37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 82742 |
Time | |
Date | 198802 |
Day | Mon |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : sea |
State Reference | WA |
Altitude | agl bound lower : 100 agl bound upper : 100 |
Environment | |
Flight Conditions | IMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tower : sea |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other |
Flight Phase | descent : approach landing : go around |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : instrument pilot : flight engineer pilot : commercial pilot : atp |
Experience | flight time last 90 days : 70 flight time total : 5000 flight time type : 200 |
ASRS Report | 82742 |
Person 2 | |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Events | |
Anomaly | inflight encounter : weather non adherence : far |
Independent Detector | other flight crewa |
Resolutory Action | other |
Consequence | Other |
Supplementary | |
Primary Problem | Weather |
Air Traffic Incident | Pilot Deviation |
Narrative:
After 4 hours flight time arrived at sea. WX had started to go down. Airport using ILS 34R approach with a RVR of 3000'. Attempted first approach and initiated missed approach at DH with uneventful go around. Started second approach, at DH I saw approach lights. At same time copilot started to push throttle forward for go around. I did not realize that the toga buttons had been pushed. When I grabbed the yoke I disconnected the autoplt. At 100' runway came in sight and we were lined up a little right. At the same time I became confused with the throttle responses because I did not realize the toga button had been activated. We started a left drift while I tried to turn the lights on for better definition of the runway. At about 50' the drift became faster to the left. When edge lights centered up and also ILS tower was seen, go around was initiated for an uneventful go around. On go around it was learned that the RVR had dropped to 1000' all transmitters. Lessons learned: 1) a better approach brief with copilot knowing to call DH out extra loud so it is definitely heard. 2) approach should have been discontinued as soon as the autothrottles felt funny and definitely when the runway was not lined up. 3) also brief a positive go around callout again to distract the outside concentrate. I think another contributing factor was that the time was close to 2 O'clock body time and concentration was just a little slower than normal.
Original NASA ASRS Text
Title: ACR MLG ON LOW VISIBILITY APCH TRIED TO SALVAGE LNDG AFTER GO AROUND INITIATED.
Narrative: AFTER 4 HRS FLT TIME ARRIVED AT SEA. WX HAD STARTED TO GO DOWN. ARPT USING ILS 34R APCH WITH A RVR OF 3000'. ATTEMPTED FIRST APCH AND INITIATED MISSED APCH AT DH WITH UNEVENTFUL GO AROUND. STARTED SECOND APCH, AT DH I SAW APCH LIGHTS. AT SAME TIME COPLT STARTED TO PUSH THROTTLE FORWARD FOR GO AROUND. I DID NOT REALIZE THAT THE TOGA BUTTONS HAD BEEN PUSHED. WHEN I GRABBED THE YOKE I DISCONNECTED THE AUTOPLT. AT 100' RWY CAME IN SIGHT AND WE WERE LINED UP A LITTLE RIGHT. AT THE SAME TIME I BECAME CONFUSED WITH THE THROTTLE RESPONSES BECAUSE I DID NOT REALIZE THE TOGA BUTTON HAD BEEN ACTIVATED. WE STARTED A LEFT DRIFT WHILE I TRIED TO TURN THE LIGHTS ON FOR BETTER DEFINITION OF THE RWY. AT ABOUT 50' THE DRIFT BECAME FASTER TO THE LEFT. WHEN EDGE LIGHTS CENTERED UP AND ALSO ILS TWR WAS SEEN, GO AROUND WAS INITIATED FOR AN UNEVENTFUL GO AROUND. ON GO AROUND IT WAS LEARNED THAT THE RVR HAD DROPPED TO 1000' ALL XMITTERS. LESSONS LEARNED: 1) A BETTER APCH BRIEF WITH COPLT KNOWING TO CALL DH OUT EXTRA LOUD SO IT IS DEFINITELY HEARD. 2) APCH SHOULD HAVE BEEN DISCONTINUED AS SOON AS THE AUTOTHROTTLES FELT FUNNY AND DEFINITELY WHEN THE RWY WAS NOT LINED UP. 3) ALSO BRIEF A POSITIVE GO AROUND CALLOUT AGAIN TO DISTRACT THE OUTSIDE CONCENTRATE. I THINK ANOTHER CONTRIBUTING FACTOR WAS THAT THE TIME WAS CLOSE TO 2 O'CLOCK BODY TIME AND CONCENTRATION WAS JUST A LITTLE SLOWER THAN NORMAL.
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.