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|
Attributes | |
ACN | 460640 |
Time | |
Date | 200001 |
Day | Fri |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : cle.airport |
State Reference | OH |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | IMC |
Weather Elements | Snow |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : cle.tower |
Operator | common carrier : air carrier |
Make Model Name | B757-200 |
Operating Under FAR Part | Part 121 |
Navigation In Use | ils localizer only : 5r other |
Flight Phase | descent : approach landing : roll |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : cfi pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 220 flight time total : 17201 flight time type : 271 |
ASRS Report | 460148 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : relief pilot |
Qualification | pilot : multi engine pilot : commercial pilot : cfi pilot : atp pilot : flight engineer pilot : instrument |
Experience | flight time last 90 days : 250 flight time total : 700 flight time type : 500 |
ASRS Report | 460640 |
Events | |
Anomaly | incursion : runway incursion : landing without clearance non adherence : clearance other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Supplementary | |
Problem Areas | Company Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
We landed on cle runway 5R without a landing clearance inadvertently,. We were flying the ILS runway 5R (GS inoperative on ground). We were using an FMC procedure recently implemented by our company for a constant rate of descent for non precision approachs. We were concerned about the FMC information and missed the call to switch to tower from approach. We discovered our error when switching to ground. Our new procedure was implemented by the company via a training bulletin. The bulletin contains no information on the FMC visual cues. What was displayed on the EFIS pitch deviation indicator did not correspond with the approach plate. We were IFR and concerned with the conflict of information, so we were very focused on terrain clearance and finding the runway. In my 11 yr airline career, I have never flown a non precision approach other than training. I don't think the company should have been allowed to implement sweeping changes to our approach procedures without proper training. A paper bulletin wasn't enough, especially since it didn't elaborate on the presentation of FMC visual cues.
Original NASA ASRS Text
Title: B757 LANDS WITHOUT CLRNC AT CLE.
Narrative: WE LANDED ON CLE RWY 5R WITHOUT A LNDG CLRNC INADVERTENTLY,. WE WERE FLYING THE ILS RWY 5R (GS INOP ON GND). WE WERE USING AN FMC PROC RECENTLY IMPLEMENTED BY OUR COMPANY FOR A CONSTANT RATE OF DSCNT FOR NON PRECISION APCHS. WE WERE CONCERNED ABOUT THE FMC INFO AND MISSED THE CALL TO SWITCH TO TWR FROM APCH. WE DISCOVERED OUR ERROR WHEN SWITCHING TO GND. OUR NEW PROC WAS IMPLEMENTED BY THE COMPANY VIA A TRAINING BULLETIN. THE BULLETIN CONTAINS NO INFO ON THE FMC VISUAL CUES. WHAT WAS DISPLAYED ON THE EFIS PITCH DEV INDICATOR DID NOT CORRESPOND WITH THE APCH PLATE. WE WERE IFR AND CONCERNED WITH THE CONFLICT OF INFO, SO WE WERE VERY FOCUSED ON TERRAIN CLRNC AND FINDING THE RWY. IN MY 11 YR AIRLINE CAREER, I HAVE NEVER FLOWN A NON PRECISION APCH OTHER THAN TRAINING. I DON'T THINK THE COMPANY SHOULD HAVE BEEN ALLOWED TO IMPLEMENT SWEEPING CHANGES TO OUR APCH PROCS WITHOUT PROPER TRAINING. A PAPER BULLETIN WASN'T ENOUGH, ESPECIALLY SINCE IT DIDN'T ELABORATE ON THE PRESENTATION OF FMC VISUAL CUES.
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.