37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 543464 |
Time | |
Date | 200204 |
Day | Wed |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | intersection : brand |
State Reference | NJ |
Altitude | msl bound lower : 11000 msl bound upper : 13000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : n90.tracon |
Operator | common carrier : air carrier |
Make Model Name | Do 328 TP (Turboprop) |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | descent : approach descent : intermediate altitude |
Route In Use | arrival star : korry 1 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : cfi pilot : multi engine |
Experience | flight time last 90 days : 210 flight time total : 4300 flight time type : 650 |
ASRS Report | 543464 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : commercial pilot : cfi |
Experience | flight time last 90 days : 235 flight time total : 2200 flight time type : 1100 |
ASRS Report | 543026 |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : crossing restriction not met altitude deviation : undershoot non adherence : clearance non adherence : company policies non adherence : far non adherence : published procedure other anomaly other |
Independent Detector | other flight crewb |
Resolutory Action | controller : issued new clearance flight crew : overrode automation none taken : detected after the fact other |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance Airspace Structure |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We had been cleared to descend via the korry one arrival. As per our training I selected 10000 ft on our altitude selector (we were currently at fl 270) armed the VNAV function or our autoplt and checked all altitudes in the FMS to ensure they matched the crossing restrs published in the arrival. The autoplt captured the 'vpath' and began descending on schedule and my first officer and I continued with our descent duties. A few mins later while my first officer was briefing the approach at lea. We both looked up and noticed the autoplt had held us at 13000 ft (the 'at our above altitude' at holey) even though we were currently passing over brand and should have been at 11000 ft. I informed the controller that our FMS was giving us problems and that we were unsure if we could make the 10000 ft restr at korry at this point. She told us to simply descend to 8000 ft with a good rate down. We complied using vs mode (vertical speed mode, independent of the FMS). I am unsure why the FMS locked us up at 13000 ft. Upon further troubleshooting it may have been due to the fact that the 'performance initialization' page had a descent angle programmed in which was too shallow to allow both 13000 ft at holey and 11000 ft at brand. The FMS was aware that it had become too high since it's glide slope indication was full-scale at the bottom of the flight display. The ultimate cause of the failure to adhere to the crossing restr is of course the flight crew. It is easy to become complacent in a state-of-the-art cockpit. Indeed I have flown this arrival with the FMS dozens of times without a mishap.
Original NASA ASRS Text
Title: D328 CREW DID NOT COMPLY WITH A CHARTED CROSSING ALT RESTR WHILE FLYING A VNAV DESCENT, ON THE KORRY ONE STAR, INTO LGA.
Narrative: WE HAD BEEN CLRED TO DESCEND VIA THE KORRY ONE ARR. AS PER OUR TRAINING I SELECTED 10000 FT ON OUR ALTITUDE SELECTOR (WE WERE CURRENTLY AT FL 270) ARMED THE VNAV FUNCTION OR OUR AUTOPLT AND CHKED ALL ALTITUDES IN THE FMS TO ENSURE THEY MATCHED THE CROSSING RESTRS PUBLISHED IN THE ARRIVAL. THE AUTOPLT CAPTURED THE 'VPATH' AND BEGAN DESCENDING ON SCHEDULE AND MY FO AND I CONTINUED WITH OUR DESCENT DUTIES. A FEW MINS LATER WHILE MY FO WAS BRIEFING THE APCH AT LEA. WE BOTH LOOKED UP AND NOTICED THE AUTOPLT HAD HELD US AT 13000 FT (THE 'AT OUR ABOVE ALTITUDE' AT HOLEY) EVEN THOUGH WE WERE CURRENTLY PASSING OVER BRAND AND SHOULD HAVE BEEN AT 11000 FT. I INFORMED THE CTLR THAT OUR FMS WAS GIVING US PROBS AND THAT WE WERE UNSURE IF WE COULD MAKE THE 10000 FT RESTR AT KORRY AT THIS POINT. SHE TOLD US TO SIMPLY DESCEND TO 8000 FT WITH A GOOD RATE DOWN. WE COMPLIED USING VS MODE (VERTICAL SPEED MODE, INDEPENDENT OF THE FMS). I AM UNSURE WHY THE FMS LOCKED US UP AT 13000 FT. UPON FURTHER TROUBLESHOOTING IT MAY HAVE BEEN DUE TO THE FACT THAT THE 'PERFORMANCE INITIALIZATION' PAGE HAD A DESCENT ANGLE PROGRAMMED IN WHICH WAS TOO SHALLOW TO ALLOW BOTH 13000 FT AT HOLEY AND 11000 FT AT BRAND. THE FMS WAS AWARE THAT IT HAD BECOME TOO HIGH SINCE IT'S GLIDE SLOPE INDICATION WAS FULL-SCALE AT THE BOTTOM OF THE FLT DISPLAY. THE ULTIMATE CAUSE OF THE FAILURE TO ADHERE TO THE CROSSING RESTR IS OF COURSE THE FLT CREW. IT IS EASY TO BECOME COMPLACENT IN A STATE-OF-THE-ART COCKPIT. INDEED I HAVE FLOWN THIS ARR WITH THE FMS DOZENS OF TIMES WITHOUT A MISHAP.
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.