37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 647238 |
Time | |
Date | 200502 |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : slc.airport |
State Reference | UT |
Altitude | msl single value : 7500 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : slc.tower |
Operator | common carrier : air taxi |
Make Model Name | PC-12 |
Operating Under FAR Part | Part 135 |
Navigation In Use | ils localizer & glide slope : 34r |
Flight Phase | descent : approach |
Route In Use | approach : instrument precision |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air taxi |
Function | flight crew : single pilot |
Qualification | pilot : commercial pilot : cfi |
Experience | flight time last 90 days : 250 flight time total : 4000 flight time type : 200 |
ASRS Report | 647238 |
Person 2 | |
Affiliation | government : faa |
Function | controller : local |
Events | |
Anomaly | aircraft equipment problem : critical altitude deviation : excursion from assigned altitude non adherence : clearance other anomaly other anomaly |
Independent Detector | atc equipment other atc equipment : stall warning |
Resolutory Action | controller : issued new clearance flight crew : regained aircraft control |
Consequence | other |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance |
Primary Problem | Aircraft |
Narrative:
Being vectored to ILS runway 34R (WX) 4000 ft broken; visibility 2 NM. I was assigned heading 070 degrees. I just got stable at 8000 ft per tower. Aircraft was on autoplt heading and altitude preselect mode. I was checking frequency; ATIS; and decision ht for the ILS when the autoplt disconnected. Angle of attack indicator was slow at the bottom (1.3 versus at mid range; stick shaker at 91 KTS +8 clean). Stick shaker disconnected the autoplt while airspeed indicator showed 170 KTS. I initiated recovery at 7500 ft MSL. Tower advised I was low; then assigned me 6500 ft. The rest of the approach was hand flown. Whole event took place VMC with runway in sight. Cause: maintenance technicians found a broken pitot line going to the air data computer; ie; pressurization began driving airspeed. Contributing factors: ATC had assigned ILS runway 34L then at my request cleared me to ILS runway 34R; ie; diverting my attention to setting up for a new approach close in. Human factor: fatigue -- this was last leg of the night (5.5 hours flown in last 12 hours). Performance: it took 4 or 5 seconds and 500 ft to recognize the problem then respond with appropriate course of action. Fatigue may have been a factor in response time.
Original NASA ASRS Text
Title: A PC12 FATIGUED PLT EXPERIENCED A STALL WARNING FOLLOWING A PITOT INPUT FAILURE TO THE ACFT'S ADC.
Narrative: BEING VECTORED TO ILS RWY 34R (WX) 4000 FT BROKEN; VISIBILITY 2 NM. I WAS ASSIGNED HDG 070 DEGS. I JUST GOT STABLE AT 8000 FT PER TWR. ACFT WAS ON AUTOPLT HDG AND ALT PRESELECT MODE. I WAS CHKING FREQ; ATIS; AND DECISION HT FOR THE ILS WHEN THE AUTOPLT DISCONNECTED. ANGLE OF ATTACK INDICATOR WAS SLOW AT THE BOTTOM (1.3 VERSUS AT MID RANGE; STICK SHAKER AT 91 KTS +8 CLEAN). STICK SHAKER DISCONNECTED THE AUTOPLT WHILE AIRSPD INDICATOR SHOWED 170 KTS. I INITIATED RECOVERY AT 7500 FT MSL. TWR ADVISED I WAS LOW; THEN ASSIGNED ME 6500 FT. THE REST OF THE APCH WAS HAND FLOWN. WHOLE EVENT TOOK PLACE VMC WITH RWY IN SIGHT. CAUSE: MAINT TECHNICIANS FOUND A BROKEN PITOT LINE GOING TO THE ADC; IE; PRESSURIZATION BEGAN DRIVING AIRSPD. CONTRIBUTING FACTORS: ATC HAD ASSIGNED ILS RWY 34L THEN AT MY REQUEST CLRED ME TO ILS RWY 34R; IE; DIVERTING MY ATTN TO SETTING UP FOR A NEW APCH CLOSE IN. HUMAN FACTOR: FATIGUE -- THIS WAS LAST LEG OF THE NIGHT (5.5 HRS FLOWN IN LAST 12 HRS). PERFORMANCE: IT TOOK 4 OR 5 SECONDS AND 500 FT TO RECOGNIZE THE PROB THEN RESPOND WITH APPROPRIATE COURSE OF ACTION. FATIGUE MAY HAVE BEEN A FACTOR IN RESPONSE TIME.
Data retrieved from NASA's ASRS site as of January 2009 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.