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|
Attributes | |
ACN | 495130 |
Time | |
Date | 200012 |
Day | Fri |
Local Time Of Day | 1801 To 2400 |
Place | |
State Reference | TX |
Altitude | msl bound lower : 3400 msl bound upper : 4000 |
Environment | |
Flight Conditions | IMC |
Weather Elements | Rain other |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : d10.tracon |
Operator | common carrier : air carrier |
Make Model Name | MD-80 Super 80 |
Operating Under FAR Part | Part 121 |
Navigation In Use | ils localizer & glide slope : 17l Other |
Flight Phase | descent : approach descent : intermediate altitude |
Route In Use | approach : instrument precision arrival : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial pilot : multi engine |
ASRS Report | 495130 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
ASRS Report | 495488 |
Events | |
Anomaly | altitude deviation : overshoot inflight encounter : weather non adherence : published procedure non adherence : clearance non adherence : company policies other anomaly other spatial deviation |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | flight crew : became reoriented flight crew : regained aircraft control flight crew : returned to intended or assigned course flight crew : returned to assigned altitude |
Consequence | other |
Supplementary | |
Problem Areas | Flight Crew Human Performance Weather |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
On arrival into dfw, WX was 1/4 mi visibility broken, 100 overcast, RVR 3000-4000 ft and decreasing, so the captain decided to brief for a CAT ii autoland approach. When the captain (PF, landing) xferred the aircraft to me (PNF, not landing) I planned to switch the autoplt from #1 to #2. At the same time the captain xferred control of the aircraft to me, we were given instructions to descend from 6000 ft to 5000 ft, slow to 210 KTS and maintain heading (as opposed to staying on the arrival). While complying with the new instructions, I thought I had re-engaged the autoplt. However, the autoplt did not engage, and while I looked down at my approach plate the aircraft entered a shallow left turn and descended below 5000 ft. After a moment of confusion (thinking that the autoplt was on) I immediately began correcting to the assigned heading/altitude. A few moments later, ATC gave us a routine turn and said nothing of the deviation. Lesson learned: just like when aircraft control is passed between pilots, we require a positive response. From now on, I will make sure that autoplt is properly engaged and flying the jet. Supplemental information from acn 495488: aircraft began an uncommanded left turn. Captain redirected the first officer right turn to 230 degrees. First officer repeatedly pulled heading select without response and descended through 4000 ft. Captain aggressively told first officer to get back on altitude. 3 to 4 times captain redirected first officer to correct back to 4000 ft. Descent stopped at 3400 ft. First officer was busy with other cockpit duties when aircraft began left turn. When captain brought his attention back to aircraft control and aircraft would not respond to heading select, altitude deviation occurred. New first officer was out of situational awareness loop.
Original NASA ASRS Text
Title: DURING PREPARATION FOR AN ILS CAT II AUTOLAND APCH TO DFW, SITUATIONAL AWARENESS WAS LOST. XFER OF CTL BTWN PLTS AND XFER OF CTL FROM ONE AUTOPLT TO THE OTHER RESULTED IN NO ONE FLYING THE ACFT AND DEV FROM TRACK COUPLED WITH AN ALT OVERSHOOT.
Narrative: ON ARR INTO DFW, WX WAS 1/4 MI VISIBILITY BROKEN, 100 OVCST, RVR 3000-4000 FT AND DECREASING, SO THE CAPT DECIDED TO BRIEF FOR A CAT II AUTOLAND APCH. WHEN THE CAPT (PF, LNDG) XFERRED THE ACFT TO ME (PNF, NOT LNDG) I PLANNED TO SWITCH THE AUTOPLT FROM #1 TO #2. AT THE SAME TIME THE CAPT XFERRED CTL OF THE ACFT TO ME, WE WERE GIVEN INSTRUCTIONS TO DSND FROM 6000 FT TO 5000 FT, SLOW TO 210 KTS AND MAINTAIN HDG (AS OPPOSED TO STAYING ON THE ARR). WHILE COMPLYING WITH THE NEW INSTRUCTIONS, I THOUGHT I HAD RE-ENGAGED THE AUTOPLT. HOWEVER, THE AUTOPLT DID NOT ENGAGE, AND WHILE I LOOKED DOWN AT MY APCH PLATE THE ACFT ENTERED A SHALLOW L TURN AND DSNDED BELOW 5000 FT. AFTER A MOMENT OF CONFUSION (THINKING THAT THE AUTOPLT WAS ON) I IMMEDIATELY BEGAN CORRECTING TO THE ASSIGNED HDG/ALT. A FEW MOMENTS LATER, ATC GAVE US A ROUTINE TURN AND SAID NOTHING OF THE DEV. LESSON LEARNED: JUST LIKE WHEN ACFT CTL IS PASSED BTWN PLTS, WE REQUIRE A POSITIVE RESPONSE. FROM NOW ON, I WILL MAKE SURE THAT AUTOPLT IS PROPERLY ENGAGED AND FLYING THE JET. SUPPLEMENTAL INFO FROM ACN 495488: ACFT BEGAN AN UNCOMMANDED L TURN. CAPT REDIRECTED THE FO R TURN TO 230 DEGS. FO REPEATEDLY PULLED HDG SELECT WITHOUT RESPONSE AND DSNDED THROUGH 4000 FT. CAPT AGGRESSIVELY TOLD FO TO GET BACK ON ALT. 3 TO 4 TIMES CAPT REDIRECTED FO TO CORRECT BACK TO 4000 FT. DSCNT STOPPED AT 3400 FT. FO WAS BUSY WITH OTHER COCKPIT DUTIES WHEN ACFT BEGAN L TURN. WHEN CAPT BROUGHT HIS ATTN BACK TO ACFT CTL AND ACFT WOULD NOT RESPOND TO HDG SELECT, ALTDEV OCCURRED. NEW FO WAS OUT OF SITUATIONAL AWARENESS LOOP.
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.