37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 683814 |
Time | |
Date | 200601 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : mia.airport |
State Reference | FL |
Altitude | msl single value : 4000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : mia.tracon |
Operator | common carrier : air carrier |
Make Model Name | DC-10 10 |
Operating Under FAR Part | Part 121 |
Flight Phase | descent : approach |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : atp |
Experience | flight time last 90 days : 180 flight time total : 10950 flight time type : 300 |
ASRS Report | 683814 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : overshoot non adherence : clearance non adherence : far |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : returned to assigned altitude |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
On approach on a vector heading we were cleared from 8000 ft to 4000 ft in VMC with light traffic. Autoplt #2 was engaged and altitude was set to 4000 ft and armed. Passing 5000 ft; I called 5000 ft for 4000 ft altitude armed. Passing 4500 ft I looked down at the approach plate in the commercial chart manual atop my flight bag to doublechk the ILS frequency. During my distraction I heard a tone that I attributed to the stabilizer in motion alert; which is normal. A second later; I looked at the instruments and realized that the autoplt did not level off at 4000 ft and we were descending through 3500 ft! I immediately recovered to 4000 ft by manually pulling back on the control wheel; and that's when I realized that the autoplt did not level off due to the fact that it dropped from command to control wheel steering and hence the red autoplt disconnected lights that were flashing. No aural warning was sounded as the autoplt disconnected since the DC10 is not equipped with such a system! Which in my opinion is a great shortcoming. We did not hear about the deviation from ATC; which soon after cleared us to 3000 ft and a visual approach to runway 27. On final with autoplt #2 re-engaged. Tracking the localizer and GS; the autoplt disconnected again to control wheel steering. With the red lights (autoplt disconnected) flashing and clearly visible in my scan; I clicked the autoplt from 'control wheel steering' to 'off;' flew the approach manually to a safe; uneventful landing. What caused this problem was my total reliance on the autoplt to level off at the pre-selected altitude which led to my complacency to monitor it leveling off; as I distraction my attention to look up the ILS frequency in the approach plate to doublechk that it was the one tuned in the ILS receiver. Also; lack of an autoplt disconnect aural warning; as in any modern jet can lead to trouble; especially after a 16 hour duty day when one is not as sharp and fresh in catching the autoplt dropping off from command mode with only 2 little red lights flashing as a warning. On similar airplanes to the DC10; such as the lockheed L1011; if the autoplt drops from command to control wheel steering or to off or if it is manually disconnected; a loud distinctive siren/wailer goes off alerting the crew of the situation. I believe such a system should be incorporated in the DC10. Meanwhile; I will pay very close attention to the autoplt as it levels off during all phases of flight and give every approach my total undivided attention and avoid any distrs during the critical phases of flight.
Original NASA ASRS Text
Title: DC10 FLT CREW OVERSHOOTS ASSIGNED ALT WHEN AUTOPLT DROPS FROM COMMAND TO CTL WHEEL STEERING AND DSCNT IS CONTINUED.
Narrative: ON APCH ON A VECTOR HDG WE WERE CLRED FROM 8000 FT TO 4000 FT IN VMC WITH LIGHT TFC. AUTOPLT #2 WAS ENGAGED AND ALT WAS SET TO 4000 FT AND ARMED. PASSING 5000 FT; I CALLED 5000 FT FOR 4000 FT ALT ARMED. PASSING 4500 FT I LOOKED DOWN AT THE APCH PLATE IN THE COMMERCIAL CHART MANUAL ATOP MY FLT BAG TO DOUBLECHK THE ILS FREQ. DURING MY DISTR I HEARD A TONE THAT I ATTRIBUTED TO THE STABILIZER IN MOTION ALERT; WHICH IS NORMAL. A SECOND LATER; I LOOKED AT THE INSTS AND REALIZED THAT THE AUTOPLT DID NOT LEVEL OFF AT 4000 FT AND WE WERE DSNDING THROUGH 3500 FT! I IMMEDIATELY RECOVERED TO 4000 FT BY MANUALLY PULLING BACK ON THE CTL WHEEL; AND THAT'S WHEN I REALIZED THAT THE AUTOPLT DID NOT LEVEL OFF DUE TO THE FACT THAT IT DROPPED FROM COMMAND TO CTL WHEEL STEERING AND HENCE THE RED AUTOPLT DISCONNECTED LIGHTS THAT WERE FLASHING. NO AURAL WARNING WAS SOUNDED AS THE AUTOPLT DISCONNECTED SINCE THE DC10 IS NOT EQUIPPED WITH SUCH A SYS! WHICH IN MY OPINION IS A GREAT SHORTCOMING. WE DID NOT HEAR ABOUT THE DEV FROM ATC; WHICH SOON AFTER CLRED US TO 3000 FT AND A VISUAL APCH TO RWY 27. ON FINAL WITH AUTOPLT #2 RE-ENGAGED. TRACKING THE LOC AND GS; THE AUTOPLT DISCONNECTED AGAIN TO CTL WHEEL STEERING. WITH THE RED LIGHTS (AUTOPLT DISCONNECTED) FLASHING AND CLRLY VISIBLE IN MY SCAN; I CLICKED THE AUTOPLT FROM 'CTL WHEEL STEERING' TO 'OFF;' FLEW THE APCH MANUALLY TO A SAFE; UNEVENTFUL LNDG. WHAT CAUSED THIS PROB WAS MY TOTAL RELIANCE ON THE AUTOPLT TO LEVEL OFF AT THE PRE-SELECTED ALT WHICH LED TO MY COMPLACENCY TO MONITOR IT LEVELING OFF; AS I DISTR MY ATTN TO LOOK UP THE ILS FREQ IN THE APCH PLATE TO DOUBLECHK THAT IT WAS THE ONE TUNED IN THE ILS RECEIVER. ALSO; LACK OF AN AUTOPLT DISCONNECT AURAL WARNING; AS IN ANY MODERN JET CAN LEAD TO TROUBLE; ESPECIALLY AFTER A 16 HR DUTY DAY WHEN ONE IS NOT AS SHARP AND FRESH IN CATCHING THE AUTOPLT DROPPING OFF FROM COMMAND MODE WITH ONLY 2 LITTLE RED LIGHTS FLASHING AS A WARNING. ON SIMILAR AIRPLANES TO THE DC10; SUCH AS THE LOCKHEED L1011; IF THE AUTOPLT DROPS FROM COMMAND TO CTL WHEEL STEERING OR TO OFF OR IF IT IS MANUALLY DISCONNECTED; A LOUD DISTINCTIVE SIREN/WAILER GOES OFF ALERTING THE CREW OF THE SITUATION. I BELIEVE SUCH A SYS SHOULD BE INCORPORATED IN THE DC10. MEANWHILE; I WILL PAY VERY CLOSE ATTN TO THE AUTOPLT AS IT LEVELS OFF DURING ALL PHASES OF FLT AND GIVE EVERY APCH MY TOTAL UNDIVIDED ATTN AND AVOID ANY DISTRS DURING THE CRITICAL PHASES OF FLT.
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.