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|
Attributes | |
ACN | 811037 |
Time | |
Date | 200811 |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | msl bound lower : 6000 msl bound upper : 11000 |
Environment | |
Flight Conditions | Mixed |
Light | Daylight |
Aircraft 1 | |
Operator | general aviation : corporate |
Make Model Name | Continental (Bombardier) |
Operating Under FAR Part | Part 91 |
Flight Phase | landing : missed approach landing : go around |
Route In Use | arrival : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : multi engine pilot : cfi |
Experience | flight time last 90 days : 75 flight time total : 6400 flight time type : 200 |
ASRS Report | 811037 |
Person 2 | |
Affiliation | government : faa |
Function | controller : approach |
Events | |
Anomaly | aircraft equipment problem : critical inflight encounter : weather non adherence : clearance other spatial deviation |
Independent Detector | other controllera other flight crewa |
Resolutory Action | controller : issued new clearance flight crew : exited adverse environment |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Weather Flight Crew Human Performance Aircraft |
Primary Problem | Flight Crew Human Performance |
Narrative:
While performing the missed approach on the GPS 18 from ZZZ airport; our aircraft anti-ice system failed; while we were in icing conditions. The workload was obviously heavy; and we were running checklists and coordinating with ATC for a cloud free altitude and a safe heading. The first issue in communication occurs when ATC sends us to ZZZ VOR and to hold as published. The crew at this point is not showing a published hold on any of our cockpit materials; and ATC only knows it's a southeast hold/right turns/1 min legs. This was not a problem. Our issue was when socal approach gives us a heading to intercept V64 to trm VOR. We are unfamiliar with the area; and have no idea where V64 runs to/from. The process of finding V64 on the charts and setting up the radios takes several mins and ATC informed us we just flew through V64; and if we were not able to navigation an airway we should have told him. I don't think ATC realizes how long it takes to find an unplanned airway and set up the radios to intercept. We told ATC we were in clear conditions on top; so terrain avoidance was not an issue. Even coming out of the prior hold communications were poor. We were cleared out of the hold; and then told no; we need you in the hold until the socal handoff. Contributing factors -- while our situation was not an emergency; the workload was high; and communication on both sides was poor. While we were communicating our issues to ATC; we should have just asked for a heading on their control; so all we had to worry about was the aircraft issue/checklists.
Original NASA ASRS Text
Title: A CL30'S ANTI-ICE SYSTEM FAILED DURING A MISSED APPROACH IN ACTUAL ICING CONDITIONS. UNFAMILIAR WITH SOCAL AREA AND GIVEN A NON-PUBLISHED HOLDING PATTERN THE CREW; NOW IN A VERY HIGH WORKLOAD SITUATION; HAD A TRACK DEVIATION INTO AND OUT OF HOLDING.
Narrative: WHILE PERFORMING THE MISSED APCH ON THE GPS 18 FROM ZZZ ARPT; OUR ACFT ANTI-ICE SYS FAILED; WHILE WE WERE IN ICING CONDITIONS. THE WORKLOAD WAS OBVIOUSLY HVY; AND WE WERE RUNNING CHKLISTS AND COORDINATING WITH ATC FOR A CLOUD FREE ALT AND A SAFE HDG. THE FIRST ISSUE IN COM OCCURS WHEN ATC SENDS US TO ZZZ VOR AND TO HOLD AS PUBLISHED. THE CREW AT THIS POINT IS NOT SHOWING A PUBLISHED HOLD ON ANY OF OUR COCKPIT MATERIALS; AND ATC ONLY KNOWS IT'S A SE HOLD/R TURNS/1 MIN LEGS. THIS WAS NOT A PROB. OUR ISSUE WAS WHEN SOCAL APCH GIVES US A HDG TO INTERCEPT V64 TO TRM VOR. WE ARE UNFAMILIAR WITH THE AREA; AND HAVE NO IDEA WHERE V64 RUNS TO/FROM. THE PROCESS OF FINDING V64 ON THE CHARTS AND SETTING UP THE RADIOS TAKES SEVERAL MINS AND ATC INFORMED US WE JUST FLEW THROUGH V64; AND IF WE WERE NOT ABLE TO NAV AN AIRWAY WE SHOULD HAVE TOLD HIM. I DON'T THINK ATC REALIZES HOW LONG IT TAKES TO FIND AN UNPLANNED AIRWAY AND SET UP THE RADIOS TO INTERCEPT. WE TOLD ATC WE WERE IN CLR CONDITIONS ON TOP; SO TERRAIN AVOIDANCE WAS NOT AN ISSUE. EVEN COMING OUT OF THE PRIOR HOLD COMS WERE POOR. WE WERE CLRED OUT OF THE HOLD; AND THEN TOLD NO; WE NEED YOU IN THE HOLD UNTIL THE SOCAL HDOF. CONTRIBUTING FACTORS -- WHILE OUR SITUATION WAS NOT AN EMER; THE WORKLOAD WAS HIGH; AND COM ON BOTH SIDES WAS POOR. WHILE WE WERE COMMUNICATING OUR ISSUES TO ATC; WE SHOULD HAVE JUST ASKED FOR A HDG ON THEIR CTL; SO ALL WE HAD TO WORRY ABOUT WAS THE ACFT ISSUE/CHKLISTS.
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.