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|
Attributes | |
ACN | 613494 |
Time | |
Date | 200404 |
Day | Wed |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : las.airport |
State Reference | NV |
Altitude | msl single value : 3500 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tower : las.tower |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Flight Phase | descent : approach |
Route In Use | approach : visual |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : commercial |
Experience | flight time last 90 days : 345 flight time total : 7000 flight time type : 4000 |
ASRS Report | 613494 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | conflict : airborne critical non adherence : required legal separation non adherence : clearance other spatial deviation |
Independent Detector | aircraft equipment : tcas other flight crewa |
Resolutory Action | none taken : insufficient time |
Miss Distance | horizontal : 0 vertical : 311 |
Supplementary | |
Problem Areas | ATC Human Performance Airport Airspace Structure Environmental Factor Flight Crew Human Performance Navigational Facility |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Situations | |
ATC Facility | other physical facility procedure or policy : las.tower |
Narrative:
We overflew the stratosphere tower, turning final from right base to runway 19L during late night visual approach at las. Our altitude was 3500 ft assigned by approach controller until clear of tower, autoplt engaged, level, gear/F15. At the same time, TCASII TA (-03 'traffic') in close proximity to our aircraft. GPWS activated/in use. No warnings issued/hazards depicted. Captain was PF. On kepec arrival, initially told to expect runway 25L. Vectored off arrival after kepec at 12000 ft for vectors to runway 19L. Told to find stratosphere. In sight, directed to maintain 3500 ft until past, cleared visual runway 19L. With the building at approximately 2 O'clock position, 1 mi, PF made abrupt 45 degree right turn. TA activated shortly after. I was caught off guard by the sudden turn, then the TA, and a brief discussion ensued as to PF intent. Dark airport footprint visible, but runway 19L/right not yet in sight from the 90 degree base leg prior to the 45 degree turn. PF thought we were going to overshoot final as reason for turn, attention was channeled on acquiring the runway and was slightly confused as to aircraft and runway relative position. With autoplt engaged/level at assigned altitude, there was no sense of danger of collision with buildings, and with TA activation, attempting to acquire visual on runway and determine PF intent/actions, I did not notice our flight path taking us directly over the stratosphere until too late to alter course. Soon after acquired visual on runway, landed without further incident. Factors include night look-down against brightly-lit, cluttered backgnd, tall structures in close proximity to runway 19L right, slight fatigue (late hour body clocks), unfamiliar approach angle to seldom used runway, no instrument approach reference, possibly the xcockpit look angle for the PF, and distraction of TA activation. Channeled attention and no verbal cues from the PF as to confusion or concern over perceived position relative to our runway contributed. Although the buildings are depicted with elevations on approach plates, we did not discuss them due to sudden change in runway assignment, lack of instrument approach to assigned runway, and busy let-down task load from starting position off arrival (the arrival chart was on top of the runway 25L plate on my yoke clip). If the TA was generated by a transponder on the stratosphere, it is not noted as is the one on sandia peak near abq. The TA served to preclude any desire on our part to descend, had we intended to do so. As a technique, I roll the runway heading into my CDI on approachs to non instrumented runways (improves situational awareness). I referenced this during the confused moments after the PF's 45 degree turn, and helped regain orientation and relative position awareness. I recommend that aircraft not be given visual approachs at night to runway 19L/right from westerly arrs, due to the extremely busy descent task loading, the obstacle issues and difficult visual acquisition challenges mentioned earlier.
Original NASA ASRS Text
Title: UNPLANNED LAST MIN TURN ON A VECTORED VISUAL APCH TO RWY 19L PLACES AN ARR B737-300 FLT OVER THE STRATOSPHERE TWR LOCATED ABOUT 5 NM N OF LAS, NV.
Narrative: WE OVERFLEW THE STRATOSPHERE TWR, TURNING FINAL FROM R BASE TO RWY 19L DURING LATE NIGHT VISUAL APCH AT LAS. OUR ALT WAS 3500 FT ASSIGNED BY APCH CTLR UNTIL CLR OF TWR, AUTOPLT ENGAGED, LEVEL, GEAR/F15. AT THE SAME TIME, TCASII TA (-03 'TFC') IN CLOSE PROX TO OUR ACFT. GPWS ACTIVATED/IN USE. NO WARNINGS ISSUED/HAZARDS DEPICTED. CAPT WAS PF. ON KEPEC ARR, INITIALLY TOLD TO EXPECT RWY 25L. VECTORED OFF ARR AFTER KEPEC AT 12000 FT FOR VECTORS TO RWY 19L. TOLD TO FIND STRATOSPHERE. IN SIGHT, DIRECTED TO MAINTAIN 3500 FT UNTIL PAST, CLRED VISUAL RWY 19L. WITH THE BUILDING AT APPROX 2 O'CLOCK POS, 1 MI, PF MADE ABRUPT 45 DEG R TURN. TA ACTIVATED SHORTLY AFTER. I WAS CAUGHT OFF GUARD BY THE SUDDEN TURN, THEN THE TA, AND A BRIEF DISCUSSION ENSUED AS TO PF INTENT. DARK ARPT FOOTPRINT VISIBLE, BUT RWY 19L/R NOT YET IN SIGHT FROM THE 90 DEG BASE LEG PRIOR TO THE 45 DEG TURN. PF THOUGHT WE WERE GOING TO OVERSHOOT FINAL AS REASON FOR TURN, ATTN WAS CHANNELED ON ACQUIRING THE RWY AND WAS SLIGHTLY CONFUSED AS TO ACFT AND RWY RELATIVE POS. WITH AUTOPLT ENGAGED/LEVEL AT ASSIGNED ALT, THERE WAS NO SENSE OF DANGER OF COLLISION WITH BUILDINGS, AND WITH TA ACTIVATION, ATTEMPTING TO ACQUIRE VISUAL ON RWY AND DETERMINE PF INTENT/ACTIONS, I DID NOT NOTICE OUR FLT PATH TAKING US DIRECTLY OVER THE STRATOSPHERE UNTIL TOO LATE TO ALTER COURSE. SOON AFTER ACQUIRED VISUAL ON RWY, LANDED WITHOUT FURTHER INCIDENT. FACTORS INCLUDE NIGHT LOOK-DOWN AGAINST BRIGHTLY-LIT, CLUTTERED BACKGND, TALL STRUCTURES IN CLOSE PROX TO RWY 19L R, SLIGHT FATIGUE (LATE HR BODY CLOCKS), UNFAMILIAR APCH ANGLE TO SELDOM USED RWY, NO INST APCH REF, POSSIBLY THE XCOCKPIT LOOK ANGLE FOR THE PF, AND DISTR OF TA ACTIVATION. CHANNELED ATTN AND NO VERBAL CUES FROM THE PF AS TO CONFUSION OR CONCERN OVER PERCEIVED POS RELATIVE TO OUR RWY CONTRIBUTED. ALTHOUGH THE BUILDINGS ARE DEPICTED WITH ELEVATIONS ON APCH PLATES, WE DID NOT DISCUSS THEM DUE TO SUDDEN CHANGE IN RWY ASSIGNMENT, LACK OF INST APCH TO ASSIGNED RWY, AND BUSY LET-DOWN TASK LOAD FROM STARTING POS OFF ARR (THE ARR CHART WAS ON TOP OF THE RWY 25L PLATE ON MY YOKE CLIP). IF THE TA WAS GENERATED BY A XPONDER ON THE STRATOSPHERE, IT IS NOT NOTED AS IS THE ONE ON SANDIA PEAK NEAR ABQ. THE TA SERVED TO PRECLUDE ANY DESIRE ON OUR PART TO DSND, HAD WE INTENDED TO DO SO. AS A TECHNIQUE, I ROLL THE RWY HDG INTO MY CDI ON APCHS TO NON INSTRUMENTED RWYS (IMPROVES SITUATIONAL AWARENESS). I REFED THIS DURING THE CONFUSED MOMENTS AFTER THE PF'S 45 DEG TURN, AND HELPED REGAIN ORIENTATION AND RELATIVE POS AWARENESS. I RECOMMEND THAT ACFT NOT BE GIVEN VISUAL APCHS AT NIGHT TO RWY 19L/R FROM WESTERLY ARRS, DUE TO THE EXTREMELY BUSY DSCNT TASK LOADING, THE OBSTACLE ISSUES AND DIFFICULT VISUAL ACQUISITION CHALLENGES MENTIONED EARLIER.
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.