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|
Attributes | |
ACN | 527200 |
Time | |
Date | 200110 |
Day | Fri |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | navaid : vxv.vortac |
State Reference | TN |
Altitude | msl single value : 4000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B727 Undifferentiated or Other Model |
Flight Phase | descent : approach |
Route In Use | arrival : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : multi engine pilot : instrument pilot : commercial pilot : atp |
Experience | flight time last 90 days : 95 flight time total : 7500 flight time type : 200 |
ASRS Report | 527200 |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : overshoot non adherence : clearance |
Resolutory Action | controller : issued new clearance |
Supplementary | |
Problem Areas | Company Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
During descent for approach to knoxville, tn, aircraft was allowed to descend below assigned altitude of 4000 ft. On vectors for ILS runway 23R tys, were initially cleared to 5000 ft. Autoplt was engaged and armed to level at 5000 ft MSL. Approach control gave clearance to 4000 ft. 4000 ft was set in altitude alerter window. Altitude capture made of autoplt did not transition to new altitude and disengaged. Crew was busy getting set up for approach, radios, ILS course, configuring and did not catch fact that altitude capture had disengaged. Aircraft descended below 4000 ft and approach queried us about what our altitude was. We replied that we were correcting back to 4000 ft. Approach then cleared us to continue descent to 2500 ft, right turn 210 degrees to intercept the runway 23R localizer, cleared for approach. Crew duty started at XA18L, memphis, tn. Incident occurred at XH15L (XH15Z) tys time. Crew had been on duty 6 hours, experienced a delay out of mem, another delay at grr before departing for tys. Crew had spent a lot of effort at mem and grr checking and correcting paperwork deficiencies in flight documents given to crew. Crew had also coped with adverse WX in grr and had gone around when approach vectors did not account for a very strong crosswind and aircraft was positioned such that it would/could not intercept ILS localizer. Crew was fatigued and struggling to stay alert while flying. It was the 4TH day captain was flying this trip, 3RD day for so, and 2ND day for first officer. Trip was a 3 leg XA00 am out/back from mem.
Original NASA ASRS Text
Title: DSCNT BELOW ASSIGNED ALT DURING APCH TO TYS. AN UNDETECTED AUTOPLT DISCONNECT, AN ALT ASSIGNMENT CHANGE AND CREW FATIGUE ARE CITED AS FACTORS.
Narrative: DURING DSCNT FOR APCH TO KNOXVILLE, TN, ACFT WAS ALLOWED TO DSND BELOW ASSIGNED ALT OF 4000 FT. ON VECTORS FOR ILS RWY 23R TYS, WERE INITIALLY CLRED TO 5000 FT. AUTOPLT WAS ENGAGED AND ARMED TO LEVEL AT 5000 FT MSL. APCH CTL GAVE CLRNC TO 4000 FT. 4000 FT WAS SET IN ALT ALERTER WINDOW. ALT CAPTURE MADE OF AUTOPLT DID NOT TRANSITION TO NEW ALT AND DISENGAGED. CREW WAS BUSY GETTING SET UP FOR APCH, RADIOS, ILS COURSE, CONFIGURING AND DID NOT CATCH FACT THAT ALT CAPTURE HAD DISENGAGED. ACFT DSNDED BELOW 4000 FT AND APCH QUERIED US ABOUT WHAT OUR ALT WAS. WE REPLIED THAT WE WERE CORRECTING BACK TO 4000 FT. APCH THEN CLRED US TO CONTINUE DSCNT TO 2500 FT, R TURN 210 DEGS TO INTERCEPT THE RWY 23R LOC, CLRED FOR APCH. CREW DUTY STARTED AT XA18L, MEMPHIS, TN. INCIDENT OCCURRED AT XH15L (XH15Z) TYS TIME. CREW HAD BEEN ON DUTY 6 HRS, EXPERIENCED A DELAY OUT OF MEM, ANOTHER DELAY AT GRR BEFORE DEPARTING FOR TYS. CREW HAD SPENT A LOT OF EFFORT AT MEM AND GRR CHKING AND CORRECTING PAPERWORK DEFICIENCIES IN FLT DOCUMENTS GIVEN TO CREW. CREW HAD ALSO COPED WITH ADVERSE WX IN GRR AND HAD GONE AROUND WHEN APCH VECTORS DID NOT ACCOUNT FOR A VERY STRONG XWIND AND ACFT WAS POSITIONED SUCH THAT IT WOULD/COULD NOT INTERCEPT ILS LOC. CREW WAS FATIGUED AND STRUGGLING TO STAY ALERT WHILE FLYING. IT WAS THE 4TH DAY CAPT WAS FLYING THIS TRIP, 3RD DAY FOR SO, AND 2ND DAY FOR FO. TRIP WAS A 3 LEG XA00 AM OUT/BACK FROM MEM.
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.