37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 489830 |
Time | |
Date | 200010 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : rdm.airport |
State Reference | OR |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Brasilia EMB-120 All Series |
Operating Under FAR Part | Part 125 |
Navigation In Use | ils localizer & glide slope : 28 |
Flight Phase | landing : roll |
Route In Use | approach : visual |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument pilot : multi engine pilot : cfi |
Experience | flight time last 90 days : 270 flight time total : 2150 flight time type : 665 |
ASRS Report | 489830 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | aircraft equipment problem : less severe non adherence : far non adherence : published procedure non adherence : company policies other anomaly other |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | none taken : detected after the fact |
Consequence | other other |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
This occurrence probably started the day before. The captain told me he had not slept well the night before and he wasn't as alert as usual. I commute to work and the night before the trip, my wife called me and let me know she had been in a car accident that afternoon just after I had left home. She had gone into the emergency room and that was why she hadn't been home when I called that night. So, both of us were not as alert as we should be. The flight day was a 6 leg day with bad WX. We ended up logging 7 hours, 55 mins for the day (roughly a 12 hour duty day) and redmond was our final stop. On the descent, I began to monitor the redmond CTAF frequency 60 mi out so as to learn of any arriving or departing traffic, listen for any traffic in the pattern and find out which runway was in use (redmond only has ASOS so the runway in use is not broadcast). On short final when the captain ordered 'flaps 45 degrees' we were alerted to a flaps disagreement. We had experienced one of these earlier that morning and so the captain ordered flaps 25 degrees and then back to flaps 45 degrees. This occurs on about a 3 mi final, so we were scrambling to clear the fault so we didn't need to go around. I observed the flaps retract to the 25 degree position and then extend to the 45 degree position with no disagreement. At this point we are on less than a mi final and the captain calls '500 ft to go' as per our SOP. I respond 'speed 128 KTS sink 800 ft before landing check complete, flaps are clear runway clear.' (standard SOP calls for me to say 'cleared to land runway 28. I did not make that call but instead alerted the captain that the flaps had corrected.) I should have made the standard call which is what contributed to the incident. The captain also contributed by trying to solve the problem rather than fly the aircraft and handle the radios. We both deviated from SOP by trying to clear the problem without using our QRH. Next time I will stick to SOP calls, assure that the PF does just that and go around. No more getting rushed into something for me.
Original NASA ASRS Text
Title: E120 CREW LANDED AT RDM, ON CTAF FREQ, WITHOUT FOLLOWING PROPER SOP.
Narrative: THIS OCCURRENCE PROBABLY STARTED THE DAY BEFORE. THE CAPT TOLD ME HE HAD NOT SLEPT WELL THE NIGHT BEFORE AND HE WASN'T AS ALERT AS USUAL. I COMMUTE TO WORK AND THE NIGHT BEFORE THE TRIP, MY WIFE CALLED ME AND LET ME KNOW SHE HAD BEEN IN A CAR ACCIDENT THAT AFTERNOON JUST AFTER I HAD LEFT HOME. SHE HAD GONE INTO THE EMER ROOM AND THAT WAS WHY SHE HADN'T BEEN HOME WHEN I CALLED THAT NIGHT. SO, BOTH OF US WERE NOT AS ALERT AS WE SHOULD BE. THE FLT DAY WAS A 6 LEG DAY WITH BAD WX. WE ENDED UP LOGGING 7 HRS, 55 MINS FOR THE DAY (ROUGHLY A 12 HR DUTY DAY) AND REDMOND WAS OUR FINAL STOP. ON THE DSCNT, I BEGAN TO MONITOR THE REDMOND CTAF FREQ 60 MI OUT SO AS TO LEARN OF ANY ARRIVING OR DEPARTING TFC, LISTEN FOR ANY TFC IN THE PATTERN AND FIND OUT WHICH RWY WAS IN USE (REDMOND ONLY HAS ASOS SO THE RWY IN USE IS NOT BROADCAST). ON SHORT FINAL WHEN THE CAPT ORDERED 'FLAPS 45 DEGS' WE WERE ALERTED TO A FLAPS DISAGREEMENT. WE HAD EXPERIENCED ONE OF THESE EARLIER THAT MORNING AND SO THE CAPT ORDERED FLAPS 25 DEGS AND THEN BACK TO FLAPS 45 DEGS. THIS OCCURS ON ABOUT A 3 MI FINAL, SO WE WERE SCRAMBLING TO CLR THE FAULT SO WE DIDN'T NEED TO GO AROUND. I OBSERVED THE FLAPS RETRACT TO THE 25 DEG POS AND THEN EXTEND TO THE 45 DEG POS WITH NO DISAGREEMENT. AT THIS POINT WE ARE ON LESS THAN A MI FINAL AND THE CAPT CALLS '500 FT TO GO' AS PER OUR SOP. I RESPOND 'SPD 128 KTS SINK 800 FT BEFORE LNDG CHK COMPLETE, FLAPS ARE CLR RWY CLR.' (STANDARD SOP CALLS FOR ME TO SAY 'CLRED TO LAND RWY 28. I DID NOT MAKE THAT CALL BUT INSTEAD ALERTED THE CAPT THAT THE FLAPS HAD CORRECTED.) I SHOULD HAVE MADE THE STANDARD CALL WHICH IS WHAT CONTRIBUTED TO THE INCIDENT. THE CAPT ALSO CONTRIBUTED BY TRYING TO SOLVE THE PROB RATHER THAN FLY THE ACFT AND HANDLE THE RADIOS. WE BOTH DEVIATED FROM SOP BY TRYING TO CLR THE PROB WITHOUT USING OUR QRH. NEXT TIME I WILL STICK TO SOP CALLS, ASSURE THAT THE PF DOES JUST THAT AND GO AROUND. NO MORE GETTING RUSHED INTO SOMETHING FOR 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.