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|
Attributes | |
ACN | 578498 |
Time | |
Date | 200304 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : cvg.airport |
State Reference | KY |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : cvg.tower |
Operator | common carrier : air carrier |
Make Model Name | Regional Jet CL65, Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | landing : roll |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 240 flight time total : 4000 flight time type : 2500 |
ASRS Report | 578498 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | aircraft equipment problem : critical incursion : landing without clearance non adherence : published procedure non adherence : clearance non adherence : company policies non adherence : far |
Independent Detector | other controllera |
Resolutory Action | flight crew : diverted to another airport |
Consequence | faa : reviewed incident with flight crew faa : investigated other |
Supplementary | |
Problem Areas | Flight Crew Human Performance Environmental Factor Aircraft ATC Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We landed in cvg on runway 36R without clearance from the tower, inadvertently. We had to return to cvg for a nuisance warning message (triple chime, aural warning 'anti ice duct') that would not go away. We were going to land close to our maximum landing weight, perhaps overweight. I was the PNF, the first officer was the PF. During approach and just outside the final approach fix, approach told us to slow as best we could to allow for a departure. We slowed as requested. Inside the FAF, we again reviewed that we were going to possibly land overweight and to keep the vsi less than 300 FPM, and that I would call out the vsi as we were touching down to help. Once again, we received the triple chime, aural warning 'anti ice duct' warning message. Our focus was obviously shifted from doing the task at hand to silencing this nuisance message. It distraction us. The distraction was such that neither myself nor the first officer recall approach handing us off to tower. As a matter of fact, we both swear it never happened (which is not an excuse, but shows we were distraction). The first officer called for the before landing check, I performed it as usual, but recall after the fact that I never said 'cleared to land.' I usually FLIP the 'recog light' switch as a reminder that we're cleared to land (as does 98% of us at this airline). After touchdown, approach told us to contact tower on 118.97, which I did. Immediately, we knew what had happened. I was then instructed to call the tower when we got in. We taxied to the gate uneventfully, and both the first officer and I realized we were so wrapped up in this nuisance aural message, we both neglected to fulfill our duties as crew members and to keep each other out of trouble. I called the tower, and they chastised me (as they had every right to), and told me 'no harm, no foul.' I was extremely embarrassed I had done this. Our performance was degraded due to the fact that we let the nuisance warning message detract us from our duties. It happened so easily. I was always one to think this would never happen to me, and it did. It is extremely important to stay focused on the task at hand -- flying the plane and putting all distrs out of the way. We both learned a valuable lesson and will be ever vigilant to never let this happen again. I would like to add that the warning message came on continually for about 15-20 mins, and several times during our approach.
Original NASA ASRS Text
Title: UPON RETURNING TO CVG, DUE TO ANTI-ICE DUCT WARNING ALARM, CL65 FLC LAND WITHOUT OBTAINING LNDG CLRNC.
Narrative: WE LANDED IN CVG ON RWY 36R WITHOUT CLRNC FROM THE TWR, INADVERTENTLY. WE HAD TO RETURN TO CVG FOR A NUISANCE WARNING MESSAGE (TRIPLE CHIME, AURAL WARNING 'ANTI ICE DUCT') THAT WOULD NOT GO AWAY. WE WERE GOING TO LAND CLOSE TO OUR MAX LNDG WT, PERHAPS OVERWT. I WAS THE PNF, THE FO WAS THE PF. DURING APCH AND JUST OUTSIDE THE FINAL APCH FIX, APCH TOLD US TO SLOW AS BEST WE COULD TO ALLOW FOR A DEP. WE SLOWED AS REQUESTED. INSIDE THE FAF, WE AGAIN REVIEWED THAT WE WERE GOING TO POSSIBLY LAND OVERWT AND TO KEEP THE VSI LESS THAN 300 FPM, AND THAT I WOULD CALL OUT THE VSI AS WE WERE TOUCHING DOWN TO HELP. ONCE AGAIN, WE RECEIVED THE TRIPLE CHIME, AURAL WARNING 'ANTI ICE DUCT' WARNING MESSAGE. OUR FOCUS WAS OBVIOUSLY SHIFTED FROM DOING THE TASK AT HAND TO SILENCING THIS NUISANCE MESSAGE. IT DISTR US. THE DISTR WAS SUCH THAT NEITHER MYSELF NOR THE FO RECALL APCH HANDING US OFF TO TWR. AS A MATTER OF FACT, WE BOTH SWEAR IT NEVER HAPPENED (WHICH IS NOT AN EXCUSE, BUT SHOWS WE WERE DISTR). THE FO CALLED FOR THE BEFORE LNDG CHK, I PERFORMED IT AS USUAL, BUT RECALL AFTER THE FACT THAT I NEVER SAID 'CLRED TO LAND.' I USUALLY FLIP THE 'RECOG LIGHT' SWITCH AS A REMINDER THAT WE'RE CLRED TO LAND (AS DOES 98% OF US AT THIS AIRLINE). AFTER TOUCHDOWN, APCH TOLD US TO CONTACT TWR ON 118.97, WHICH I DID. IMMEDIATELY, WE KNEW WHAT HAD HAPPENED. I WAS THEN INSTRUCTED TO CALL THE TWR WHEN WE GOT IN. WE TAXIED TO THE GATE UNEVENTFULLY, AND BOTH THE FO AND I REALIZED WE WERE SO WRAPPED UP IN THIS NUISANCE AURAL MESSAGE, WE BOTH NEGLECTED TO FULFILL OUR DUTIES AS CREW MEMBERS AND TO KEEP EACH OTHER OUT OF TROUBLE. I CALLED THE TWR, AND THEY CHASTISED ME (AS THEY HAD EVERY RIGHT TO), AND TOLD ME 'NO HARM, NO FOUL.' I WAS EXTREMELY EMBARRASSED I HAD DONE THIS. OUR PERFORMANCE WAS DEGRADED DUE TO THE FACT THAT WE LET THE NUISANCE WARNING MESSAGE DETRACT US FROM OUR DUTIES. IT HAPPENED SO EASILY. I WAS ALWAYS ONE TO THINK THIS WOULD NEVER HAPPEN TO ME, AND IT DID. IT IS EXTREMELY IMPORTANT TO STAY FOCUSED ON THE TASK AT HAND -- FLYING THE PLANE AND PUTTING ALL DISTRS OUT OF THE WAY. WE BOTH LEARNED A VALUABLE LESSON AND WILL BE EVER VIGILANT TO NEVER LET THIS HAPPEN AGAIN. I WOULD LIKE TO ADD THAT THE WARNING MESSAGE CAME ON CONTINUALLY FOR ABOUT 15-20 MINS, AND SEVERAL TIMES DURING OUR APCH.
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.