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|
Attributes | |
ACN | 603317 |
Time | |
Date | 200312 |
Day | Tue |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | navaid : pdz.vortac |
State Reference | CA |
Altitude | msl single value : 6000 |
Environment | |
Flight Conditions | VMC |
Weather Elements | Turbulence |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : sct.tracon |
Operator | general aviation : personal |
Make Model Name | M-20 K (231) |
Operating Under FAR Part | Part 91 |
Navigation In Use | other other vortac |
Flight Phase | cruise : level |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | tracon : sct.tracon |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Flight Phase | cruise : level |
Person 1 | |
Affiliation | other |
Function | flight crew : single pilot |
Qualification | pilot : instrument |
Experience | flight time last 90 days : 5 flight time total : 2175 flight time type : 1400 |
ASRS Report | 603317 |
Events | |
Anomaly | aircraft equipment problem : critical conflict : airborne less severe maintenance problem : improper maintenance non adherence : far non adherence : published procedure other spatial deviation |
Independent Detector | aircraft equipment other aircraft equipment : s-transponder link conflict alert other flight crewa other other : 4 |
Resolutory Action | controller : issued new clearance controller : issued alert |
Consequence | other |
Miss Distance | horizontal : 6000 vertical : 200 |
Factors | |
Maintenance | performance deficiency : installation performance deficiency : inspection performance deficiency : repair |
Supplementary | |
Problem Areas | Maintenance Human Performance Flight Crew Human Performance Aircraft |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
On a flight from sdl to smo, we were approaching the pdz VOR and both the backup attitude gyro and HSI were giving readings. We had just experienced some light chop. The attitude gyro slowly showed a 10 degree nose down and 15 degree turn to the right. I was already troubleshooting the HSI that was showing a heading flag and was not responding to turns. I was tracking the GPS and attempting to disregard the off-line HSI and the now wavering attitude gyro. In addition, I was dealing with separation issues with 2 aircraft that were generating conflict alerts on the GPS/south transponder link. Both aircraft were less than 1 mi and less than 200 ft separation. While dealing with the above issues, the autoplt was still linked to the HSI and the aircraft deviated from the assigned course. ATC gave us a vector to return to course. I requested an additional vector from ATC before the 2 gyro failures were isolated and proper navigation was re-established. After landing and examining the HSI, it was found that the plug on the back of the HSI was not plugged in all the way. The HSI was recently removed from the aircraft and reinstalled. The attitude gyro was removed and sent to FBO for repairs. The attitude gyro has had a history of problems. This aircraft was OTS for the past 4 months due to a new engine install. This was the 4TH hour on the new engine. As unlikely as it may appear, both gyros were taken off line by some light chop due to mechanical and human problems. The heavy workload saturated my ability to stay on course for a few mins.
Original NASA ASRS Text
Title: MOONEY 231 PLT HAD A MALFUNCTIONING INST VACUUM SYS THAT CAUSED PROBS WITH THE ATTITUDE INDICATOR AND HORIZ SIT INDICATOR.
Narrative: ON A FLT FROM SDL TO SMO, WE WERE APCHING THE PDZ VOR AND BOTH THE BACKUP ATTITUDE GYRO AND HSI WERE GIVING READINGS. WE HAD JUST EXPERIENCED SOME LIGHT CHOP. THE ATTITUDE GYRO SLOWLY SHOWED A 10 DEG NOSE DOWN AND 15 DEG TURN TO THE R. I WAS ALREADY TROUBLESHOOTING THE HSI THAT WAS SHOWING A HDG FLAG AND WAS NOT RESPONDING TO TURNS. I WAS TRACKING THE GPS AND ATTEMPTING TO DISREGARD THE OFF-LINE HSI AND THE NOW WAVERING ATTITUDE GYRO. IN ADDITION, I WAS DEALING WITH SEPARATION ISSUES WITH 2 ACFT THAT WERE GENERATING CONFLICT ALERTS ON THE GPS/S XPONDER LINK. BOTH ACFT WERE LESS THAN 1 MI AND LESS THAN 200 FT SEPARATION. WHILE DEALING WITH THE ABOVE ISSUES, THE AUTOPLT WAS STILL LINKED TO THE HSI AND THE ACFT DEVIATED FROM THE ASSIGNED COURSE. ATC GAVE US A VECTOR TO RETURN TO COURSE. I REQUESTED AN ADDITIONAL VECTOR FROM ATC BEFORE THE 2 GYRO FAILURES WERE ISOLATED AND PROPER NAV WAS RE-ESTABLISHED. AFTER LNDG AND EXAMINING THE HSI, IT WAS FOUND THAT THE PLUG ON THE BACK OF THE HSI WAS NOT PLUGGED IN ALL THE WAY. THE HSI WAS RECENTLY REMOVED FROM THE ACFT AND REINSTALLED. THE ATTITUDE GYRO WAS REMOVED AND SENT TO FBO FOR REPAIRS. THE ATTITUDE GYRO HAS HAD A HISTORY OF PROBS. THIS ACFT WAS OTS FOR THE PAST 4 MONTHS DUE TO A NEW ENG INSTALL. THIS WAS THE 4TH HR ON THE NEW ENG. AS UNLIKELY AS IT MAY APPEAR, BOTH GYROS WERE TAKEN OFF LINE BY SOME LIGHT CHOP DUE TO MECHANICAL AND HUMAN PROBS. THE HVY WORKLOAD SATURATED MY ABILITY TO STAY ON COURSE FOR A FEW MINS.
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.