37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 630778 |
Time | |
Date | 200409 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : sat.airport |
State Reference | TX |
Altitude | msl single value : 6000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : sat.tracon |
Operator | general aviation : personal |
Make Model Name | Caravan 1 208A |
Operating Under FAR Part | Part 91 |
Flight Phase | cruise : level |
Flight Plan | IFR |
Person 1 | |
Affiliation | other |
Function | flight crew : single pilot |
Qualification | pilot : multi engine pilot : instrument pilot : commercial pilot : cfi |
Experience | flight time last 90 days : 150 flight time total : 3000 flight time type : 550 |
ASRS Report | 630778 |
Person 2 | |
Affiliation | other |
Function | flight crew : single pilot |
Events | |
Anomaly | aircraft equipment problem : critical altitude deviation : excursion from assigned altitude maintenance problem : improper maintenance non adherence : far other anomaly |
Independent Detector | aircraft equipment other aircraft equipment : altimeter other flight crewa |
Resolutory Action | flight crew : regained aircraft control flight crew : returned to assigned altitude |
Consequence | other |
Factors | |
Maintenance | contributing factor : schedule pressure performance deficiency : logbook entry performance deficiency : non compliance with legal requirements performance deficiency : repair |
Supplementary | |
Problem Areas | Flight Crew Human Performance Maintenance Human Performance Aircraft |
Primary Problem | Maintenance Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
I leveled the aircraft off in cruise flight at 6000 ft MSL. I then engaged the autoplt and observed for 1-3 mins. The autoplt appeared to be in control of the aircraft so I busied myself with some paperwork. When I looked up again the aircraft had descended 1000 ft to 5000 ft MSL. The autoplt had completely failed with respect to altitude hold. ATC did not say a word about my altitude and I quickly climbed back to my original altitude. After a closer examination of the autoplt working, I assumed it was working. Later I spoke with the previous pilot who had flown the aircraft and he told me that maintenance had told him not to squawk the autoplt and they would take care of it as soon as possible. Thankfully the WX was VFR in flat terrain. From now on I'll always have a healthy skepticism towards automation and try to be less complacent. I will also let maintenance know that if something is broken it must be squawked so other pilots can know the condition of the ship.
Original NASA ASRS Text
Title: C208 PLT ON IFR FLT PLAN DSNDS FROM 6000 FT TO 5000 FT WHEN AUTOPLT ALT HOLD MALFUNCTIONS.
Narrative: I LEVELED THE ACFT OFF IN CRUISE FLT AT 6000 FT MSL. I THEN ENGAGED THE AUTOPLT AND OBSERVED FOR 1-3 MINS. THE AUTOPLT APPEARED TO BE IN CTL OF THE ACFT SO I BUSIED MYSELF WITH SOME PAPERWORK. WHEN I LOOKED UP AGAIN THE ACFT HAD DSNDED 1000 FT TO 5000 FT MSL. THE AUTOPLT HAD COMPLETELY FAILED WITH RESPECT TO ALT HOLD. ATC DID NOT SAY A WORD ABOUT MY ALT AND I QUICKLY CLBED BACK TO MY ORIGINAL ALT. AFTER A CLOSER EXAMINATION OF THE AUTOPLT WORKING, I ASSUMED IT WAS WORKING. LATER I SPOKE WITH THE PREVIOUS PLT WHO HAD FLOWN THE ACFT AND HE TOLD ME THAT MAINT HAD TOLD HIM NOT TO SQUAWK THE AUTOPLT AND THEY WOULD TAKE CARE OF IT ASAP. THANKFULLY THE WX WAS VFR IN FLAT TERRAIN. FROM NOW ON I'LL ALWAYS HAVE A HEALTHY SKEPTICISM TOWARDS AUTOMATION AND TRY TO BE LESS COMPLACENT. I WILL ALSO LET MAINT KNOW THAT IF SOMETHING IS BROKEN IT MUST BE SQUAWKED SO OTHER PLTS CAN KNOW THE CONDITION OF THE SHIP.
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.