37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 849256 |
Time | |
Date | 200908 |
Local Time Of Day | 1801-2400 |
Place | |
Locale Reference | ZZZ.ARTCC |
State Reference | US |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Operating Under FAR Part | Part 91 |
Flight Phase | Cruise |
Flight Plan | IFR |
Component | |
Aircraft Component | Altitude Hold/Capture |
Person 1 | |
Function | Captain Pilot Flying |
Qualification | Flight Crew Commercial Flight Crew Flight Instructor Flight Crew Multiengine Flight Crew Instrument |
Experience | Flight Crew Last 90 Days 110 Flight Crew Total 9270 Flight Crew Type 2020 |
Events | |
Anomaly | Deviation - Altitude Excursion From Assigned Altitude Deviation - Procedural Clearance Deviation - Procedural Published Material / Policy Deviation - Track / Heading All Types |
Narrative:
During cruising flight; I became preoccupied with evaluating our fuel status because of stronger than forecast adverse winds aloft. I was updating the fuel flow numbers on the FMS keyboard while the first officer (pilot not flying) was working with the tablet computer (efb) resting on his yoke. When I looked up at the flight instruments; I noted a 20-25 degree bank; 3-4 degree nose down pitch and a 250 ft altitude loss. The autopilot was disconnected. I immediately initiated aggressive roll and pitch inputs to recover heading and altitude. After I recovered heading and altitude; the first officer re-engaged the autopilot on my call. The flight continued to an uneventful landing at our planned destination. ATC did not communicate any concern about our altitude excursion but did inquire about the heading change. Discussion with the first officer led to the conclusion that he inadvertently activated the pitch trim; which causes the autopilot to disconnect without an aural annunciation. The momentary trim activation was not long enough to activate the audible trim-in-motion annunciator. I should have transferred aircraft control to the first officer and done the efb and FMS activities while allowing him to monitor the flight instruments. The inadvertent pitch trim activation and resulting autopilot disconnect might have occurred anyway; but it certainly would have been noticed and corrected more quickly if I had not allowed my fuel concern to override procedural discipline.
Original NASA ASRS Text
Title: A Fractional Jet's autopilot was inadvertently disconnected by the First Officer using the EFB in his lap at FL340. Heading and altitude changes were made but only the heading change was questioned by ATC.
Narrative: During cruising flight; I became preoccupied with evaluating our fuel status because of stronger than forecast adverse winds aloft. I was updating the fuel flow numbers on the FMS keyboard while the First Officer (pilot not flying) was working with the tablet computer (EFB) resting on his yoke. When I looked up at the flight instruments; I noted a 20-25 degree bank; 3-4 degree nose down pitch and a 250 FT altitude loss. The autopilot was disconnected. I immediately initiated aggressive roll and pitch inputs to recover heading and altitude. After I recovered heading and altitude; the First Officer re-engaged the autopilot on my call. The flight continued to an uneventful landing at our planned destination. ATC did not communicate any concern about our altitude excursion but did inquire about the heading change. Discussion with the First Officer led to the conclusion that he inadvertently activated the pitch trim; which causes the autopilot to disconnect without an aural annunciation. The momentary trim activation was not long enough to activate the audible trim-in-motion annunciator. I should have transferred aircraft control to the First Officer and done the EFB and FMS activities while allowing him to monitor the flight instruments. The inadvertent pitch trim activation and resulting autopilot disconnect might have occurred anyway; but it certainly would have been noticed and corrected more quickly if I had not allowed my fuel concern to override procedural discipline.
Data retrieved from NASA's ASRS site as of April 2012 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.