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Attributes | |
ACN | 602247 |
Time | |
Date | 200312 |
Day | Fri |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | msl bound lower : 12000 msl bound upper : 20000 |
Environment | |
Flight Conditions | IMC |
Weather Elements | Ice Snow |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zzz.artcc |
Operator | common carrier : air taxi |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 135 |
Navigation In Use | ils localizer & glide slope : 21 |
Flight Phase | cruise : level descent : intermediate altitude descent : approach |
Route In Use | approach : instrument precision |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air taxi |
Function | flight crew : single pilot |
Qualification | controller : radar pilot : atp |
Experience | controller military : 4 controller non radar : 10 controller radar : 10 flight time last 90 days : 150 flight time total : 4600 flight time type : 1000 |
ASRS Report | 602247 |
Person 2 | |
Affiliation | company : air taxi |
Function | observation : passenger other personnel other |
Events | |
Anomaly | aircraft equipment problem : critical inflight encounter : weather |
Independent Detector | other flight crewa |
Resolutory Action | controller : issued new clearance flight crew : diverted to another airport |
Consequence | faa : reviewed incident with flight crew other |
Supplementary | |
Problem Areas | Aircraft Weather Flight Crew Human Performance |
Primary Problem | Aircraft |
Air Traffic Incident | Pilot Deviation |
Narrative:
On the morning of dec/fri/03, I had an air ambulance part 135 flight out of ZZZ2 to ZZZ3. Filed IFR flight plan with ZZZ FSS, departing ZZZ2 at XA30. Total passenger on board, including pilot, were 4. Visibility was approximately 3 mi with blowing snow. Temperature was approximately 20 degrees F. Climbing to an altitude of FL200, contacted ZZZ2 center (127.55). Was cleared to ZZZ3 via direct, climb and maintain FL200. I noticed the ceiling during climb out to be approximately 3000-4000 ft, out elevation was 5571 ft. Upon verifying all checklist items to this point, I arrived at FL200. I was using anti-ice and de-ice equipment, due to the elements. Windshield heat was on normal, both sides. At 58 NM due east of ZZZ, I heard a high pitch noise coming from the windshield area. Pressurization was normal. Then a noise, similar to ice coming off the propellers, against the fuselage, except at a louder volume. I noticed the copilot's windshield had 'spider webbed.' I couldn't confirm whether it was an inner pane or outer pane. I notified ZZZ center, and explained the situation, asked for lower altitude and diversion to ZZZ. I was asked if situation was an emergency stated 'not at this time!' was given clearance to 12000 ft, direct intersection, to proceed with ILS to runway 21. No additional traffic in the area. ZZZ tower is closed after XA00. Arriving at 12000 ft and proceeding to intersection, I entered total IMC. There is a mountain just east of the ILS course that peaks out at 13000 ft. If one doesn't find that lead radial off of ZZZ VOR, it could result in grave consequences. I started the approach and something 'didn't feel right.' my instincts had me climb and proceed eastward. Contacted by center 124.50, I explained what was happening and currently was 'VFR on top' at 14500 ft. This is not the missed approach procedure intended for this airport. But being very familiar with the surrounding terrain, I flew the aircraft and located a more stable area. Center then cleared me again for the ILS 21 to ZZZ. I proceeded and then found the airport and landed. No further incident. Was asked to call center and explain my actions! I'm totally aware of the ILS 21 procedure, and have flown this approximately 20 times. I felt with what had happened to the windshield, the WX conditions, my concerns for my medical crew and the patient, and concentration on flying the aircraft were an increased workload, and initially my total concentration wasn't on the approach, and I took evasive maneuvers to buy time, to gain this composure to complete the approach. This ILS 21 to ZZZ is not a very pleasant IFR, and the missed approach isn't much better. I don't know why they don't move ILS to runway 3, and missed approach being climb right turn and proceed to ZZZ VOR and hold. That mountain stays in your mind, when IFR conditions exist. I just feel the FAA should get involved in a study of the approach and determine if changing would be in the best interests of safety. During normal IFR, this approach isn't bad, but under conditions of IMC and possible aircraft emergency, this is one more thought in your head.
Original NASA ASRS Text
Title: SMA PLT HAD A R WINDSHIELD FAILURE. THERE MAY HAVE BEEN A PRESSURIZATION LEAK ASSOCIATED WITH THE WINDSHIELD FAILURE.
Narrative: ON THE MORNING OF DEC/FRI/03, I HAD AN AIR AMBULANCE PART 135 FLT OUT OF ZZZ2 TO ZZZ3. FILED IFR FLT PLAN WITH ZZZ FSS, DEPARTING ZZZ2 AT XA30. TOTAL PAX ON BOARD, INCLUDING PLT, WERE 4. VISIBILITY WAS APPROX 3 MI WITH BLOWING SNOW. TEMP WAS APPROX 20 DEGS F. CLBING TO AN ALT OF FL200, CONTACTED ZZZ2 CTR (127.55). WAS CLRED TO ZZZ3 VIA DIRECT, CLB AND MAINTAIN FL200. I NOTICED THE CEILING DURING CLBOUT TO BE APPROX 3000-4000 FT, OUT ELEVATION WAS 5571 FT. UPON VERIFYING ALL CHKLIST ITEMS TO THIS POINT, I ARRIVED AT FL200. I WAS USING ANTI-ICE AND DE-ICE EQUIP, DUE TO THE ELEMENTS. WINDSHIELD HEAT WAS ON NORMAL, BOTH SIDES. AT 58 NM DUE E OF ZZZ, I HEARD A HIGH PITCH NOISE COMING FROM THE WINDSHIELD AREA. PRESSURIZATION WAS NORMAL. THEN A NOISE, SIMILAR TO ICE COMING OFF THE PROPS, AGAINST THE FUSELAGE, EXCEPT AT A LOUDER VOLUME. I NOTICED THE COPLT'S WINDSHIELD HAD 'SPIDER WEBBED.' I COULDN'T CONFIRM WHETHER IT WAS AN INNER PANE OR OUTER PANE. I NOTIFIED ZZZ CTR, AND EXPLAINED THE SIT, ASKED FOR LOWER ALT AND DIVERSION TO ZZZ. I WAS ASKED IF SIT WAS AN EMER STATED 'NOT AT THIS TIME!' WAS GIVEN CLRNC TO 12000 FT, DIRECT INTXN, TO PROCEED WITH ILS TO RWY 21. NO ADDITIONAL TFC IN THE AREA. ZZZ TWR IS CLOSED AFTER XA00. ARRIVING AT 12000 FT AND PROCEEDING TO INTXN, I ENTERED TOTAL IMC. THERE IS A MOUNTAIN JUST E OF THE ILS COURSE THAT PEAKS OUT AT 13000 FT. IF ONE DOESN'T FIND THAT LEAD RADIAL OFF OF ZZZ VOR, IT COULD RESULT IN GRAVE CONSEQUENCES. I STARTED THE APCH AND SOMETHING 'DIDN'T FEEL RIGHT.' MY INSTINCTS HAD ME CLB AND PROCEED EASTWARD. CONTACTED BY CTR 124.50, I EXPLAINED WHAT WAS HAPPENING AND CURRENTLY WAS 'VFR ON TOP' AT 14500 FT. THIS IS NOT THE MISSED APCH PROC INTENDED FOR THIS ARPT. BUT BEING VERY FAMILIAR WITH THE SURROUNDING TERRAIN, I FLEW THE ACFT AND LOCATED A MORE STABLE AREA. CTR THEN CLRED ME AGAIN FOR THE ILS 21 TO ZZZ. I PROCEEDED AND THEN FOUND THE ARPT AND LANDED. NO FURTHER INCIDENT. WAS ASKED TO CALL CTR AND EXPLAIN MY ACTIONS! I'M TOTALLY AWARE OF THE ILS 21 PROC, AND HAVE FLOWN THIS APPROX 20 TIMES. I FELT WITH WHAT HAD HAPPENED TO THE WINDSHIELD, THE WX CONDITIONS, MY CONCERNS FOR MY MEDICAL CREW AND THE PATIENT, AND CONCENTRATION ON FLYING THE ACFT WERE AN INCREASED WORKLOAD, AND INITIALLY MY TOTAL CONCENTRATION WASN'T ON THE APCH, AND I TOOK EVASIVE MANEUVERS TO BUY TIME, TO GAIN THIS COMPOSURE TO COMPLETE THE APCH. THIS ILS 21 TO ZZZ IS NOT A VERY PLEASANT IFR, AND THE MISSED APCH ISN'T MUCH BETTER. I DON'T KNOW WHY THEY DON'T MOVE ILS TO RWY 3, AND MISSED APCH BEING CLB R TURN AND PROCEED TO ZZZ VOR AND HOLD. THAT MOUNTAIN STAYS IN YOUR MIND, WHEN IFR CONDITIONS EXIST. I JUST FEEL THE FAA SHOULD GET INVOLVED IN A STUDY OF THE APCH AND DETERMINE IF CHANGING WOULD BE IN THE BEST INTERESTS OF SAFETY. DURING NORMAL IFR, THIS APCH ISN'T BAD, BUT UNDER CONDITIONS OF IMC AND POSSIBLE ACFT EMER, THIS IS ONE MORE THOUGHT IN YOUR HEAD.
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.