THE FO WAS FLYING. HE IS NEW TO THE AIRLINE AND THE B727. THE FO IS AN EXPERIENCED PLT, HAVING FLOWN WITH 3 OTHER AIRLINES, THE LAST AS A CAPT. I BELIEVE HE HAS 100 HRS ON THE B727. THE FO GAVE ME THE PLANE AS HE BRIEFED THE APCH. WHILE HE WAS BRIEFING THE APCH WE WERE CLRED FROM 13000 FT TO 11000 FT. I ANSWERED THE ALT CHANGE BUT I DID NOT DSND. THIS PUT US FURTHER BEHIND. I DID NOT REALIZE UNTIL LATER THAT THE FO WAS USING HIS FLT DIRECTOR, WHICH WILL ONLY REVERSE SENSE. HE GOT OFF COURSE EARLY IN THE APCH, WHICH I CAUGHT RIGHT AWAY, AND VOICED A CORRECTION. HE WAS BEHIND THE AIRPLANE SO I WAS SUGGESTING FLAPS AND GEAR ACTIONS. SOON I NOTICED THAT WE WERE TO THE R OF COURSE, INSIDE THE 9.1 DME FIX AND AT 4700 FT. THE MINIMUM AT THIS POINT IS 4900 FT. I BELIEVE I TOOK THE PLANE JUST BEFORE OR JUST AFTER THE GPS WARNING WENT OFF. I ONLY REMEMBER ONE VOICE WARNING. I KNOW THAT I BANKED L, SAW THE GND BELOW OUT MY SIDE WINDOW, THEN SAW THE GND, ARPT AND RWY OUT IN FRONT. I WAS ON WHAT LOOKED LIKE A NORMAL VFR APCH, NORMAL RATE OF DSCNT, NORMAL SPD, AND NORMAL THRUST SETTING. I BELIEVE THAT ALL 3 OF US WERE BEHIND. ON REVIEWING MY ACTIONS I COULD HAVE ASKED CTR FOR DSCNT AT THE APPROPRIATE TIME, THIS WOULD HAVE GIVEN US THE TIME TO BRIEF EARLIER AND TALKED ABOUT THE PROPER INST SETUP. I THINK THAT I SENSED THAT THE FO WAS BEHIND AND I WAS TRYING TO DO EVERYTHING MYSELF. RUSHING OR BEING BEHIND HAS NO PLACE IN THE COCKPIT. THE PROPER ACTION WOULD HAVE BEEN TO ABANDON THE APCH, GO AROUND AND DO THE APCH SETUP PROPERLY.
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.