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|
Attributes | |
ACN | 531419 |
Time | |
Date | 200111 |
Day | Tue |
Place | |
Locale Reference | airport : mem.airport |
State Reference | TN |
Altitude | msl single value : 1500 |
Environment | |
Flight Conditions | IMC |
Weather Elements | Rain Thunderstorm Turbulence |
Aircraft 1 | |
Controlling Facilities | tower : mem.tower |
Operator | common carrier : air carrier |
Make Model Name | B727-100 |
Operating Under FAR Part | Part 121 |
Navigation In Use | ils localizer & glide slope : 9 |
Flight Phase | descent : approach |
Route In Use | approach : instrument precision |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : commercial pilot : instrument pilot : multi engine pilot : cfi pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 120 flight time total : 20000 flight time type : 6700 |
ASRS Report | 531419 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : flight engineer pilot : commercial pilot : cfi pilot : atp |
Experience | flight time last 90 days : 80 flight time total : 6000 flight time type : 1800 |
ASRS Report | 531428 |
Events | |
Anomaly | non adherence : clearance non adherence : published procedure other spatial deviation |
Independent Detector | atc equipment other atc equipment : radar other controllera |
Resolutory Action | controller : issued alert flight crew : returned to assigned altitude |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
After a long, difficult night of flying and WX problems we were on approach into mem with ++RA and thunderstorms in area. We had been told to expect the ILS to runway 18L and had briefed it. About 10 mi from airport, we were told to now expect the runway 9 ILS. We scrambled to get out, brief and set up for the approach. While doing this, the first officer who was the PF, had extended the speed brakes to lose the extra altitude we now had for the runway 9 approach as well as slow down. After all was set up, we were given a vector to intercept the runway 9 ILS and to maintain 2000 ft until established and then cleared for the approach. I was still busy trying to get a strong identify from the LOM when I noted the first officer had intercepted the localizer and was continuing his descent from 2000 ft. Both my GS indicators (flight director and HSI) showed no GS needles at this point, but out of the corner of my eye I noticed the radar altimeter needle start to jump towards 1500 ft. Just as I realized (with a now strong identify and needle) that we had not yet passed elvis LOM and we were now below the crossing altitude of 1415 ft and were about to tell the first officer that we were below the GS, approach called and said we were low and to climb back to 2000 ft. Apparently we were just short of crossing budee (IAF) which is to be crossed at 2000 ft before descent to the LOM crossing altitude about .9 mi later. We climbed up towards 2000 ft and intercepted the GS, followed by an uneventful landing. The first officer claims his flight director (raw data) GS needle was indicating he was high the entire time up to 'I' and approach questioned it. He apparently did not look at the HSI GS indicator since he could not answer my question as to what it showed. He said his flight director needle (raw) suddenly snapped from indicating full down to full up showing us low. He had not been xchking with other data and crossing altitudes and I initially had not monitored him enough while trying to get everything set up for the last min approach change. Conclusion and lessons: 1) xchk everything. 2) do not let ATC put you into a last min rushed situation. 3) as captain, I must strive to monitor my crew more closely with the basics like flying the aircraft and situational awareness.
Original NASA ASRS Text
Title: B727-100 FO DSNDED EARLY PRIOR TO THE ILS OM RESULTING IN APCH CTLR INTERVENTION AND INSTRUCTING FLC TO CLB BACK APCH ALT.
Narrative: AFTER A LONG, DIFFICULT NIGHT OF FLYING AND WX PROBS WE WERE ON APCH INTO MEM WITH ++RA AND TSTMS IN AREA. WE HAD BEEN TOLD TO EXPECT THE ILS TO RWY 18L AND HAD BRIEFED IT. ABOUT 10 MI FROM ARPT, WE WERE TOLD TO NOW EXPECT THE RWY 9 ILS. WE SCRAMBLED TO GET OUT, BRIEF AND SET UP FOR THE APCH. WHILE DOING THIS, THE FO WHO WAS THE PF, HAD EXTENDED THE SPD BRAKES TO LOSE THE EXTRA ALT WE NOW HAD FOR THE RWY 9 APCH AS WELL AS SLOW DOWN. AFTER ALL WAS SET UP, WE WERE GIVEN A VECTOR TO INTERCEPT THE RWY 9 ILS AND TO MAINTAIN 2000 FT UNTIL ESTABLISHED AND THEN CLRED FOR THE APCH. I WAS STILL BUSY TRYING TO GET A STRONG IDENT FROM THE LOM WHEN I NOTED THE FO HAD INTERCEPTED THE LOC AND WAS CONTINUING HIS DSCNT FROM 2000 FT. BOTH MY GS INDICATORS (FLT DIRECTOR AND HSI) SHOWED NO GS NEEDLES AT THIS POINT, BUT OUT OF THE CORNER OF MY EYE I NOTICED THE RADAR ALTIMETER NEEDLE START TO JUMP TOWARDS 1500 FT. JUST AS I REALIZED (WITH A NOW STRONG IDENT AND NEEDLE) THAT WE HAD NOT YET PASSED ELVIS LOM AND WE WERE NOW BELOW THE XING ALT OF 1415 FT AND WERE ABOUT TO TELL THE FO THAT WE WERE BELOW THE GS, APCH CALLED AND SAID WE WERE LOW AND TO CLB BACK TO 2000 FT. APPARENTLY WE WERE JUST SHORT OF XING BUDEE (IAF) WHICH IS TO BE CROSSED AT 2000 FT BEFORE DSCNT TO THE LOM XING ALT ABOUT .9 MI LATER. WE CLBED UP TOWARDS 2000 FT AND INTERCEPTED THE GS, FOLLOWED BY AN UNEVENTFUL LNDG. THE FO CLAIMS HIS FLT DIRECTOR (RAW DATA) GS NEEDLE WAS INDICATING HE WAS HIGH THE ENTIRE TIME UP TO 'I' AND APCH QUESTIONED IT. HE APPARENTLY DID NOT LOOK AT THE HSI GS INDICATOR SINCE HE COULD NOT ANSWER MY QUESTION AS TO WHAT IT SHOWED. HE SAID HIS FLT DIRECTOR NEEDLE (RAW) SUDDENLY SNAPPED FROM INDICATING FULL DOWN TO FULL UP SHOWING US LOW. HE HAD NOT BEEN XCHKING WITH OTHER DATA AND XING ALTS AND I INITIALLY HAD NOT MONITORED HIM ENOUGH WHILE TRYING TO GET EVERYTHING SET UP FOR THE LAST MIN APCH CHANGE. CONCLUSION AND LESSONS: 1) XCHK EVERYTHING. 2) DO NOT LET ATC PUT YOU INTO A LAST MIN RUSHED SIT. 3) AS CAPT, I MUST STRIVE TO MONITOR MY CREW MORE CLOSELY WITH THE BASICS LIKE FLYING THE ACFT AND SITUATIONAL AWARENESS.
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.