37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 788143 |
Time | |
Date | 200804 |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | navaid : zzz.vortac |
State Reference | US |
Altitude | msl single value : 14000 |
Environment | |
Flight Conditions | IMC |
Weather Elements | Windshear Turbulence |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zzz.artcc tower : lax.tower |
Operator | common carrier : air taxi |
Make Model Name | Cessna 402/402C/B379 Businessliner/Utiliner |
Operating Under FAR Part | Part 135 |
Navigation In Use | other vortac |
Flight Phase | descent : holding |
Route In Use | arrival : holding pattern |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air taxi |
Function | flight crew : single pilot |
Qualification | pilot : atp |
Experience | flight time last 90 days : 110 flight time total : 2090 flight time type : 24 |
ASRS Report | 788143 |
Person 2 | |
Affiliation | government : faa |
Function | controller : radar |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : excursion from assigned altitude inflight encounter : turbulence non adherence : clearance |
Independent Detector | other controllera |
Resolutory Action | flight crew : returned to assigned altitude |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance Weather |
Primary Problem | Flight Crew Human Performance |
Narrative:
As a result of windshear at my destination; I was directed by ATC to hold northwest at 14000 ft MSL with an expect further clearance time of XB30L; which was shortly changed to XB40L. The clearance was given at approximately XA45L. My request to hold with 10 NM legs was approved. In an effort to conserve fuel I reduced power to maintain approximately 110 KIAS. When I entered holding; I was IMC and engaged the autoplt. On the turn inbound I encountered moderate turbulence that started an altitude and heading oscillation with the autoplt and affected the fuel flow to the left engine; causing it to begin to run roughly. I disengaged the autoplt with the aircraft in about 30 degrees of bank; 5 degrees nose low and about 200 ft below my assigned altitude. While disengaging the autoplt; I increased my pitch; switched the fuel supply from the auxiliary tanks to the main tanks and ensured that the boost pumps were on. It was at this time that I encountered severe turbulence which caused the aircraft to roll to greater than 60 degrees and drop approximately 300 ft; bottoming out at 13500 ft MSL. To regain control; I immediately rolled wings level; pulled back on the yoke to arrest my descent and applied more power. Following this recovery I was only able to sustain a 300 FPM climb. As I was regaining my altitude and composure; ATC requested my altitude and I informed them that I was climbing back to my assigned altitude of 14000 ft MSL. When asked for the reason for my altitude deviation I replied that I had encountered light to moderate turbulence. Lessons learned/corrective actions: when turbulence is idented or suspected carry an airspeed that is closer to maneuvering speed. This should allow for more rapid aircraft response to unintended deviations caused by turbulence while remaining within the aircraft structural limits. Hand-flying during idented or suspected turbulence appears to be a better option than autoplt in the C402B. Immediately notify ATC of unintended deviations and my corrective actions. My understanding of mountain wave turbulence; the distinction between severe and moderate turbulence; and procedures for reporting their occurrence to ATC were below where they needed to be. I have since reviewed these items and understand how to implement them in the future. I intend to share this event and the lessons learned with the director of operations; chief pilot and other pilots of my company to help them safely avoid this situation in the future.
Original NASA ASRS Text
Title: C402 PILOT REPORTS LOSING 500 FEET DURING HOLDING DUE TO TURBULENCE AND AUTO PILOT MALFUNCTION.
Narrative: AS A RESULT OF WINDSHEAR AT MY DEST; I WAS DIRECTED BY ATC TO HOLD NW AT 14000 FT MSL WITH AN EXPECT FURTHER CLRNC TIME OF XB30L; WHICH WAS SHORTLY CHANGED TO XB40L. THE CLRNC WAS GIVEN AT APPROX XA45L. MY REQUEST TO HOLD WITH 10 NM LEGS WAS APPROVED. IN AN EFFORT TO CONSERVE FUEL I REDUCED PWR TO MAINTAIN APPROX 110 KIAS. WHEN I ENTERED HOLDING; I WAS IMC AND ENGAGED THE AUTOPLT. ON THE TURN INBOUND I ENCOUNTERED MODERATE TURB THAT STARTED AN ALT AND HDG OSCILLATION WITH THE AUTOPLT AND AFFECTED THE FUEL FLOW TO THE L ENG; CAUSING IT TO BEGIN TO RUN ROUGHLY. I DISENGAGED THE AUTOPLT WITH THE ACFT IN ABOUT 30 DEGS OF BANK; 5 DEGS NOSE LOW AND ABOUT 200 FT BELOW MY ASSIGNED ALT. WHILE DISENGAGING THE AUTOPLT; I INCREASED MY PITCH; SWITCHED THE FUEL SUPPLY FROM THE AUX TANKS TO THE MAIN TANKS AND ENSURED THAT THE BOOST PUMPS WERE ON. IT WAS AT THIS TIME THAT I ENCOUNTERED SEVERE TURB WHICH CAUSED THE ACFT TO ROLL TO GREATER THAN 60 DEGS AND DROP APPROX 300 FT; BOTTOMING OUT AT 13500 FT MSL. TO REGAIN CTL; I IMMEDIATELY ROLLED WINGS LEVEL; PULLED BACK ON THE YOKE TO ARREST MY DSCNT AND APPLIED MORE PWR. FOLLOWING THIS RECOVERY I WAS ONLY ABLE TO SUSTAIN A 300 FPM CLB. AS I WAS REGAINING MY ALT AND COMPOSURE; ATC REQUESTED MY ALT AND I INFORMED THEM THAT I WAS CLBING BACK TO MY ASSIGNED ALT OF 14000 FT MSL. WHEN ASKED FOR THE REASON FOR MY ALTDEV I REPLIED THAT I HAD ENCOUNTERED LIGHT TO MODERATE TURB. LESSONS LEARNED/CORRECTIVE ACTIONS: WHEN TURB IS IDENTED OR SUSPECTED CARRY AN AIRSPD THAT IS CLOSER TO MANEUVERING SPD. THIS SHOULD ALLOW FOR MORE RAPID ACFT RESPONSE TO UNINTENDED DEVS CAUSED BY TURB WHILE REMAINING WITHIN THE ACFT STRUCTURAL LIMITS. HAND-FLYING DURING IDENTED OR SUSPECTED TURB APPEARS TO BE A BETTER OPTION THAN AUTOPLT IN THE C402B. IMMEDIATELY NOTIFY ATC OF UNINTENDED DEVS AND MY CORRECTIVE ACTIONS. MY UNDERSTANDING OF MOUNTAIN WAVE TURB; THE DISTINCTION BTWN SEVERE AND MODERATE TURB; AND PROCS FOR RPTING THEIR OCCURRENCE TO ATC WERE BELOW WHERE THEY NEEDED TO BE. I HAVE SINCE REVIEWED THESE ITEMS AND UNDERSTAND HOW TO IMPLEMENT THEM IN THE FUTURE. I INTEND TO SHARE THIS EVENT AND THE LESSONS LEARNED WITH THE DIRECTOR OF OPS; CHIEF PLT AND OTHER PLTS OF MY COMPANY TO HELP THEM SAFELY AVOID THIS SITUATION IN THE FUTURE.
Data retrieved from NASA's ASRS site as of May 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.