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|
Attributes | |
ACN | 794846 |
Time | |
Date | 200807 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : jfk.airport |
State Reference | NY |
Altitude | msl single value : 800 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : jfk.tower |
Operator | common carrier : air carrier |
Make Model Name | Regional Jet CL65 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | descent : approach |
Route In Use | approach : instrument non precision |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : multi engine pilot : instrument pilot : commercial pilot : atp pilot : cfi |
Experience | flight time last 90 days : 140 flight time total : 2600 flight time type : 140 |
ASRS Report | 794846 |
Events | |
Anomaly | altitude deviation : crossing restriction not met altitude deviation : excursion from assigned altitude non adherence : published procedure |
Independent Detector | atc equipment : msaw |
Resolutory Action | controller : issued alert flight crew : returned to assigned altitude |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
During VOR 13L approach to runway 13L; jfk tower issued a low altitude alert while the aircraft was over cri VOR. The altitude was approximately 1000 ft MSL and descending when an alert was issued; tower provided a current altimeter reading; and instructions to 'correct immediately.' the crossing restr was 1500 ft MSL over the cri VOR per instrument approach procedure (IAP) published by the FAA. Conditions were VMC. The crew became distraction during an attempt to obtain/maintain visual contact of proceeding landing traffic. While both crew members were 'heads up' scanning for traffic; incorrect inputs were entered into the autoplt controls. The aircraft began an earlier than prescribed descent. After the postflt debrief; the first officer and myself determined the probable cause to have occurred after the first prescribed descent from the asalt fix. During the initial descent; the flight guidance computer captured the 'preselected altitude;' company procedures require a verbal announcement of 'altitudes cap' be made when the FMA flashes 'altitudes cap.' during the descent from 3000 ft to 1500 ft (asalt-cri) the FGC captured the preselected altitude of 1500 ft; at which time 'altitudes cap' was verbally announced by the crew members; and the command to 'set next altitude' was issued from the captain. The first officer (PNF) began to set the next altitude which per the IAP was 800 ft. However; during the selection of next altitude by the first officer; I was simultaneously adjusting the rate of vertical descent on the FGC. The setting I was adjusting was the 'vertical speed;' however after the FMA displays 'altitudes cap' no inputs should be made or a default flight mode of 'pitch' will be commanded on. With 'pitch' now active on the FMA; and a new lower altitude (800 ft) provided the altitude capture at 1500 ft never occurred; and the aircraft began a constant descent to 800 ft prior to reaching the cri VOR; also designated as the FAF. With both pilots scanning outside the cockpit for traffic; the error was not noticed until the tower provided alert was issued.
Original NASA ASRS Text
Title: CL65 FLT CREW DESCENDS BELOW 1500 FEET PRIOR TO CRI DURING THE VOR RWY 13L APPROACH TO JFK WHILE LOOKING FOR TRAFFIC IN VMC.
Narrative: DURING VOR 13L APCH TO RWY 13L; JFK TWR ISSUED A LOW ALT ALERT WHILE THE ACFT WAS OVER CRI VOR. THE ALT WAS APPROX 1000 FT MSL AND DSNDING WHEN AN ALERT WAS ISSUED; TWR PROVIDED A CURRENT ALTIMETER READING; AND INSTRUCTIONS TO 'CORRECT IMMEDIATELY.' THE XING RESTR WAS 1500 FT MSL OVER THE CRI VOR PER INST APCH PROC (IAP) PUBLISHED BY THE FAA. CONDITIONS WERE VMC. THE CREW BECAME DISTR DURING AN ATTEMPT TO OBTAIN/MAINTAIN VISUAL CONTACT OF PROCEEDING LNDG TFC. WHILE BOTH CREW MEMBERS WERE 'HEADS UP' SCANNING FOR TFC; INCORRECT INPUTS WERE ENTERED INTO THE AUTOPLT CTLS. THE ACFT BEGAN AN EARLIER THAN PRESCRIBED DSCNT. AFTER THE POSTFLT DEBRIEF; THE FO AND MYSELF DETERMINED THE PROBABLE CAUSE TO HAVE OCCURRED AFTER THE FIRST PRESCRIBED DSCNT FROM THE ASALT FIX. DURING THE INITIAL DSCNT; THE FLT GUIDANCE COMPUTER CAPTURED THE 'PRESELECTED ALT;' COMPANY PROCS REQUIRE A VERBAL ANNOUNCEMENT OF 'ALTS CAP' BE MADE WHEN THE FMA FLASHES 'ALTS CAP.' DURING THE DSCNT FROM 3000 FT TO 1500 FT (ASALT-CRI) THE FGC CAPTURED THE PRESELECTED ALT OF 1500 FT; AT WHICH TIME 'ALTS CAP' WAS VERBALLY ANNOUNCED BY THE CREW MEMBERS; AND THE COMMAND TO 'SET NEXT ALT' WAS ISSUED FROM THE CAPT. THE FO (PNF) BEGAN TO SET THE NEXT ALT WHICH PER THE IAP WAS 800 FT. HOWEVER; DURING THE SELECTION OF NEXT ALT BY THE FO; I WAS SIMULTANEOUSLY ADJUSTING THE RATE OF VERT DSCNT ON THE FGC. THE SETTING I WAS ADJUSTING WAS THE 'VERT SPD;' HOWEVER AFTER THE FMA DISPLAYS 'ALTS CAP' NO INPUTS SHOULD BE MADE OR A DEFAULT FLT MODE OF 'PITCH' WILL BE COMMANDED ON. WITH 'PITCH' NOW ACTIVE ON THE FMA; AND A NEW LOWER ALT (800 FT) PROVIDED THE ALT CAPTURE AT 1500 FT NEVER OCCURRED; AND THE ACFT BEGAN A CONSTANT DSCNT TO 800 FT PRIOR TO REACHING THE CRI VOR; ALSO DESIGNATED AS THE FAF. WITH BOTH PLTS SCANNING OUTSIDE THE COCKPIT FOR TFC; THE ERROR WAS NOT NOTICED UNTIL THE TWR PROVIDED ALERT WAS ISSUED.
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.