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|
Attributes | |
ACN | 82127 |
Time | |
Date | 198802 |
Day | Mon |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : hgr |
State Reference | MD |
Altitude | msl bound lower : 3200 msl bound upper : 4000 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zdc tower : hgr |
Operator | general aviation : personal |
Make Model Name | Small Aircraft, Low Wing, 1 Eng, Retractable Gear |
Flight Phase | descent : approach |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : single pilot |
Qualification | pilot : instrument pilot : private |
Experience | flight time last 90 days : 49 flight time total : 730 flight time type : 300 |
ASRS Report | 82127 |
Person 2 | |
Affiliation | Other |
Function | observation : company check pilot |
Qualification | pilot : cfi pilot : commercial pilot : instrument |
Experience | flight time last 90 days : 98 flight time total : 2100 flight time type : 30 |
ASRS Report | 82201 |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : published procedure |
Independent Detector | other controllera |
Resolutory Action | flight crew : returned to intended course or assigned course other |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
The flight was an instrument competency check with a cfii in the right seat. Flight was radar vectored by washington center to intercept the runway 27 localizer a few miles west of the airport, fly the localizer backcourse to haigs intersection, and then complete the approach. Approach clearance included, 'maintain 4000 until established.' I xed haigs outbnd at 4000' and initiated a teardrop entry to the holding pattern for course reversal. At the time of intercepting the localizer inbound about 3 mi east of haigs, I made a serious error and commenced descent to 2900'. Washington center caught the error very quickly and telephoned the tower controller who was now handling the flight. The tower controller radioed instructions to climb back to 4000' until west of haigs. I complied immediately and realized my error at that point. Lowest altitude reached while still east of haigs was about 3200'. The remainder of the approach and landing were normal. This error was totally mine. I interpreted the profile view like a procedure turn course reversal with step down to lower altitude once established on the localizer inbound. I ignored the profile view's clear depiction of haigs as a specific step down fix. The approach chart is clear, and my error is equally clear. Washington center's alertness may have prevented an accident, and that controller did a first class job. I believe this mistake to be the same one which resulted in the air carrier crash on approach to iad some yrs ago. I understand that the phrase 'maintain 4000 until established' was intended to prevent exactly this mistake. Nonetheless, I still made the mistake. Vigilance and concentration were inadequate! It should be noted that the cfii questioned my premature descent as soon as I started it. Believing firmly (but wrongly) that the descent was proper, I talked him out of his question. He learned something too. Supplemental information from acn 82201: the pilot receiving the instrument competency check is one of the best in terms of attitude instrument flying and knowledge of IFR procedure that I've flown with. Thus, I allowed this assessment of his skills to unduly influence my role as PIC during this procedure.
Original NASA ASRS Text
Title: FAILED TO COMPLY WITH PUBLISHED PROC, LEFT ALT EARLY.
Narrative: THE FLT WAS AN INSTRUMENT COMPETENCY CHK WITH A CFII IN THE RIGHT SEAT. FLT WAS RADAR VECTORED BY WASHINGTON CENTER TO INTERCEPT THE RWY 27 LOC A FEW MILES W OF THE ARPT, FLY THE LOC BACKCOURSE TO HAIGS INTXN, AND THEN COMPLETE THE APCH. APCH CLRNC INCLUDED, 'MAINTAIN 4000 UNTIL ESTABLISHED.' I XED HAIGS OUTBND AT 4000' AND INITIATED A TEARDROP ENTRY TO THE HOLDING PATTERN FOR COURSE REVERSAL. AT THE TIME OF INTERCEPTING THE LOC INBND ABOUT 3 MI E OF HAIGS, I MADE A SERIOUS ERROR AND COMMENCED DSCNT TO 2900'. WASHINGTON CENTER CAUGHT THE ERROR VERY QUICKLY AND TELEPHONED THE TWR CTLR WHO WAS NOW HANDLING THE FLT. THE TWR CTLR RADIOED INSTRUCTIONS TO CLB BACK TO 4000' UNTIL W OF HAIGS. I COMPLIED IMMEDIATELY AND REALIZED MY ERROR AT THAT POINT. LOWEST ALT REACHED WHILE STILL E OF HAIGS WAS ABOUT 3200'. THE REMAINDER OF THE APCH AND LNDG WERE NORMAL. THIS ERROR WAS TOTALLY MINE. I INTERPRETED THE PROFILE VIEW LIKE A PROC TURN COURSE REVERSAL WITH STEP DOWN TO LOWER ALT ONCE ESTABLISHED ON THE LOC INBND. I IGNORED THE PROFILE VIEW'S CLR DEPICTION OF HAIGS AS A SPECIFIC STEP DOWN FIX. THE APCH CHART IS CLR, AND MY ERROR IS EQUALLY CLR. WASHINGTON CENTER'S ALERTNESS MAY HAVE PREVENTED AN ACCIDENT, AND THAT CTLR DID A FIRST CLASS JOB. I BELIEVE THIS MISTAKE TO BE THE SAME ONE WHICH RESULTED IN THE ACR CRASH ON APCH TO IAD SOME YRS AGO. I UNDERSTAND THAT THE PHRASE 'MAINTAIN 4000 UNTIL ESTABLISHED' WAS INTENDED TO PREVENT EXACTLY THIS MISTAKE. NONETHELESS, I STILL MADE THE MISTAKE. VIGILANCE AND CONCENTRATION WERE INADEQUATE! IT SHOULD BE NOTED THAT THE CFII QUESTIONED MY PREMATURE DSCNT AS SOON AS I STARTED IT. BELIEVING FIRMLY (BUT WRONGLY) THAT THE DSCNT WAS PROPER, I TALKED HIM OUT OF HIS QUESTION. HE LEARNED SOMETHING TOO. SUPPLEMENTAL INFO FROM ACN 82201: THE PLT RECEIVING THE INSTRUMENT COMPETENCY CHK IS ONE OF THE BEST IN TERMS OF ATTITUDE INSTRUMENT FLYING AND KNOWLEDGE OF IFR PROC THAT I'VE FLOWN WITH. THUS, I ALLOWED THIS ASSESSMENT OF HIS SKILLS TO UNDULY INFLUENCE MY ROLE AS PIC DURING THIS PROC.
Data retrieved from NASA's ASRS site as of August 2007 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.