37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 612243 |
Time | |
Date | 200403 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : mry.airport |
State Reference | CA |
Aircraft 1 | |
Controlling Facilities | tracon : nct.tracon tower : ewr.tower |
Operator | general aviation : corporate |
Make Model Name | Gulfstream V |
Operating Under FAR Part | Part 91 |
Navigation In Use | ils localizer & glide slope : 10r |
Flight Phase | descent : approach landing : missed approach |
Route In Use | approach : instrument precision arrival : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : multi engine |
Experience | flight time last 90 days : 75 flight time total : 8500 flight time type : 500 |
ASRS Report | 612243 |
Person 2 | |
Affiliation | company : corporate |
Function | flight crew : first officer |
Events | |
Anomaly | inflight encounter : weather non adherence : company policies non adherence : published procedure other anomaly |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | controller : issued new clearance flight crew : executed missed approach |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
The situation occurred while being vectored to the ILS runway 10R at mry. In the descent, passing 15000 ft and again at 10000 ft, I thought to myself that I was high. Instead of asking for a delayed vector, I continued the approach. After descending through 10000 ft, I seemed to get so focused on getting down that I lost all perspective of really how close I was to the airport. I broke through the cloud layer, but at that point I was already past the missed approach point and about 1000 ft past the approach end of the runway. I then executed the missed approach and came around for another approach with an uneventful landing. Several times, my co-pilot asked if I was going to get down, he was uncomfortable with the approach. I just responded, 'we will make it.' my persistence questioned his judgement. Several factors contributed to this incident: 1) my approach brief was inadequate, I did not discuss altitudes, at my FAF, minimums or the missed approach procedures. 2) my FMS was showing the course to the IAF then inbound, when in fact ATC had vectored us inside the IAF. Therefore my mileage to the airport was incorrect. I don't know why I didn't use the DME. 3) I totally disregarded my co-pilot's apprehension and his query of our altitude. I was so fixated on descending the aircraft that I just mumbled a standard response 'we'll make it.' I was fully configured and on both speed and localizer but not on glide. I should have briefed the approach more thoroughly and discussed the callouts in detail. I did not use all the information available to me regarding my position, especially my DME. The most important factor that I disregarded was the lack of agreement between the two of us, which should always call for a missed approach, or a hold, mutual conclusion, but never to continue.
Original NASA ASRS Text
Title: GLF5 CREW HAD AN UNSTABILIZED APCH ON THE ILS TO RWY 10R AT MRY.
Narrative: THE SIT OCCURRED WHILE BEING VECTORED TO THE ILS RWY 10R AT MRY. IN THE DSCNT, PASSING 15000 FT AND AGAIN AT 10000 FT, I THOUGHT TO MYSELF THAT I WAS HIGH. INSTEAD OF ASKING FOR A DELAYED VECTOR, I CONTINUED THE APCH. AFTER DSNDING THROUGH 10000 FT, I SEEMED TO GET SO FOCUSED ON GETTING DOWN THAT I LOST ALL PERSPECTIVE OF REALLY HOW CLOSE I WAS TO THE ARPT. I BROKE THROUGH THE CLOUD LAYER, BUT AT THAT POINT I WAS ALREADY PAST THE MISSED APCH POINT AND ABOUT 1000 FT PAST THE APCH END OF THE RWY. I THEN EXECUTED THE MISSED APCH AND CAME AROUND FOR ANOTHER APCH WITH AN UNEVENTFUL LNDG. SEVERAL TIMES, MY CO-PLT ASKED IF I WAS GOING TO GET DOWN, HE WAS UNCOMFORTABLE WITH THE APCH. I JUST RESPONDED, 'WE WILL MAKE IT.' MY PERSISTENCE QUESTIONED HIS JUDGEMENT. SEVERAL FACTORS CONTRIBUTED TO THIS INCIDENT: 1) MY APCH BRIEF WAS INADEQUATE, I DID NOT DISCUSS ALTS, AT MY FAF, MINIMUMS OR THE MISSED APCH PROCS. 2) MY FMS WAS SHOWING THE COURSE TO THE IAF THEN INBOUND, WHEN IN FACT ATC HAD VECTORED US INSIDE THE IAF. THEREFORE MY MILEAGE TO THE ARPT WAS INCORRECT. I DON'T KNOW WHY I DIDN'T USE THE DME. 3) I TOTALLY DISREGARDED MY CO-PLT'S APPREHENSION AND HIS QUERY OF OUR ALT. I WAS SO FIXATED ON DSNDING THE ACFT THAT I JUST MUMBLED A STANDARD RESPONSE 'WE'LL MAKE IT.' I WAS FULLY CONFIGURED AND ON BOTH SPD AND LOC BUT NOT ON GLIDE. I SHOULD HAVE BRIEFED THE APCH MORE THOROUGHLY AND DISCUSSED THE CALLOUTS IN DETAIL. I DID NOT USE ALL THE INFO AVAILABLE TO ME REGARDING MY POS, ESPECIALLY MY DME. THE MOST IMPORTANT FACTOR THAT I DISREGARDED WAS THE LACK OF AGREEMENT BTWN THE TWO OF US, WHICH SHOULD ALWAYS CALL FOR A MISSED APCH, OR A HOLD, MUTUAL CONCLUSION, BUT NEVER TO CONTINUE.
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.