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|
Attributes | |
ACN | 517888 |
Time | |
Date | 200107 |
Day | Fri |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : pdx.airport |
State Reference | OR |
Altitude | msl single value : 3500 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : p80.tracon |
Operator | common carrier : air carrier |
Make Model Name | A320 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | descent : approach |
Route In Use | approach : visual arrival star : mill |
Flight Plan | IFR |
Aircraft 2 | |
Route In Use | approach : visual |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 180 flight time total : 11500 flight time type : 1626 |
ASRS Report | 517888 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | non adherence : clearance other anomaly |
Independent Detector | aircraft equipment other aircraft equipment : warning bell and lights other flight crewa other flight crewb |
Resolutory Action | aircraft : automation overrode flight crew flight crew : returned to assigned airspace |
Consequence | other |
Supplementary | |
Problem Areas | Aircraft Environmental Factor Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Flap overspd event during descent. Over the paper mill on autoflt (autoplt 1/autothrottle), we had flaps 2 degrees selected, and assigned speed of 180 KTS. We had forgotten to activate and confirm approach phase in mcdu. Aircraft went to 203 KTS for 4 seconds with emergency warning bell and lights and ECAM. Autoplt was disconnected, captain flying. Pitched up to relieve speed error. Event occurred as we were turning over the paper mill to a heading of 240 degrees. We realized the error and immediately activated and confirmed mcdu. The rest of the flight was uneventful and smooth landing. Both pilots were fatigued and error prone due to flight during window of circadian low (wocl). Captain's body time was XA30 and copilot's was XB30. Situation time in san francisco was 1 hour 30 mins, which added to our fatigue. We had gone to managed speed before activating and confirming which was due to alertness deterioration and excessive focus on overall safety of flight. We attempted to use automation as a safety measure and ultimately had to rely on good old stick and rudder flying skills to do the job. A maintenance write-up was placed in the logbook and we debriefed the ways we could prevent this from occurring in the future.
Original NASA ASRS Text
Title: AN A320 CREW, WHILE ON APCH TO PDX, EXCEEDED ASSIGNED AIRSPD.
Narrative: FLAP OVERSPD EVENT DURING DSCNT. OVER THE PAPER MILL ON AUTOFLT (AUTOPLT 1/AUTOTHROTTLE), WE HAD FLAPS 2 DEGS SELECTED, AND ASSIGNED SPD OF 180 KTS. WE HAD FORGOTTEN TO ACTIVATE AND CONFIRM APCH PHASE IN MCDU. ACFT WENT TO 203 KTS FOR 4 SECONDS WITH EMER WARNING BELL AND LIGHTS AND ECAM. AUTOPLT WAS DISCONNECTED, CAPT FLYING. PITCHED UP TO RELIEVE SPD ERROR. EVENT OCCURRED AS WE WERE TURNING OVER THE PAPER MILL TO A HDG OF 240 DEGS. WE REALIZED THE ERROR AND IMMEDIATELY ACTIVATED AND CONFIRMED MCDU. THE REST OF THE FLT WAS UNEVENTFUL AND SMOOTH LNDG. BOTH PLTS WERE FATIGUED AND ERROR PRONE DUE TO FLT DURING WINDOW OF CIRCADIAN LOW (WOCL). CAPT'S BODY TIME WAS XA30 AND COPLT'S WAS XB30. SIT TIME IN SAN FRANCISCO WAS 1 HR 30 MINS, WHICH ADDED TO OUR FATIGUE. WE HAD GONE TO MANAGED SPD BEFORE ACTIVATING AND CONFIRMING WHICH WAS DUE TO ALERTNESS DETERIORATION AND EXCESSIVE FOCUS ON OVERALL SAFETY OF FLT. WE ATTEMPTED TO USE AUTOMATION AS A SAFETY MEASURE AND ULTIMATELY HAD TO RELY ON GOOD OLD STICK AND RUDDER FLYING SKILLS TO DO THE JOB. A MAINT WRITE-UP WAS PLACED IN THE LOGBOOK AND WE DEBRIEFED THE WAYS WE COULD PREVENT THIS FROM OCCURRING IN THE FUTURE.
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.