37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 694189 |
Time | |
Date | 200604 |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : pvd.airport |
State Reference | RI |
Altitude | msl single value : 24000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zbw.artcc |
Operator | common carrier : air carrier |
Make Model Name | MD-88 |
Operating Under FAR Part | Part 121 |
Flight Phase | descent : approach |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : instrument pilot : multi engine pilot : flight engineer pilot : commercial pilot : atp |
Experience | flight time last 90 days : 210 flight time total : 13000 flight time type : 4000 |
ASRS Report | 694189 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | aircraft equipment problem : critical altitude deviation : overshoot non adherence : clearance |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | flight crew : overrode automation flight crew : overcame equipment problem |
Consequence | other |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance |
Primary Problem | Aircraft |
Air Traffic Incident | Pilot Deviation |
Narrative:
This event occurred on our 5TH leg of the day after approximately 13 hours on duty. About 15 mins prior to event; we noticed that the #1 autoplt began a mild porpoise of +/-40 ft at cruise altitude with associated autothrottle cycling to maintain speed. We attempted to troubleshoot the problem by alternating between 'VNAV' and 'altitude hold' modes; autothrottles on and off; and selecting #2 autoplt. The porpoising issue continued and we sent a message via ACARS to maintenance control to inform them of the problem. We continued the flight with #2 autoplt engaged. We were given a descent a few mins later by ZBW to FL240 and maintain 310 KTS. The descent was accomplished with #2 autoplt in VNAV mode with 310 KTS selected in FMS override. Approaching FL245 with a descent rate of 1000 FPM; the autothrottles suddenly went to EPR climb mode (with associated autothrottle advance to climb power) and the nose pitched down sharply. The descent rate instantly increased to 3000 FPM and I engaged 'vertical speed mode' to arrest the descent. This had no effect and I pressed the 'altitude hold' button; which also had no effect. I immediately disengaged the autoplt and autothrottles but we were already passing through FL240. I was able to manually stop the descent by FL235 and was climbing back to FL240 when ATC cleared us to FL230. The rest of the flight was flown manually and we landed in boston uneventfully. ZBW made no mention of the altitude deviation. We were met by maintenance at the gate where we related the entire incident and recorded it in the aircraft logbook. I felt that we handled the incident in a satisfactory manner but our reaction time was definitely slowed due to fatigue.
Original NASA ASRS Text
Title: FATIGUED FLT CREW OF MD88 IS SLOW TO ARREST DSCNT ACCELERATED BY MALFUNCTIONING AUTOPLT. OVERSHOOT CLRED ALT BY 500 FT.
Narrative: THIS EVENT OCCURRED ON OUR 5TH LEG OF THE DAY AFTER APPROX 13 HRS ON DUTY. ABOUT 15 MINS PRIOR TO EVENT; WE NOTICED THAT THE #1 AUTOPLT BEGAN A MILD PORPOISE OF +/-40 FT AT CRUISE ALT WITH ASSOCIATED AUTOTHROTTLE CYCLING TO MAINTAIN SPD. WE ATTEMPTED TO TROUBLESHOOT THE PROB BY ALTERNATING BTWN 'VNAV' AND 'ALT HOLD' MODES; AUTOTHROTTLES ON AND OFF; AND SELECTING #2 AUTOPLT. THE PORPOISING ISSUE CONTINUED AND WE SENT A MESSAGE VIA ACARS TO MAINT CTL TO INFORM THEM OF THE PROB. WE CONTINUED THE FLT WITH #2 AUTOPLT ENGAGED. WE WERE GIVEN A DSCNT A FEW MINS LATER BY ZBW TO FL240 AND MAINTAIN 310 KTS. THE DSCNT WAS ACCOMPLISHED WITH #2 AUTOPLT IN VNAV MODE WITH 310 KTS SELECTED IN FMS OVERRIDE. APCHING FL245 WITH A DSCNT RATE OF 1000 FPM; THE AUTOTHROTTLES SUDDENLY WENT TO EPR CLB MODE (WITH ASSOCIATED AUTOTHROTTLE ADVANCE TO CLB PWR) AND THE NOSE PITCHED DOWN SHARPLY. THE DSCNT RATE INSTANTLY INCREASED TO 3000 FPM AND I ENGAGED 'VERT SPD MODE' TO ARREST THE DSCNT. THIS HAD NO EFFECT AND I PRESSED THE 'ALT HOLD' BUTTON; WHICH ALSO HAD NO EFFECT. I IMMEDIATELY DISENGAGED THE AUTOPLT AND AUTOTHROTTLES BUT WE WERE ALREADY PASSING THROUGH FL240. I WAS ABLE TO MANUALLY STOP THE DSCNT BY FL235 AND WAS CLBING BACK TO FL240 WHEN ATC CLRED US TO FL230. THE REST OF THE FLT WAS FLOWN MANUALLY AND WE LANDED IN BOSTON UNEVENTFULLY. ZBW MADE NO MENTION OF THE ALTDEV. WE WERE MET BY MAINT AT THE GATE WHERE WE RELATED THE ENTIRE INCIDENT AND RECORDED IT IN THE ACFT LOGBOOK. I FELT THAT WE HANDLED THE INCIDENT IN A SATISFACTORY MANNER BUT OUR REACTION TIME WAS DEFINITELY SLOWED DUE TO FATIGUE.
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.