37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 541269 |
Time | |
Date | 200201 |
Day | Tue |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : tus.airport |
State Reference | AZ |
Altitude | msl single value : 6000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : u90.tracon |
Operator | common carrier : air carrier |
Make Model Name | B737-400 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | descent : approach |
Route In Use | approach : visual |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 200 flight time total : 18000 flight time type : 2000 |
ASRS Report | 541269 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | inflight encounter : weather inflight encounter other non adherence : company policies non adherence : far non adherence : published procedure other anomaly other other spatial deviation |
Independent Detector | aircraft equipment : gpws other flight crewa other flight crewb |
Resolutory Action | flight crew : became reoriented flight crew : took evasive action none taken : detected after the fact other |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
Clear night, on vectors to intercept the localizer for runway 11L at tus. Level at 6000 ft, approximately 18 mi out, heading approximately 070 degrees and crossing the 290-295 degree radial of tus, the egpws gave a 'terrain, terrain' warning due to the 4682 ft peak just south of the localizer at 15 mi. What happened: the controller gave, and we accepted, a visual approach to runway 11L while we were approximately 18 mi out. The first officer (PF) began a normal descent for landing prior to intercepting the localizer. Mistake #1: as we were anticipating a visual, the runway 11L ILS approach was not thoroughly briefed. If it had been, the 4682 ft peak would have been noted. Mistake #2: due to a long day, some fatigue, complacency, and a clear night with unlimited visibility, we accepted a visual too far out and began a visual descent too soon. Mistake #3: ATC approach controller 'set us up' for a catastrophe by offering a visual outside of the peak. Why not wait until we were inside of it? The good news: technology saved the day! (...And precluded a CFIT accident).
Original NASA ASRS Text
Title: B737-400 CREW RECEIVED AN EGPWS 'TERRAIN, TERRAIN' WARNING WHILE FLYING A VISUAL APCH TO TUS RWY 11L AT NIGHT.
Narrative: CLR NIGHT, ON VECTORS TO INTERCEPT THE LOC FOR RWY 11L AT TUS. LEVEL AT 6000 FT, APPROX 18 MI OUT, HDG APPROX 070 DEGS AND XING THE 290-295 DEG RADIAL OF TUS, THE EGPWS GAVE A 'TERRAIN, TERRAIN' WARNING DUE TO THE 4682 FT PEAK JUST S OF THE LOC AT 15 MI. WHAT HAPPENED: THE CTLR GAVE, AND WE ACCEPTED, A VISUAL APCH TO RWY 11L WHILE WE WERE APPROX 18 MI OUT. THE FO (PF) BEGAN A NORMAL DSCNT FOR LNDG PRIOR TO INTERCEPTING THE LOC. MISTAKE #1: AS WE WERE ANTICIPATING A VISUAL, THE RWY 11L ILS APCH WAS NOT THOROUGHLY BRIEFED. IF IT HAD BEEN, THE 4682 FT PEAK WOULD HAVE BEEN NOTED. MISTAKE #2: DUE TO A LONG DAY, SOME FATIGUE, COMPLACENCY, AND A CLR NIGHT WITH UNLIMITED VISIBILITY, WE ACCEPTED A VISUAL TOO FAR OUT AND BEGAN A VISUAL DSCNT TOO SOON. MISTAKE #3: ATC APCH CTLR 'SET US UP' FOR A CATASTROPHE BY OFFERING A VISUAL OUTSIDE OF THE PEAK. WHY NOT WAIT UNTIL WE WERE INSIDE OF IT? THE GOOD NEWS: TECHNOLOGY SAVED THE DAY! (...AND PRECLUDED A CFIT ACCIDENT).
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.