37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 464370 |
Time | |
Date | 200002 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | intersection : draak |
State Reference | TX |
Altitude | msl single value : 4000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : d10.tracon |
Operator | common carrier : air carrier |
Make Model Name | B737-500 |
Operating Under FAR Part | Part 121 |
Navigation In Use | ils localizer & glide slope : 17l |
Flight Phase | descent : intermediate altitude |
Route In Use | approach : instrument precision |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : cfi pilot : multi engine pilot : commercial pilot : flight engineer pilot : instrument pilot : atp |
Experience | flight time last 90 days : 240 flight time total : 20000 flight time type : 6000 |
ASRS Report | 464370 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : commercial |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : clearance other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : overcame equipment problem flight crew : returned to assigned altitude |
Supplementary | |
Problem Areas | Airspace Structure ATC Human Performance Company Flight Crew Human Performance Environmental Factor |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Situations | |
ATC Facility | procedure or policy : d10.tracon |
Narrative:
ILS runway 17L altitude deviation at draak, 4000 ft. ATIS was advertising runways 17R, 17C, 17L. At last min a tight turn to final for runway 17L. They assigned it when we were set up for runway 17R, the usual and previously assigned approach. On vector for the left side we quickly dialed in raw data runway 17L. Went to put in box and we found some intxns not on the approach. We queried about the turn on and were told just outside draak at 4000 ft. We had to put it in the box as we talked, dialed, turned, typed and pushed buttons. First officer fairly new so couldn't really back me up. Somewhere in there we descended through 4000 ft before draak. We missed a button and descended as we did all of this plus configuring and complying with speed assignments. Cause: ATC is changing and compressing sits too much in order to increase traffic flow. Without a flying background they are not aware of what needs to be done or how much needs to be done, thus setting up for mistakes. We try to comply but problems occur when they are asking us to fly strict IFR compliance approachs and when trying to compress last min type clrncs that don't give us enough time to do the job. Computer work adds to the problems in these sits. Prevention: advertise an approach and stick to it in an orderly set stable procedure. Use more controllers or get better equipment (ATC). Boxes (FMC) need better and more storage capability (airline).
Original NASA ASRS Text
Title: A B737-500 FLC IS OVERWHELMED BY PROCS AND WORKLOAD AND DSNDS OUT OF THEIR INITIAL APCH ALT DURING A RWY ASSIGNMENT CHANGE WHILE SETTING UP AN APCH TO RWY 17L AT DFW, TX.
Narrative: ILS RWY 17L ALTDEV AT DRAAK, 4000 FT. ATIS WAS ADVERTISING RWYS 17R, 17C, 17L. AT LAST MIN A TIGHT TURN TO FINAL FOR RWY 17L. THEY ASSIGNED IT WHEN WE WERE SET UP FOR RWY 17R, THE USUAL AND PREVIOUSLY ASSIGNED APCH. ON VECTOR FOR THE L SIDE WE QUICKLY DIALED IN RAW DATA RWY 17L. WENT TO PUT IN BOX AND WE FOUND SOME INTXNS NOT ON THE APCH. WE QUERIED ABOUT THE TURN ON AND WERE TOLD JUST OUTSIDE DRAAK AT 4000 FT. WE HAD TO PUT IT IN THE BOX AS WE TALKED, DIALED, TURNED, TYPED AND PUSHED BUTTONS. FO FAIRLY NEW SO COULDN'T REALLY BACK ME UP. SOMEWHERE IN THERE WE DSNDED THROUGH 4000 FT BEFORE DRAAK. WE MISSED A BUTTON AND DSNDED AS WE DID ALL OF THIS PLUS CONFIGURING AND COMPLYING WITH SPD ASSIGNMENTS. CAUSE: ATC IS CHANGING AND COMPRESSING SITS TOO MUCH IN ORDER TO INCREASE TFC FLOW. WITHOUT A FLYING BACKGROUND THEY ARE NOT AWARE OF WHAT NEEDS TO BE DONE OR HOW MUCH NEEDS TO BE DONE, THUS SETTING UP FOR MISTAKES. WE TRY TO COMPLY BUT PROBS OCCUR WHEN THEY ARE ASKING US TO FLY STRICT IFR COMPLIANCE APCHS AND WHEN TRYING TO COMPRESS LAST MIN TYPE CLRNCS THAT DON'T GIVE US ENOUGH TIME TO DO THE JOB. COMPUTER WORK ADDS TO THE PROBS IN THESE SITS. PREVENTION: ADVERTISE AN APCH AND STICK TO IT IN AN ORDERLY SET STABLE PROC. USE MORE CTLRS OR GET BETTER EQUIP (ATC). BOXES (FMC) NEED BETTER AND MORE STORAGE CAPABILITY (AIRLINE).
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.