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|
Attributes | |
ACN | 675148 |
Time | |
Date | 200510 |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : zzzz.tracon |
State Reference | FO |
Altitude | msl bound lower : 19400 msl bound upper : 20000 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : zzzz.tracon |
Operator | common carrier : air carrier |
Make Model Name | B757-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise : enroute altitude change |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
ASRS Report | 675148 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
ASRS Report | 675146 |
Events | |
Anomaly | aircraft equipment problem : critical altitude deviation : undershoot non adherence : published procedure other spatial deviation |
Independent Detector | aircraft equipment other aircraft equipment : eicas other controllera |
Resolutory Action | flight crew : returned to assigned altitude flight crew : overcame equipment problem flight crew : diverted to another airport |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance Environmental Factor |
Primary Problem | Aircraft |
Air Traffic Incident | Pilot Deviation |
Narrative:
On the approach to ZZZZ; our flaps stopped deploying at approximately 17 degrees; and the trailing edge light illuminated. We accomplished the missed approach procedure; and climbed to FL200 and entered holding over the VOR. After reviewing the procedure for the flap malfunction; we decided to divert to ZZZZ1 because the procedure stated to land with flaps 20 degrees. We decided that after discussing landing at a high altitude airport with a flight control malfunction; without any landing performance information; and the fact that the runway was reported as wet. Our decisions had to be made quickly due to the nature of the emergency and our fuel state. We knew that we would have to fly a longer route than normal to ZZZZ1. Because of our flap problem; we were limited to FL200 and we needed a route that had an MEA below that. We also knew that our fuel burn would be higher than normal due to the flaps being partially deployed and the lower cruising altitude. After we were on our way to ZZZZ1; we noticed that we had not changed our altimeter settings to 29.92; and we then reset our altimeters and landed in ZZZZ1 uneventfully. The workload from the beginning of this incident until we landed was extremely high. There were many factors to be considered; and the combination of very limited communications; the WX in ZZZZ and ZZZZ1; the mountainous terrain; the aircraft malfunction; the diversion; and fatigue made for a very challenging situation. We simply forgot to reset our altimeters climbing through FL180 and did not accomplish the after takeoff/climb checklist until we were on our way to ZZZZ1. Supplemental information from acn 675146: we found a route that had an MEA of FL190; the lowest for our routing. While flying the route; we broke out on top of the clouds. Approximately 15 mins along the route; center queried us on our altitude as they were showing us at FL194.
Original NASA ASRS Text
Title: B757-200 FLT CREW EXPERIENCES TRAILING EDGE FLAP DISAGREEMENT EICAS WARNING ON APCH TO ZZZZ. WHILE DIVERTING TO ZZZZ1; CREW FAILS TO RESET ALTIMETERS.
Narrative: ON THE APCH TO ZZZZ; OUR FLAPS STOPPED DEPLOYING AT APPROX 17 DEGS; AND THE TRAILING EDGE LIGHT ILLUMINATED. WE ACCOMPLISHED THE MISSED APCH PROC; AND CLBED TO FL200 AND ENTERED HOLDING OVER THE VOR. AFTER REVIEWING THE PROC FOR THE FLAP MALFUNCTION; WE DECIDED TO DIVERT TO ZZZZ1 BECAUSE THE PROC STATED TO LAND WITH FLAPS 20 DEGS. WE DECIDED THAT AFTER DISCUSSING LNDG AT A HIGH ALT ARPT WITH A FLT CTL MALFUNCTION; WITHOUT ANY LNDG PERFORMANCE INFO; AND THE FACT THAT THE RWY WAS RPTED AS WET. OUR DECISIONS HAD TO BE MADE QUICKLY DUE TO THE NATURE OF THE EMER AND OUR FUEL STATE. WE KNEW THAT WE WOULD HAVE TO FLY A LONGER RTE THAN NORMAL TO ZZZZ1. BECAUSE OF OUR FLAP PROB; WE WERE LIMITED TO FL200 AND WE NEEDED A RTE THAT HAD AN MEA BELOW THAT. WE ALSO KNEW THAT OUR FUEL BURN WOULD BE HIGHER THAN NORMAL DUE TO THE FLAPS BEING PARTIALLY DEPLOYED AND THE LOWER CRUISING ALT. AFTER WE WERE ON OUR WAY TO ZZZZ1; WE NOTICED THAT WE HAD NOT CHANGED OUR ALTIMETER SETTINGS TO 29.92; AND WE THEN RESET OUR ALTIMETERS AND LANDED IN ZZZZ1 UNEVENTFULLY. THE WORKLOAD FROM THE BEGINNING OF THIS INCIDENT UNTIL WE LANDED WAS EXTREMELY HIGH. THERE WERE MANY FACTORS TO BE CONSIDERED; AND THE COMBINATION OF VERY LIMITED COMS; THE WX IN ZZZZ AND ZZZZ1; THE MOUNTAINOUS TERRAIN; THE ACFT MALFUNCTION; THE DIVERSION; AND FATIGUE MADE FOR A VERY CHALLENGING SIT. WE SIMPLY FORGOT TO RESET OUR ALTIMETERS CLBING THROUGH FL180 AND DID NOT ACCOMPLISH THE AFTER TKOF/CLB CHKLIST UNTIL WE WERE ON OUR WAY TO ZZZZ1. SUPPLEMENTAL INFO FROM ACN 675146: WE FOUND A RTE THAT HAD AN MEA OF FL190; THE LOWEST FOR OUR ROUTING. WHILE FLYING THE RTE; WE BROKE OUT ON TOP OF THE CLOUDS. APPROX 15 MINS ALONG THE RTE; CTR QUERIED US ON OUR ALT AS THEY WERE SHOWING US AT FL194.
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.