37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 443223 |
Time | |
Date | 199907 |
Day | Sun |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | intersection : almes |
State Reference | PQ |
Altitude | msl single value : 33000 |
Environment | |
Flight Conditions | VMC |
Light | Dusk |
Aircraft 1 | |
Controlling Facilities | artcc : czul.artcc tower : dtw.tower |
Operator | common carrier : air carrier |
Make Model Name | DC-10 30F |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | cruise : level |
Route In Use | enroute : atlantic |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 90 flight time total : 20000 flight time type : 5000 |
ASRS Report | 443223 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : commercial |
Events | |
Anomaly | aircraft equipment problem : critical non adherence : clearance non adherence : far non adherence : published procedure other spatial deviation |
Independent Detector | aircraft equipment other aircraft equipment : 930 other flight crewa other flight crewb |
Resolutory Action | flight crew : returned to intended or assigned course |
Supplementary | |
Problem Areas | Environmental Factor Flight Crew Human Performance Aircraft |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
In sum: DC10-30 on international flight over northern quebec discovers aircraft to be guided on heading select rather than INS control mode. After reprogramming the INS for en route changes, the autoplt apparently reverted to this mode of operation. The normally aware and vigilant crew missed this irregularity until a rather significant deviation from the intended course occurred. Common difficulties in the communication with ARTCC agencies prolong and delay the process of correcting past errors and intercepting the desired on course track. Disorientation and confusion are players as the crew get clrncs and procedures under control when communication is reestablished.
Original NASA ASRS Text
Title: DC10-30 NAV ERROR OVER CANADIAN AIRSPACE OVER NORTHERN PQ.
Narrative: IN SUM: DC10-30 ON INTL FLT OVER NORTHERN QUEBEC DISCOVERS ACFT TO BE GUIDED ON HEADING SELECT RATHER THAN INS CTL MODE. AFTER REPROGRAMMING THE INS FOR ENRTE CHANGES, THE AUTOPLT APPARENTLY REVERTED TO THIS MODE OF OP. THE NORMALLY AWARE AND VIGILANT CREW MISSED THIS IRREGULARITY UNTIL A RATHER SIGNIFICANT DEV FROM THE INTENDED COURSE OCCURRED. COMMON DIFFICULTIES IN THE COM WITH ARTCC AGENCIES PROLONG AND DELAY THE PROCESS OF CORRECTING PAST ERRORS AND INTERCEPTING THE DESIRED ON COURSE TRACK. DISORIENTATION AND CONFUSION ARE PLAYERS AS THE CREW GET CLRNCS AND PROCS UNDER CTL WHEN COM IS REESTABLISHED.
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.