37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 451460 |
Time | |
Date | 199910 |
Day | Thu |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | intersection : bubdo |
State Reference | FO |
Altitude | msl single value : 29000 |
Environment | |
Flight Conditions | VMC |
Light | Dawn |
Aircraft 1 | |
Controlling Facilities | artcc : rjtg.artcc |
Operator | common carrier : air carrier |
Make Model Name | DC-10 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | cruise : level |
Route In Use | enroute : pacific enroute airway : a590.airway |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument pilot : multi engine pilot : flight engineer |
Experience | flight time last 90 days : 150 flight time total : 4000 flight time type : 700 |
ASRS Report | 451460 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | aircraft equipment problem : less severe non adherence : published procedure non adherence : clearance non adherence : company policies non adherence : far other spatial deviation |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : returned to intended or assigned course flight crew : returned to original clearance |
Consequence | other |
Supplementary | |
Problem Areas | Flight Crew Human Performance Aircraft |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
On descent, we discovered a problem with the mechanical digital readout of our heading selector. During cruise, while the autoplt was receiving navigation guidance from the INS, the captain and flight engineer did some troubleshooting of the problem so that an aml entry could be made. During this process, apparently the heading selector knob was pushed in, causing the aircraft to go into heading hold. As the PF, I did not recognize this. Over time, due to changing winds and variation, we drifted left of course. The flight engineer actually noticed this noting that the CDI bar was not centered. At that time I realized we were in heading hold. We immediately corrected back to the airway. I estimate that we were approximately 20 mi off course. It is very easy to become complacent toward navigation when you operate with a good autoplt and INS. When you couple it up, it flies the route very precisely. In the future, I will ensure that the aircraft is still in the planned mode after anyone touches any type autoplt control. I will also try to be more vigilant as the PF to the flight mode annunciators during cruise. I take a lot of pains to stay on top of navigation, using charts and navaids, but out over water this error slipped by me.
Original NASA ASRS Text
Title: DC10 CREW HAD GROSS NAV ERROR IN RJTG AIRSPACE.
Narrative: ON DSCNT, WE DISCOVERED A PROB WITH THE MECHANICAL DIGITAL READOUT OF OUR HDG SELECTOR. DURING CRUISE, WHILE THE AUTOPLT WAS RECEIVING NAV GUIDANCE FROM THE INS, THE CAPT AND FE DID SOME TROUBLESHOOTING OF THE PROB SO THAT AN AML ENTRY COULD BE MADE. DURING THIS PROCESS, APPARENTLY THE HDG SELECTOR KNOB WAS PUSHED IN, CAUSING THE ACFT TO GO INTO HDG HOLD. AS THE PF, I DID NOT RECOGNIZE THIS. OVER TIME, DUE TO CHANGING WINDS AND VARIATION, WE DRIFTED L OF COURSE. THE FE ACTUALLY NOTICED THIS NOTING THAT THE CDI BAR WAS NOT CTRED. AT THAT TIME I REALIZED WE WERE IN HDG HOLD. WE IMMEDIATELY CORRECTED BACK TO THE AIRWAY. I ESTIMATE THAT WE WERE APPROX 20 MI OFF COURSE. IT IS VERY EASY TO BECOME COMPLACENT TOWARD NAV WHEN YOU OPERATE WITH A GOOD AUTOPLT AND INS. WHEN YOU COUPLE IT UP, IT FLIES THE RTE VERY PRECISELY. IN THE FUTURE, I WILL ENSURE THAT THE ACFT IS STILL IN THE PLANNED MODE AFTER ANYONE TOUCHES ANY TYPE AUTOPLT CTL. I WILL ALSO TRY TO BE MORE VIGILANT AS THE PF TO THE FLT MODE ANNUNCIATORS DURING CRUISE. I TAKE A LOT OF PAINS TO STAY ON TOP OF NAV, USING CHARTS AND NAVAIDS, BUT OUT OVER WATER THIS ERROR SLIPPED BY ME.
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.