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|
Attributes | |
ACN | 807488 |
Time | |
Date | 200809 |
Local Time Of Day | 1801 To 2400 |
Place | |
State Reference | WA |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Operator | general aviation : personal |
Make Model Name | Skyhawk 172/Cutlass 172 |
Operating Under FAR Part | Part 91 |
Flight Phase | descent : approach |
Route In Use | approach : instrument non precision |
Flight Plan | IFR |
Person 1 | |
Affiliation | other |
Function | instruction : trainee |
Qualification | pilot : private |
Experience | flight time last 90 days : 35 flight time total : 120 flight time type : 120 |
ASRS Report | 807488 |
Events | |
Anomaly | altitude deviation : crossing restriction not met non adherence : clearance non adherence : published procedure other spatial deviation |
Independent Detector | aircraft equipment : gpws other flight crewa |
Resolutory Action | none taken : detected after the fact |
Supplementary | |
Problem Areas | Chart Or Publication |
Primary Problem | Chart Or Publication |
Situations | |
Chart | approach : lnav |
Narrative:
Description: while shooting LNAV approach; used lpv decision altitude instead of LNAV MDA. Detailed description: while shooting LNAV (GPS) approach; looked at the commercial approach plate and got confused with the lpv decision altitude while approach briefing. Used the lpv decision altitude instead of LNAV MDA as the former appears in the briefing area of the approach plate. Also lpv and LNAV are resembling. This is compounded by the fact that it was night with dim cockpit light and low pilot experience. This could have been fatal as lpv decision altitude is 763 ft and LNAV MDA is 1600 ft. Possible cause: 1) low experience; 2) pilot stress; 3) pilot oversight. Discovery of the problem: 1) instructor found the issue and correction was made. 2) onboard GPS also gave the low terrain warning. Suggestion corrective actions: 1) IFR flight training should place emphasis on reviewing approach plates mandatory before flight; like WX review. 2) commercial approach plates must not list da(H)/MDA(H) in the briefing strip at the top. This is the style followed by govt charts. Inexperienced pilots/stressed pilots may look at the number in briefing strip and use it rather than looking down for the details. Possible error scenarios: 1) using ILS decision altitude instead of localizer MDA. 2) using lpv decision altitude instead of LNAV MDA. 3) using straight-in minimums instead of circling minimums.
Original NASA ASRS Text
Title: AN LNAV APCH PLATE MINIMUM ALT FORMATTING CAUSED A C172 PLT TO USE THE LPV DECISION ALT VERSUS THE LNAV MDA NEARLY CAUSING A CFTT EVENT.
Narrative: DESCRIPTION: WHILE SHOOTING LNAV APCH; USED LPV DECISION ALT INSTEAD OF LNAV MDA. DETAILED DESCRIPTION: WHILE SHOOTING LNAV (GPS) APCH; LOOKED AT THE COMMERCIAL APCH PLATE AND GOT CONFUSED WITH THE LPV DECISION ALT WHILE APCH BRIEFING. USED THE LPV DECISION ALT INSTEAD OF LNAV MDA AS THE FORMER APPEARS IN THE BRIEFING AREA OF THE APCH PLATE. ALSO LPV AND LNAV ARE RESEMBLING. THIS IS COMPOUNDED BY THE FACT THAT IT WAS NIGHT WITH DIM COCKPIT LIGHT AND LOW PLT EXPERIENCE. THIS COULD HAVE BEEN FATAL AS LPV DECISION ALT IS 763 FT AND LNAV MDA IS 1600 FT. POSSIBLE CAUSE: 1) LOW EXPERIENCE; 2) PLT STRESS; 3) PLT OVERSIGHT. DISCOVERY OF THE PROB: 1) INSTRUCTOR FOUND THE ISSUE AND CORRECTION WAS MADE. 2) ONBOARD GPS ALSO GAVE THE LOW TERRAIN WARNING. SUGGESTION CORRECTIVE ACTIONS: 1) IFR FLT TRAINING SHOULD PLACE EMPHASIS ON REVIEWING APCH PLATES MANDATORY BEFORE FLT; LIKE WX REVIEW. 2) COMMERCIAL APCH PLATES MUST NOT LIST DA(H)/MDA(H) IN THE BRIEFING STRIP AT THE TOP. THIS IS THE STYLE FOLLOWED BY GOVT CHARTS. INEXPERIENCED PLTS/STRESSED PLTS MAY LOOK AT THE NUMBER IN BRIEFING STRIP AND USE IT RATHER THAN LOOKING DOWN FOR THE DETAILS. POSSIBLE ERROR SCENARIOS: 1) USING ILS DECISION ALT INSTEAD OF LOC MDA. 2) USING LPV DECISION ALT INSTEAD OF LNAV MDA. 3) USING STRAIGHT-IN MINIMUMS INSTEAD OF CIRCLING MINIMUMS.
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.