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|
Attributes | |
ACN | 720235 |
Time | |
Date | 200612 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : stp.airport |
State Reference | MN |
Altitude | msl single value : 1500 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : stp.tower |
Operator | general aviation : personal |
Make Model Name | Duchess 76 |
Operating Under FAR Part | Part 91 |
Navigation In Use | ils localizer only : 32 |
Flight Phase | descent : approach |
Route In Use | approach : instrument non precision |
Flight Plan | IFR |
Person 1 | |
Affiliation | other |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : commercial pilot : cfi |
Experience | flight time last 90 days : 110 flight time total : 900 flight time type : 19 |
ASRS Report | 720235 |
Person 2 | |
Affiliation | other |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : clearance non adherence : far non adherence : published procedure other spatial deviation |
Independent Detector | atc equipment : msaw other flight crewa |
Resolutory Action | controller : issued alert flight crew : returned to assigned altitude flight crew : exited adverse environment |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We were inbound on the ILS-32 and cleared for the approach. We were given an advisory before commencing the approach that the GS was OTS. The approach stated to maintain 2500 ft MSL until the FAF. As we were established inbound; we were handed over to the tower. Since we were practicing instrument approachs with airports relatively close to each other; there was a higher workload. With each approach concluding at a missed approach and onto a different airport for another instrument approach. The approach was looking good and I used the extra time to get the next chart ready for the next airport for the PF. As I looked up from the chart; I noticed that we were about 1500 ft MSL and the airport was about 7 mi ahead of us. This put us 1000 ft below our required altitude and about 2 mi before the FAF. I then told the PF of the error and told the pilot to climb back up to 2500 ft MSL. At the same time as we were climbing back up to altitude; we got a call from the tower saying that they got a low altitude alert for our airplane and they also told us what our required altitude was. We climbed back to 2500 ft MSL and completed the approach without incident. Contributing factors was my attention being diverted to an unnecessary task for the given situation and failing to monitor the approach. Also; the PF mistake of following a GS that was OTS. The PF also mentioned that a glide slope flag was not noted on the VOR. Additional human error factors could have arisen through the long practice session that was being conducted. I have learned that it is extremely important to only concentrate on the task at hand; even if another pilot is flying. Also one can never do enough checking and doublechking. Which would include always doublechking the altitude to be at and doublechking that we are in the proper place and position to descend down to the next altitude as required. Finally always being conscious of what could affect the flight such as navigation equipment outages.
Original NASA ASRS Text
Title: SAFETY PLT ABOARD A BE76 DURING AN IAP PRACTICE FLT IS DISTR AND LOOKS UP TO FIND THE PLT HAS DSNDED 1000 FT BELOW HIS ALT REQUIRED BY THE LOC ONLY APCH TO RWY 32 AT STP.
Narrative: WE WERE INBOUND ON THE ILS-32 AND CLRED FOR THE APCH. WE WERE GIVEN AN ADVISORY BEFORE COMMENCING THE APCH THAT THE GS WAS OTS. THE APCH STATED TO MAINTAIN 2500 FT MSL UNTIL THE FAF. AS WE WERE ESTABLISHED INBOUND; WE WERE HANDED OVER TO THE TWR. SINCE WE WERE PRACTICING INST APCHS WITH ARPTS RELATIVELY CLOSE TO EACH OTHER; THERE WAS A HIGHER WORKLOAD. WITH EACH APCH CONCLUDING AT A MISSED APCH AND ONTO A DIFFERENT ARPT FOR ANOTHER INST APCH. THE APCH WAS LOOKING GOOD AND I USED THE EXTRA TIME TO GET THE NEXT CHART READY FOR THE NEXT ARPT FOR THE PF. AS I LOOKED UP FROM THE CHART; I NOTICED THAT WE WERE ABOUT 1500 FT MSL AND THE ARPT WAS ABOUT 7 MI AHEAD OF US. THIS PUT US 1000 FT BELOW OUR REQUIRED ALT AND ABOUT 2 MI BEFORE THE FAF. I THEN TOLD THE PF OF THE ERROR AND TOLD THE PLT TO CLB BACK UP TO 2500 FT MSL. AT THE SAME TIME AS WE WERE CLBING BACK UP TO ALT; WE GOT A CALL FROM THE TWR SAYING THAT THEY GOT A LOW ALT ALERT FOR OUR AIRPLANE AND THEY ALSO TOLD US WHAT OUR REQUIRED ALT WAS. WE CLBED BACK TO 2500 FT MSL AND COMPLETED THE APCH WITHOUT INCIDENT. CONTRIBUTING FACTORS WAS MY ATTN BEING DIVERTED TO AN UNNECESSARY TASK FOR THE GIVEN SITUATION AND FAILING TO MONITOR THE APCH. ALSO; THE PF MISTAKE OF FOLLOWING A GS THAT WAS OTS. THE PF ALSO MENTIONED THAT A GLIDE SLOPE FLAG WAS NOT NOTED ON THE VOR. ADDITIONAL HUMAN ERROR FACTORS COULD HAVE ARISEN THROUGH THE LONG PRACTICE SESSION THAT WAS BEING CONDUCTED. I HAVE LEARNED THAT IT IS EXTREMELY IMPORTANT TO ONLY CONCENTRATE ON THE TASK AT HAND; EVEN IF ANOTHER PLT IS FLYING. ALSO ONE CAN NEVER DO ENOUGH CHKING AND DOUBLECHKING. WHICH WOULD INCLUDE ALWAYS DOUBLECHKING THE ALT TO BE AT AND DOUBLECHKING THAT WE ARE IN THE PROPER PLACE AND POS TO DSND DOWN TO THE NEXT ALT AS REQUIRED. FINALLY ALWAYS BEING CONSCIOUS OF WHAT COULD AFFECT THE FLT SUCH AS NAV EQUIP OUTAGES.
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.