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Attributes | |
ACN | 575116 |
Time | |
Date | 200302 |
Day | Sun |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : czqx.artcc |
State Reference | NF |
Altitude | msl single value : 33000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : czqx.artcc |
Operator | common carrier : air carrier |
Make Model Name | B747-200 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | cruise : level |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : cfi pilot : atp |
Experience | flight time last 90 days : 140 flight time total : 8000 flight time type : 1000 |
ASRS Report | 575116 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | non adherence : published procedure non adherence : far non adherence : company policies non adherence : clearance other spatial deviation |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | flight crew : returned to intended or assigned course none taken : detected after the fact other |
Supplementary | |
Problem Areas | Flight Crew Human Performance Aircraft |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
I was operating as the captain (PIC) of an augmented crew (1 captain, 2 first officer's, 2 flight engineer's) of a B747 flight operating in the north atlantic track system. I decided to take rest after we received our oceanic clearance and was relieved by a type rated relief officer. Approximately 40 mins after being relieved, I was called to the cockpit and told that the aircraft was not responding to the INS. By this time we were displaced approximately 30 NM north of our intended track and still on a diverging course. I determined that the autoplt was not responding because the autoplt was accidentally engaged in control wheel steering. The aircraft apparently crossed the oceanic entry point in control wheel steering and because control wheel steering is a basic autoplt mode, it continued on the prior heading instead of making an approximately 8 degree heading change. The PNF was plotting the flight on a north atlantic plotting chart and caught the navigation error when he made his 2 degree plot per the company SOP, however, neither pilot was able to identify and rectify the situation and they called me up to the cockpit. Thankfully, we were operating in the nats at an off peak time and there was no traffic conflict. Contributing factors to this event were; 1) lack of this particular autoplt system. It gives the flight crew little notice that it has reverted to control wheel steering from command. All it takes is a few pounds of pressure on the yoke and it reverts to control wheel steering. We think that the relief pilot bumped the yoke while taking his seat and thus the autoplt reverted to control wheel steering. There is no aural warning when this happens. In fact, the only way to tell that the autoplt is out of command (other than the autoplt switch position) is the autoplt annunciator panel green navigation flag disappears, no red/amber flags/lights.
Original NASA ASRS Text
Title: A GROSS NAV ERROR ON THE NORTH ATLANTIC TRACKS DUE TO AN UNRECOGNIZED AUTOPLT MODE.
Narrative: I WAS OPERATING AS THE CAPT (PIC) OF AN AUGMENTED CREW (1 CAPT, 2 FO'S, 2 FE'S) OF A B747 FLT OPERATING IN THE NORTH ATLANTIC TRACK SYS. I DECIDED TO TAKE REST AFTER WE RECEIVED OUR OCEANIC CLRNC AND WAS RELIEVED BY A TYPE RATED RELIEF OFFICER. APPROX 40 MINS AFTER BEING RELIEVED, I WAS CALLED TO THE COCKPIT AND TOLD THAT THE ACFT WAS NOT RESPONDING TO THE INS. BY THIS TIME WE WERE DISPLACED APPROX 30 NM N OF OUR INTENDED TRACK AND STILL ON A DIVERGING COURSE. I DETERMINED THAT THE AUTOPLT WAS NOT RESPONDING BECAUSE THE AUTOPLT WAS ACCIDENTALLY ENGAGED IN CTL WHEEL STEERING. THE ACFT APPARENTLY CROSSED THE OCEANIC ENTRY POINT IN CTL WHEEL STEERING AND BECAUSE CTL WHEEL STEERING IS A BASIC AUTOPLT MODE, IT CONTINUED ON THE PRIOR HDG INSTEAD OF MAKING AN APPROX 8 DEG HDG CHANGE. THE PNF WAS PLOTTING THE FLT ON A NORTH ATLANTIC PLOTTING CHART AND CAUGHT THE NAV ERROR WHEN HE MADE HIS 2 DEG PLOT PER THE COMPANY SOP, HOWEVER, NEITHER PLT WAS ABLE TO IDENT AND RECTIFY THE SIT AND THEY CALLED ME UP TO THE COCKPIT. THANKFULLY, WE WERE OPERATING IN THE NATS AT AN OFF PEAK TIME AND THERE WAS NO TFC CONFLICT. CONTRIBUTING FACTORS TO THIS EVENT WERE; 1) LACK OF THIS PARTICULAR AUTOPLT SYS. IT GIVES THE FLT CREW LITTLE NOTICE THAT IT HAS REVERTED TO CTL WHEEL STEERING FROM COMMAND. ALL IT TAKES IS A FEW LBS OF PRESSURE ON THE YOKE AND IT REVERTS TO CTL WHEEL STEERING. WE THINK THAT THE RELIEF PLT BUMPED THE YOKE WHILE TAKING HIS SEAT AND THUS THE AUTOPLT REVERTED TO CTL WHEEL STEERING. THERE IS NO AURAL WARNING WHEN THIS HAPPENS. IN FACT, THE ONLY WAY TO TELL THAT THE AUTOPLT IS OUT OF COMMAND (OTHER THAN THE AUTOPLT SWITCH POS) IS THE AUTOPLT ANNUNCIATOR PANEL GREEN NAV FLAG DISAPPEARS, NO RED/AMBER FLAGS/LIGHTS.
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.