37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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Attributes | |
ACN | 713577 |
Time | |
Date | 200610 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : zjx.artcc |
State Reference | FL |
Altitude | msl bound lower : 26000 msl bound upper : 28000 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zjx.artcc |
Operator | general aviation : personal |
Make Model Name | Conquest I/Conquest II |
Operating Under FAR Part | Part 91 |
Flight Phase | cruise : enroute altitude change |
Route In Use | enroute airway : j75.airway |
Flight Plan | IFR |
Person 1 | |
Affiliation | other |
Function | flight crew : captain oversight : pic |
Qualification | pilot : multi engine pilot : private pilot : instrument |
Experience | flight time last 90 days : 47 flight time total : 5100 flight time type : 3100 |
ASRS Report | 713577 |
Person 2 | |
Affiliation | other |
Function | flight crew : first officer |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : overshoot non adherence : clearance other spatial deviation |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : returned to assigned altitude flight crew : returned to intended or assigned course |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance |
Primary Problem | Aircraft |
Narrative:
We were in turbulence in IMC at 28000 ft on autoplt. We were instructed by center to descend to 27000 ft. Started descent; set altitude alert; and a few moments later heard 'altitude alert' chime; which we took to be the approaching 27000 ft warning. More turbulence! Suddenly; a few seconds later; realized airplane was both descending and turning rapidly. Stopped turn/bank (about 30 degrees) and descent (at about 26500 ft?) and quickly got back on course at 27000 ft. Later investigation indicated that the 'altitude alert' chime and the 'autoplt off' chime produce identical sounds (perhaps the same chime). What we thought was a warning that desired altitude was approaching; was in fact an autoplt off alert. After thousands of hours of flying that airplane that had never previously occurred; and I had not realized that it could occur. Will know better hereafter!
Original NASA ASRS Text
Title: A C441 EXPERIENCED AUTOPLT FAILURE IN DSCNT; LEADING TO AN ALT AND TRACK DEV.
Narrative: WE WERE IN TURB IN IMC AT 28000 FT ON AUTOPLT. WE WERE INSTRUCTED BY CTR TO DSND TO 27000 FT. STARTED DSCNT; SET ALT ALERT; AND A FEW MOMENTS LATER HEARD 'ALT ALERT' CHIME; WHICH WE TOOK TO BE THE APCHING 27000 FT WARNING. MORE TURB! SUDDENLY; A FEW SECONDS LATER; REALIZED AIRPLANE WAS BOTH DSNDING AND TURNING RAPIDLY. STOPPED TURN/BANK (ABOUT 30 DEGS) AND DSCNT (AT ABOUT 26500 FT?) AND QUICKLY GOT BACK ON COURSE AT 27000 FT. LATER INVESTIGATION INDICATED THAT THE 'ALT ALERT' CHIME AND THE 'AUTOPLT OFF' CHIME PRODUCE IDENTICAL SOUNDS (PERHAPS THE SAME CHIME). WHAT WE THOUGHT WAS A WARNING THAT DESIRED ALT WAS APCHING; WAS IN FACT AN AUTOPLT OFF ALERT. AFTER THOUSANDS OF HOURS OF FLYING THAT AIRPLANE THAT HAD NEVER PREVIOUSLY OCCURRED; AND I HAD NOT REALIZED THAT IT COULD OCCUR. WILL KNOW BETTER HEREAFTER!
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.