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A CL65 flight crew, distracted with a flap failure during approach, flies the wrong radial after being assigned a hold over lhy VOR after attempting an approach to avp, PA.
| Attributes | |
| ACN | 526444 |
| Time | |
| Date | 200108 |
| Day | Sun |
| Local Time Of Day | 1201 To 1800 |
| Place | |
| Locale Reference | navaid : lhy.vortac |
| State Reference | PA |
| Altitude | msl single value : 3000 |
| Environment | |
| Flight Conditions | Mixed |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | tracon : avp.tracon |
| Operator | common carrier : air carrier |
| Make Model Name | Regional Jet CL65, Undifferentiated or Other Model |
| Operating Under FAR Part | Part 121 |
| Navigation In Use | other |
| Flight Phase | descent : approach |
| Route In Use | approach : instrument precision arrival : on vectors |
| Flight Plan | IFR |
| Aircraft 2 | |
| Controlling Facilities | tower : avp.tower |
| Operator | common carrier : air carrier |
| Make Model Name | Commercial Fixed Wing |
| Operating Under FAR Part | Part 121 |
| Flight Phase | ground other : unk |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : multi engine pilot : commercial pilot : cfi pilot : instrument |
| Experience | flight time last 90 days : 150 flight time total : 2700 flight time type : 1300 |
| ASRS Report | 526444 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Events | |
| Anomaly | aircraft equipment problem : critical non adherence : clearance other anomaly other other spatial deviation |
| Independent Detector | aircraft equipment other aircraft equipment : indicator other flight crewa other flight crewb |
| Resolutory Action | controller : issued advisory flight crew : became reoriented flight crew : returned to intended or assigned course none taken : detected after the fact |
| Consequence | faa : reviewed incident with flight crew other other |
| Supplementary | |
| Problem Areas | Environmental Factor Company Flight Crew Human Performance Aircraft |
| Primary Problem | Aircraft |
| Air Traffic Incident | Pilot Deviation |
Narrative:
Flap failure occurred just prior to localizer intercept. Broke off approach. Captain directed me to complete appropriate checklist and contact company to confirm landing distances suitable for avp. Captain said he would handle #1 radio and communicate with ATC. As I completed checklist, I heard ATC advise 'proceed direct lake henry (lhy) VOR and hold east on 090 degree radial at 6000 ft standard turns.' captain programmed FMS. I did not confirm instructions or verify FMS program. We were unable to contact company direct and asked for climb to 10000 ft. ATC authority/authorized 8000 ft. Company personnel on ground at avp and outbound captain worked land line communication with company, relaying data to me for concurrence. ATC called and asked if we were holding east of lhy or west. We confirmed west. ATC stated we were instructed east on 090 degrees. Captain checked program and realized he had put the wrong inbound heading/radial. He selected inbound crs 090 degrees which put us on the 270 degree radial with an inbound heading to lhy of 090 degrees. The collins FMS-4100 manual shows this as correct. Our aircraft are equipped with collins FMS-4200. In retrospect, we should have delayed all checklist except for essential one for safety of flight and delayed me leaving the communication loop until we were established in the hold. It all goes back to aviate, navigation, communicate.
Original NASA ASRS Text
Title: A CL65 FLC, DISTRACTED WITH A FLAP FAILURE DURING APCH, FLIES THE WRONG RADIAL AFTER BEING ASSIGNED A HOLD OVER LHY VOR AFTER ATTEMPTING AN APCH TO AVP, PA.
Narrative: FLAP FAILURE OCCURRED JUST PRIOR TO LOC INTERCEPT. BROKE OFF APCH. CAPT DIRECTED ME TO COMPLETE APPROPRIATE CHKLIST AND CONTACT COMPANY TO CONFIRM LNDG DISTANCES SUITABLE FOR AVP. CAPT SAID HE WOULD HANDLE #1 RADIO AND COMMUNICATE WITH ATC. AS I COMPLETED CHKLIST, I HEARD ATC ADVISE 'PROCEED DIRECT LAKE HENRY (LHY) VOR AND HOLD E ON 090 DEG RADIAL AT 6000 FT STANDARD TURNS.' CAPT PROGRAMMED FMS. I DID NOT CONFIRM INSTRUCTIONS OR VERIFY FMS PROGRAM. WE WERE UNABLE TO CONTACT COMPANY DIRECT AND ASKED FOR CLB TO 10000 FT. ATC AUTH 8000 FT. COMPANY PERSONNEL ON GND AT AVP AND OUTBOUND CAPT WORKED LAND LINE COM WITH COMPANY, RELAYING DATA TO ME FOR CONCURRENCE. ATC CALLED AND ASKED IF WE WERE HOLDING E OF LHY OR W. WE CONFIRMED W. ATC STATED WE WERE INSTRUCTED E ON 090 DEGS. CAPT CHKED PROGRAM AND REALIZED HE HAD PUT THE WRONG INBOUND HEADING/RADIAL. HE SELECTED INBOUND CRS 090 DEGS WHICH PUT US ON THE 270 DEG RADIAL WITH AN INBOUND HEADING TO LHY OF 090 DEGS. THE COLLINS FMS-4100 MANUAL SHOWS THIS AS CORRECT. OUR ACFT ARE EQUIPPED WITH COLLINS FMS-4200. IN RETROSPECT, WE SHOULD HAVE DELAYED ALL CHKLIST EXCEPT FOR ESSENTIAL ONE FOR SAFETY OF FLT AND DELAYED ME LEAVING THE COM LOOP UNTIL WE WERE ESTABLISHED IN THE HOLD. IT ALL GOES BACK TO AVIATE, NAV, COMMUNICATE.
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.