37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 481544 |
Time | |
Date | 200007 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : pqi.airport |
State Reference | ME |
Altitude | msl single value : 3200 |
Environment | |
Flight Conditions | Marginal |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Operating Under FAR Part | Part 119 |
Navigation In Use | ils localizer & glide slope : 1 |
Flight Phase | descent : intermediate altitude descent : approach |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : radar |
Experience | controller radar : 18 flight time total : 3000 |
ASRS Report | 481544 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : published procedure non adherence : clearance |
Independent Detector | atc equipment other atc equipment : radar other controllera |
Resolutory Action | controller : issued alert none taken : detected after the fact |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Aircraft X was issued mlt mlt 047 degree radial until joining the localizer for runway 1 at pqi. This clearance was issued by another controller. Aircraft X requested another clearance direct to excal LOM, which is the FAF for ILS runway 1 at pqt. I took over the sector, I cleared aircraft X direct excal and to expect the full ILS. In other words, he would not be getting vectors to final. I was very busy at the time working a combined sector (sector 15 and sector 16). The sector was in the process of being decombined. At one point, I cleared the pilot to 4000 ft and to cross excal at or above 4000 ft. The pilot came back later and asked if our radar was working and why weren't they given 3200 ft. I advised them the radar was working and that they would be issued 3200 ft shortly. Shortly thereafter, I issued 'cross excal, climb to 3200 ft cleared ILS runway 1 presque isle.' I resumed other duties at this point. Aircraft X later reported 'ILS inbound, request frequency change.' I then asked if he completed a procedure turn. He said 'no, I'm not required to do a procedure turn unless directed by ATC.' he then reported descending to an altitude below the mia of 3200 ft. At this point I should have issued safety/altitude alert because the pilot did not follow the correct approach procedures.
Original NASA ASRS Text
Title: FLC OF A CARGO FLT FAILED TO FOLLOW THE PUBLISHED ILS APCH PROC AFTER BEING CLRED BY ARTCC CTLR FOR THE APCH. THEY FAILED TO MAKE A PROC TURN PRIOR TO COMMENCING THE APCH.
Narrative: ACFT X WAS ISSUED MLT MLT 047 DEG RADIAL UNTIL JOINING THE LOC FOR RWY 1 AT PQI. THIS CLRNC WAS ISSUED BY ANOTHER CTLR. ACFT X REQUESTED ANOTHER CLRNC DIRECT TO EXCAL LOM, WHICH IS THE FAF FOR ILS RWY 1 AT PQT. I TOOK OVER THE SECTOR, I CLRED ACFT X DIRECT EXCAL AND TO EXPECT THE FULL ILS. IN OTHER WORDS, HE WOULD NOT BE GETTING VECTORS TO FINAL. I WAS VERY BUSY AT THE TIME WORKING A COMBINED SECTOR (SECTOR 15 AND SECTOR 16). THE SECTOR WAS IN THE PROCESS OF BEING DECOMBINED. AT ONE POINT, I CLRED THE PLT TO 4000 FT AND TO CROSS EXCAL AT OR ABOVE 4000 FT. THE PLT CAME BACK LATER AND ASKED IF OUR RADAR WAS WORKING AND WHY WEREN'T THEY GIVEN 3200 FT. I ADVISED THEM THE RADAR WAS WORKING AND THAT THEY WOULD BE ISSUED 3200 FT SHORTLY. SHORTLY THEREAFTER, I ISSUED 'CROSS EXCAL, CLB TO 3200 FT CLRED ILS RWY 1 PRESQUE ISLE.' I RESUMED OTHER DUTIES AT THIS POINT. ACFT X LATER RPTED 'ILS INBOUND, REQUEST FREQ CHANGE.' I THEN ASKED IF HE COMPLETED A PROC TURN. HE SAID 'NO, I'M NOT REQUIRED TO DO A PROC TURN UNLESS DIRECTED BY ATC.' HE THEN RPTED DSNDING TO AN ALT BELOW THE MIA OF 3200 FT. AT THIS POINT I SHOULD HAVE ISSUED SAFETY/ALT ALERT BECAUSE THE PLT DID NOT FOLLOW THE CORRECT APCH PROCS.
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.