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|
Attributes | |
ACN | 722728 |
Time | |
Date | 200701 |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : bfm.airport |
State Reference | AL |
Altitude | agl single value : 200 |
Environment | |
Flight Conditions | IMC |
Weather Elements | Fog |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : bfm.tower |
Operator | common carrier : air carrier |
Make Model Name | B757 Undifferentiated or Other Model |
Operating Under FAR Part | Part 91 |
Flight Phase | landing : go around landing : missed approach |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | observation : company check pilot |
Experience | flight time last 90 days : 95 flight time total : 7800 flight time type : 5000 |
ASRS Report | 722728 |
Person 2 | |
Affiliation | company : air carrier |
Function | observation : company check pilot |
Events | |
Anomaly | other anomaly other anomaly other spatial deviation |
Independent Detector | aircraft equipment : gpws other flight crewa other flight crewb |
Resolutory Action | flight crew : regained aircraft control flight crew : became reoriented flight crew : executed go around |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
At minimums I called no runway/environment and called for the go around. The PF initiated the go around by pushing the toggles and disconnected the autoplt. I backed him up by calling for flaps 20 degrees; he agreed. I looked down to the flap handle and positioned the flaps to 20 degrees. When I looked up the aircraft was in a 25+ degree bank and the nose was descending through the horizon. The flight director was full nose up as I took the aircraft to pull up and go wings level. The power was at maximum thrust and the airspeed was increasing rapidly. The aircraft was somewhat stabilized as the PF took the aircraft back; some oscillations followed that included a 'donT sink' call from the egpws. I took the aircraft once again and stabilized it. It all happened so fast that I can't be sure about altitudes; pitch and bank but in retrospect I have witnessed this exact scenario; in the simulator. The low visibility approach conversation did not take place. Even if we were not conducting a CAT 2 and or 3 approach the briefing guide certainly lends itself to thoughtful consideration of the exact job of everyone involved including the autoplt. The autoplt was disengaged at the worst time.
Original NASA ASRS Text
Title: B757 FLT CREW EXECUTES A GAR WITH THE ACFT BECOMING UNSTABILIZED IN AN UNUSUAL ATTITUDE.
Narrative: AT MINIMUMS I CALLED NO RWY/ENVIRONMENT AND CALLED FOR THE GAR. THE PF INITIATED THE GAR BY PUSHING THE TOGGLES AND DISCONNECTED THE AUTOPLT. I BACKED HIM UP BY CALLING FOR FLAPS 20 DEGS; HE AGREED. I LOOKED DOWN TO THE FLAP HANDLE AND POSITIONED THE FLAPS TO 20 DEGS. WHEN I LOOKED UP THE ACFT WAS IN A 25+ DEG BANK AND THE NOSE WAS DSNDING THROUGH THE HORIZON. THE FLT DIRECTOR WAS FULL NOSE UP AS I TOOK THE ACFT TO PULL UP AND GO WINGS LEVEL. THE PWR WAS AT MAX THRUST AND THE AIRSPD WAS INCREASING RAPIDLY. THE ACFT WAS SOMEWHAT STABILIZED AS THE PF TOOK THE ACFT BACK; SOME OSCILLATIONS FOLLOWED THAT INCLUDED A 'DONT SINK' CALL FROM THE EGPWS. I TOOK THE ACFT ONCE AGAIN AND STABILIZED IT. IT ALL HAPPENED SO FAST THAT I CAN'T BE SURE ABOUT ALTS; PITCH AND BANK BUT IN RETROSPECT I HAVE WITNESSED THIS EXACT SCENARIO; IN THE SIMULATOR. THE LOW VISIBILITY APCH CONVERSATION DID NOT TAKE PLACE. EVEN IF WE WERE NOT CONDUCTING A CAT 2 AND OR 3 APCH THE BRIEFING GUIDE CERTAINLY LENDS ITSELF TO THOUGHTFUL CONSIDERATION OF THE EXACT JOB OF EVERYONE INVOLVED INCLUDING THE AUTOPLT. THE AUTOPLT WAS DISENGAGED AT THE WORST TIME.
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.