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|
Attributes | |
ACN | 544005 |
Time | |
Date | 200204 |
Day | Sun |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : gum.airport |
State Reference | GU |
Altitude | msl single value : 2000 |
Environment | |
Weather Elements | other |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tower : gum.tower tower : hou&.tower |
Operator | common carrier : air carrier |
Make Model Name | B737-800 |
Operating Under FAR Part | Part 121 |
Navigation In Use | ils localizer & glide slope : 6l other other Other |
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 : atp |
Experience | flight time last 90 days : 184.43 flight time total : 12000 flight time type : 184.43 |
ASRS Report | 544005 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | inflight encounter : weather inflight encounter other other anomaly other |
Independent Detector | aircraft equipment : gpws other flight crewa other flight crewb |
Resolutory Action | controller : issued new clearance flight crew : took evasive action flight crew : executed missed approach none taken : detected after the fact other |
Supplementary | |
Problem Areas | Aircraft ATC Human Performance FAA Flight Crew Human Performance |
Primary Problem | Aircraft |
Narrative:
After radar contact inbound to pgum on airway B586, ATC cleared us direct to the unz VOR and issued us a pilot's discretion descent clearance to 2000 ft. After crossing the guam shoreline descending through approximately 2400 ft, the GPWS announced a 'caution terrain' message. After leveling at 2000 ft, the GPWS announced a 'pull up, terrain' command. As we executed the pull up maneuver, ATC simultaneously issued us a clearance to turn left to a heading of 030 degrees and to climb to 2600 ft for vectors to the ILS runway 6L approach as we had not yet sighted the airport. We then flew the ILS runway 6L approach and landed. At the time of the GPWS activation, we were configured with flaps 5 degrees at the flaps 5 maneuvering speed with the landing gear retracted. The MVA of 2000 ft on this routing appears to be insufficient to prevent a GPWS activation. Suggest MVA altitudes be high enough to avoid GPWS activation. Even though the 2000 foot altitude assigned clears all terrain, it was insufficient to avoid GPWS activation in this instance. Callback conversation with reporter revealed the following information: the captain's aircraft was equipped with dual GPS receivers updating dual FMC's and triple IRU's. Also the aircraft has dual egpws systems with dual radio altimeter inputs. In short the latest and most sophisticated system it is possible to have. There was no evidence of any type of map shift. The approach was being flown at night entering the airport area from the ssw. The island area from this direction is a 'black hole' with no ground lights. When the egpws terrain warning sounded the crew followed the emergency procedure and began an emergency climb. He stated that this will really get your heart started. The captain reported the results of the company safety investigation as the minimum vectoring altitude is below the altitude that will cause the egpws to alarm. He strongly suggests the minimum vectoring altitude be raised so as to be compatible with the egpws system.
Original NASA ASRS Text
Title: B737-800 CREW EXECUTED AN EGPWS ESCAPE MANEUVER WITH AN EMER MAX RATE CLB UNTIL THE WARNING STOPPED. ACFT WAS ABOVE THE MINIMUM VECTORING ALT AT THE TIME OF OCCURRENCE.
Narrative: AFTER RADAR CONTACT INBOUND TO PGUM ON AIRWAY B586, ATC CLRED US DIRECT TO THE UNZ VOR AND ISSUED US A PLT'S DISCRETION DSCNT CLRNC TO 2000 FT. AFTER XING THE GUAM SHORELINE DSNDING THROUGH APPROX 2400 FT, THE GPWS ANNOUNCED A 'CAUTION TERRAIN' MSG. AFTER LEVELING AT 2000 FT, THE GPWS ANNOUNCED A 'PULL UP, TERRAIN' COMMAND. AS WE EXECUTED THE PULL UP MANEUVER, ATC SIMULTANEOUSLY ISSUED US A CLRNC TO TURN LEFT TO A HEADING OF 030 DEGS AND TO CLB TO 2600 FT FOR VECTORS TO THE ILS RWY 6L APCH AS WE HAD NOT YET SIGHTED THE ARPT. WE THEN FLEW THE ILS RWY 6L APCH AND LANDED. AT THE TIME OF THE GPWS ACTIVATION, WE WERE CONFIGURED WITH FLAPS 5 DEGS AT THE FLAPS 5 MANEUVERING SPEED WITH THE LNDG GEAR RETRACTED. THE MVA OF 2000 FT ON THIS ROUTING APPEARS TO BE INSUFFICIENT TO PREVENT A GPWS ACTIVATION. SUGGEST MVA ALTITUDES BE HIGH ENOUGH TO AVOID GPWS ACTIVATION. EVEN THOUGH THE 2000 FOOT ALTITUDE ASSIGNED CLRS ALL TERRAIN, IT WAS INSUFFICIENT TO AVOID GPWS ACTIVATION IN THIS INSTANCE. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE CAPT'S ACFT WAS EQUIPPED WITH DUAL GPS RECEIVERS UPDATING DUAL FMC'S AND TRIPLE IRU'S. ALSO THE ACFT HAS DUAL EGPWS SYSTEMS WITH DUAL RADIO ALTIMETER INPUTS. IN SHORT THE LATEST AND MOST SOPHISTICATED SYSTEM IT IS POSSIBLE TO HAVE. THERE WAS NO EVIDENCE OF ANY TYPE OF MAP SHIFT. THE APCH WAS BEING FLOWN AT NIGHT ENTERING THE ARPT AREA FROM THE SSW. THE ISLAND AREA FROM THIS DIRECTION IS A 'BLACK HOLE' WITH NO GND LIGHTS. WHEN THE EGPWS TERRAIN WARNING SOUNDED THE CREW FOLLOWED THE EMER PROC AND BEGAN AN EMER CLB. HE STATED THAT THIS WILL REALLY GET YOUR HEART STARTED. THE CAPT RPTED THE RESULTS OF THE COMPANY SAFETY INVESTIGATION AS THE MINIMUM VECTORING ALT IS BELOW THE ALT THAT WILL CAUSE THE EGPWS TO ALARM. HE STRONGLY SUGGESTS THE MINIMUM VECTORING ALT BE RAISED SO AS TO BE COMPATIBLE WITH THE EGPWS SYSTEM.
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.