37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 696289 |
Time | |
Date | 200604 |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : rjbb.airport |
State Reference | FO |
Altitude | msl single value : 3000 |
Environment | |
Flight Conditions | IMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : rjbb.tracon |
Operator | common carrier : air carrier |
Make Model Name | MD-11 |
Operating Under FAR Part | Part 121 |
Navigation In Use | ils localizer only : 24 |
Flight Phase | descent : approach |
Route In Use | arrival star : n/s |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 110 flight time total : 14500 |
ASRS Report | 696289 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | altitude deviation : crossing restriction not met non adherence : clearance non adherence : published procedure |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Supplementary | |
Problem Areas | Chart Or Publication Flight Crew Human Performance |
Primary Problem | Chart Or Publication |
Air Traffic Incident | Pilot Deviation |
Narrative:
The airline I fly for is transitioning to an electronic flight bag. At the completion of 2 on-line training presentations; all pilots are encouraged to use the paper commercial charts as step #1 in the transition. Commercial chart's format will be the display on the electronic flight bag. On approach to osaka; japan; and using the commercial charts I missed a mandatory 2600 ft crossing altitude on the runway 24 ILS approach. Another commercial chart supplier has 'mandatory' printed on the vertical view of the chart; while this chart only shows the restr on the plan view and with only the altitude in bold and no other highlighting. Lesson learned: from now on I will look for the bold restrs and xref with the FMS.
Original NASA ASRS Text
Title: MD11 FLT CREW FAILS TO MEET MANDATORY XING RESTR ON DSCNT TO RJBB DUE TO UNFAMILIARITY WITH NEW CHARTING FORMAT.
Narrative: THE AIRLINE I FLY FOR IS TRANSITIONING TO AN ELECTRONIC FLT BAG. AT THE COMPLETION OF 2 ON-LINE TRAINING PRESENTATIONS; ALL PLTS ARE ENCOURAGED TO USE THE PAPER COMMERCIAL CHARTS AS STEP #1 IN THE TRANSITION. COMMERCIAL CHART'S FORMAT WILL BE THE DISPLAY ON THE ELECTRONIC FLT BAG. ON APCH TO OSAKA; JAPAN; AND USING THE COMMERCIAL CHARTS I MISSED A MANDATORY 2600 FT XING ALT ON THE RWY 24 ILS APCH. ANOTHER COMMERCIAL CHART SUPPLIER HAS 'MANDATORY' PRINTED ON THE VERT VIEW OF THE CHART; WHILE THIS CHART ONLY SHOWS THE RESTR ON THE PLAN VIEW AND WITH ONLY THE ALT IN BOLD AND NO OTHER HIGHLIGHTING. LESSON LEARNED: FROM NOW ON I WILL LOOK FOR THE BOLD RESTRS AND XREF WITH THE FMS.
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.