37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 462260 |
Time | |
Date | 200002 |
Day | Mon |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : anc.airport |
State Reference | AK |
Altitude | msl single value : 1600 |
Environment | |
Flight Conditions | Mixed |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tower : lax.tower |
Operator | common carrier : air carrier |
Make Model Name | B737-200 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other vortac |
Flight Phase | descent : vacating altitude |
Route In Use | approach : instrument precision arrival : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : cfi |
Experience | flight time last 90 days : 150 flight time total : 8700 flight time type : 4000 |
ASRS Report | 462260 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : commercial pilot : instrument |
Experience | flight time type : 75 |
Events | |
Anomaly | altitude deviation : crossing restriction not met altitude deviation : excursion from assigned altitude inflight encounter : weather non adherence : published procedure other anomaly other anomaly other other spatial deviation |
Independent Detector | other controllera other flight crewa |
Resolutory Action | controller : issued advisory controller : issued new clearance flight crew : became reoriented |
Consequence | Other |
Supplementary | |
Problem Areas | Environmental Factor Weather Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
This was my fist flight after IOE sign off. I was paired with a new first officer. He has been on-line for 8 months and on reserve (but had above 75 hours). He only flies about 2-5 legs a month. We flew the first leg to snu and then returned to anc. The first leg was good and went smoothly. On the return flight it was my leg. Approaching anc the WX was 300 ft overcast and 1 mi and slowly declining. I briefed a CAT 2 procedure to take advantage of the operation specification exemption of allowing a high minimums captain to fly to CAT 1 minimums using CAT 2 procedures. I xferred controls of flying at 10000 ft. We were vectored to final approach. During base leg I was on the radio with a quick transmission to dispatch to advise of WX and to check an alternate closer than our dispatched alternate. Their radio call came back during base and I did not have my navigation radio tuned to the ILS. I had it tuned for the VOR which is almost in line with the approach course. He, first officer, coupled the autoplt to the VOR/localizer and it captured the VOR course which caused an early turn. He had the ILS on his side (HSI) with his flight director armed for the ILS. In his confusion of the autoplt turning, not agreeing with his HSI and flight director display he descended a few hundred ft (300 ft), below GS intercept altitude. I was returning my navigation when this happened and then called out the altitude deviation and corrected to assigned altitude. Approach control also called out the deviation and revectored us over to the localizer corridor. At that point I took control back and flew the approach as a CAT 1 to my high minimums since the WX was still above these minimums. The aircraft made a landing without further incident. The factors and scenario was debriefed between us and safety was not compromised but a lesson well learned for both of us. We were VMC (the WX obscuration was at the approach end and only 150 ft thick) when the altitude deviation occurred and obstacles were in sight. Back to the basics -- proper radio tuning and identify, and only the absolute, necessary radio communication below 10000 ft.
Original NASA ASRS Text
Title: A B737-200 FLC FAILS TO FOLLOW THE PROCS FOR A COUPLED CAT 2 APCH PROC AND EXPERIENCES AN ALT HDG DEV 3 MI W OF ANC, AK.
Narrative: THIS WAS MY FIST FLT AFTER IOE SIGN OFF. I WAS PAIRED WITH A NEW FO. HE HAS BEEN ON-LINE FOR 8 MONTHS AND ON RESERVE (BUT HAD ABOVE 75 HRS). HE ONLY FLIES ABOUT 2-5 LEGS A MONTH. WE FLEW THE FIRST LEG TO SNU AND THEN RETURNED TO ANC. THE FIRST LEG WAS GOOD AND WENT SMOOTHLY. ON THE RETURN FLT IT WAS MY LEG. APCHING ANC THE WX WAS 300 FT OVCST AND 1 MI AND SLOWLY DECLINING. I BRIEFED A CAT 2 PROC TO TAKE ADVANTAGE OF THE OP SPEC EXEMPTION OF ALLOWING A HIGH MINIMUMS CAPT TO FLY TO CAT 1 MINIMUMS USING CAT 2 PROCS. I XFERRED CTLS OF FLYING AT 10000 FT. WE WERE VECTORED TO FINAL APCH. DURING BASE LEG I WAS ON THE RADIO WITH A QUICK XMISSION TO DISPATCH TO ADVISE OF WX AND TO CHK AN ALTERNATE CLOSER THAN OUR DISPATCHED ALTERNATE. THEIR RADIO CALL CAME BACK DURING BASE AND I DID NOT HAVE MY NAV RADIO TUNED TO THE ILS. I HAD IT TUNED FOR THE VOR WHICH IS ALMOST IN LINE WITH THE APCH COURSE. HE, FO, COUPLED THE AUTOPLT TO THE VOR/LOC AND IT CAPTURED THE VOR COURSE WHICH CAUSED AN EARLY TURN. HE HAD THE ILS ON HIS SIDE (HSI) WITH HIS FLT DIRECTOR ARMED FOR THE ILS. IN HIS CONFUSION OF THE AUTOPLT TURNING, NOT AGREEING WITH HIS HSI AND FLT DIRECTOR DISPLAY HE DSNDED A FEW HUNDRED FT (300 FT), BELOW GS INTERCEPT ALT. I WAS RETURNING MY NAV WHEN THIS HAPPENED AND THEN CALLED OUT THE ALTDEV AND CORRECTED TO ASSIGNED ALT. APCH CTL ALSO CALLED OUT THE DEV AND REVECTORED US OVER TO THE LOC CORRIDOR. AT THAT POINT I TOOK CTL BACK AND FLEW THE APCH AS A CAT 1 TO MY HIGH MINIMUMS SINCE THE WX WAS STILL ABOVE THESE MINIMUMS. THE ACFT MADE A LNDG WITHOUT FURTHER INCIDENT. THE FACTORS AND SCENARIO WAS DEBRIEFED BTWN US AND SAFETY WAS NOT COMPROMISED BUT A LESSON WELL LEARNED FOR BOTH OF US. WE WERE VMC (THE WX OBSCURATION WAS AT THE APCH END AND ONLY 150 FT THICK) WHEN THE ALTDEV OCCURRED AND OBSTACLES WERE IN SIGHT. BACK TO THE BASICS -- PROPER RADIO TUNING AND IDENT, AND ONLY THE ABSOLUTE, NECESSARY RADIO COM BELOW 10000 FT.
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.