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|
Attributes | |
ACN | 600611 |
Time | |
Date | 200311 |
Day | Mon |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : bwi.airport |
State Reference | MD |
Altitude | msl single value : 2000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : pct.tracon |
Operator | general aviation : personal |
Make Model Name | PC-12 |
Operating Under FAR Part | Part 91 |
Navigation In Use | ils localizer & glide slope : 33r |
Flight Phase | descent : approach |
Route In Use | approach : instrument precision arrival : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | other |
Function | flight crew : first officer instruction : trainee |
Qualification | pilot : multi engine pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 11 flight time total : 28000 flight time type : 3 |
ASRS Report | 600611 |
Person 2 | |
Affiliation | other |
Function | flight crew : captain instruction : instructor oversight : pic |
Events | |
Anomaly | non adherence : published procedure other spatial deviation |
Independent Detector | atc equipment other atc equipment : radar other controllera |
Resolutory Action | controller : issued alert flight crew : became reoriented |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
This flight was the first IOE line training flight for the PF in the pilatus pc-12. A duty day that started at XA00 for 14.5 hours at time of event could have a bearing. ATIS was received indicating simultaneous ILS approachs for runway 33 bwi. PF briefed for an expected ILS approach to runway 33R. Approach control had us on a north heading until almost abeam the bwi airport. We were then 'cleared direct to the airport, maintain 2000 ft.' aircraft was on autoplt, heading and altitude hold at 2000 ft. Turned heading bug to 300 degrees direct to airport. On this heading, I began setting up for the ILS approach. In the process, after tuning the ILS frequency, I engaged the approach mode to prepare for a localizer intercept. After a min or two, I realized that I needed to have the inbound heading set and proceeded to rotate the course selector to the inbound heading. At some point during this setting, the approach mode captured and turned the aircraft to approximately 260 degrees. Upon completing the setup, in xchking with the moving map display, I noticed a considerable displacement east of the localizer and selected heading bug to turn back towards the airport. At this point, mind set on ILS, I stopped the heading bug just short of the OM (as displayed on the moving map display) for about a 1 mi intercept. Shortly thereafter, we received a call from approach asking our heading. The PNF attempted to reply. Immediately upon his response, we heard 'you are off course to the left, what are your intentions?' I disconnected the autoplt and initiated a turn to the right as the PNF again attempted contact. Suspecting the PNF was not selected to the approach communication, I keyed my microphone and attempted a reply with no response. Following that attempt the transmission, 'I see you are now descending, what are your intentions?' we had, in fact, descended to 1700 ft. I trimmed for nose up and arrested the descent, climb slightly. At this point, we had closed to a point high on the GS and I asked the PNF to change to tower and see if we could get them. Tower responded with a clearance to land. Fatigue, unfamiliarity with control locations, mindset on doing an ILS in spite of the VMC caused the PF to misinterp the clearance and subsequent deviation resulted.
Original NASA ASRS Text
Title: PCT CTLR ALERTS PC12 FO, ON IOE TRAINING FLT, OF COURSE AND ALTDEV AS THE FO INCORRECTLY UTILIZED AUTOFLT EQUIP ON APCH TO BWI.
Narrative: THIS FLT WAS THE FIRST IOE LINE TRAINING FLT FOR THE PF IN THE PILATUS PC-12. A DUTY DAY THAT STARTED AT XA00 FOR 14.5 HRS AT TIME OF EVENT COULD HAVE A BEARING. ATIS WAS RECEIVED INDICATING SIMULTANEOUS ILS APCHS FOR RWY 33 BWI. PF BRIEFED FOR AN EXPECTED ILS APCH TO RWY 33R. APCH CTL HAD US ON A N HDG UNTIL ALMOST ABEAM THE BWI ARPT. WE WERE THEN 'CLRED DIRECT TO THE ARPT, MAINTAIN 2000 FT.' ACFT WAS ON AUTOPLT, HDG AND ALT HOLD AT 2000 FT. TURNED HDG BUG TO 300 DEGS DIRECT TO ARPT. ON THIS HDG, I BEGAN SETTING UP FOR THE ILS APCH. IN THE PROCESS, AFTER TUNING THE ILS FREQ, I ENGAGED THE APCH MODE TO PREPARE FOR A LOC INTERCEPT. AFTER A MIN OR TWO, I REALIZED THAT I NEEDED TO HAVE THE INBOUND HDG SET AND PROCEEDED TO ROTATE THE COURSE SELECTOR TO THE INBOUND HDG. AT SOME POINT DURING THIS SETTING, THE APCH MODE CAPTURED AND TURNED THE ACFT TO APPROX 260 DEGS. UPON COMPLETING THE SETUP, IN XCHKING WITH THE MOVING MAP DISPLAY, I NOTICED A CONSIDERABLE DISPLACEMENT E OF THE LOC AND SELECTED HDG BUG TO TURN BACK TOWARDS THE ARPT. AT THIS POINT, MIND SET ON ILS, I STOPPED THE HDG BUG JUST SHORT OF THE OM (AS DISPLAYED ON THE MOVING MAP DISPLAY) FOR ABOUT A 1 MI INTERCEPT. SHORTLY THEREAFTER, WE RECEIVED A CALL FROM APCH ASKING OUR HDG. THE PNF ATTEMPTED TO REPLY. IMMEDIATELY UPON HIS RESPONSE, WE HEARD 'YOU ARE OFF COURSE TO THE L, WHAT ARE YOUR INTENTIONS?' I DISCONNECTED THE AUTOPLT AND INITIATED A TURN TO THE R AS THE PNF AGAIN ATTEMPTED CONTACT. SUSPECTING THE PNF WAS NOT SELECTED TO THE APCH COM, I KEYED MY MIKE AND ATTEMPTED A REPLY WITH NO RESPONSE. FOLLOWING THAT ATTEMPT THE XMISSION, 'I SEE YOU ARE NOW DSNDING, WHAT ARE YOUR INTENTIONS?' WE HAD, IN FACT, DSNDED TO 1700 FT. I TRIMMED FOR NOSE UP AND ARRESTED THE DSCNT, CLB SLIGHTLY. AT THIS POINT, WE HAD CLOSED TO A POINT HIGH ON THE GS AND I ASKED THE PNF TO CHANGE TO TWR AND SEE IF WE COULD GET THEM. TWR RESPONDED WITH A CLRNC TO LAND. FATIGUE, UNFAMILIARITY WITH CTL LOCATIONS, MINDSET ON DOING AN ILS IN SPITE OF THE VMC CAUSED THE PF TO MISINTERP THE CLRNC AND SUBSEQUENT DEV RESULTED.
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.