37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 655942 |
Time | |
Date | 200504 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : bed.airport |
State Reference | MA |
Altitude | msl single value : 3000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : a90.tracon |
Operator | general aviation : corporate |
Make Model Name | Learjet 60 |
Operating Under FAR Part | Part 91 |
Flight Phase | cruise : level |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | tracon : a90.tracon |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 120 flight time total : 13300 flight time type : 1700 |
ASRS Report | 655942 |
Person 2 | |
Affiliation | company : corporate |
Function | flight crew : first officer |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : excursion from assigned altitude conflict : airborne less severe |
Independent Detector | aircraft equipment : tcas other flight crewa |
Resolutory Action | controller : issued advisory flight crew : returned to assigned altitude |
Miss Distance | horizontal : 3000 vertical : 0 |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance |
Primary Problem | Aircraft |
Narrative:
This flight's TA resulted from the flying pilot losing situational awareness and not flying the airplane after inadvertently disconnecting the autoplt with the wheel mounted switch. The flying pilot was distracted by the autoplt control panel and was having altitude excursions of +0/-220 ft. During this time; I was looking for TA traffic; coaching the PF and answering ATC's traffic advisories and vectors. I finally had to firmly command the PF to 'fly the ---- airplane!;' before the PF took appropriate action. In hindsight; I should have physically taken control of my flight sooner instead of coaching. This flight's incident is an example of a dangerous trend that I have noticed with experienced pilots flying multiple types. It is easy to become distracted trying to find switches on the control wheel or autoplt control panel. For example; on one aircraft; the touch wheel control steering switch is in the same place as the ptt on another aircraft; which is the FD command bar synch on a third aircraft. The list goes on and on. The industry must standardize all control wheel switches! Using different colors is not enough! Different shape switches need to be used. This is similar to what was done years ago with propeller/mixture/throttle/landing gear/flap controls. That way the pilot has instant tactile feedback on proper switch activation. Last but not least: fly the airplane!
Original NASA ASRS Text
Title: CAPT OF LJ60 IS DISTRACTED BY COPLT'S INADVERTENT DISCONNECT OF THE AUTOPLT AND THE SUBSEQUENT FLT PATH AND ALT DIVERSIONS WHICH FOLLOW. TCAS TA RESULTS.
Narrative: THIS FLT'S TA RESULTED FROM THE FLYING PLT LOSING SITUATIONAL AWARENESS AND NOT FLYING THE AIRPLANE AFTER INADVERTENTLY DISCONNECTING THE AUTOPLT WITH THE WHEEL MOUNTED SWITCH. THE FLYING PLT WAS DISTRACTED BY THE AUTOPLT CTL PANEL AND WAS HAVING ALT EXCURSIONS OF +0/-220 FT. DURING THIS TIME; I WAS LOOKING FOR TA TFC; COACHING THE PF AND ANSWERING ATC'S TFC ADVISORIES AND VECTORS. I FINALLY HAD TO FIRMLY COMMAND THE PF TO 'FLY THE ---- AIRPLANE!;' BEFORE THE PF TOOK APPROPRIATE ACTION. IN HINDSIGHT; I SHOULD HAVE PHYSICALLY TAKEN CTL OF MY FLT SOONER INSTEAD OF COACHING. THIS FLT'S INCIDENT IS AN EXAMPLE OF A DANGEROUS TREND THAT I HAVE NOTICED WITH EXPERIENCED PLTS FLYING MULTIPLE TYPES. IT IS EASY TO BECOME DISTRACTED TRYING TO FIND SWITCHES ON THE CTL WHEEL OR AUTOPLT CTL PANEL. FOR EXAMPLE; ON ONE ACFT; THE TOUCH WHEEL CTL STEERING SWITCH IS IN THE SAME PLACE AS THE PTT ON ANOTHER ACFT; WHICH IS THE FD COMMAND BAR SYNCH ON A THIRD ACFT. THE LIST GOES ON AND ON. THE INDUSTRY MUST STANDARDIZE ALL CTL WHEEL SWITCHES! USING DIFFERENT COLORS IS NOT ENOUGH! DIFFERENT SHAPE SWITCHES NEED TO BE USED. THIS IS SIMILAR TO WHAT WAS DONE YEARS AGO WITH PROP/MIXTURE/THROTTLE/LNDG GEAR/FLAP CTLS. THAT WAY THE PLT HAS INSTANT TACTILE FEEDBACK ON PROPER SWITCH ACTIVATION. LAST BUT NOT LEAST: FLY THE AIRPLANE!
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.