37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 921001 |
Time | |
Date | 201011 |
Local Time Of Day | 1801-2400 |
Place | |
Locale Reference | SEQU.Airport |
State Reference | FO |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Make Model Name | B757-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | Initial Approach |
Flight Plan | IFR |
Component | |
Aircraft Component | Autoflight System |
Person 1 | |
Function | Pilot Not Flying Captain |
Qualification | Flight Crew Air Transport Pilot (ATP) |
Person 2 | |
Function | Pilot Flying First Officer |
Events | |
Anomaly | Deviation - Altitude Crossing Restriction Not Met Deviation - Procedural Clearance Deviation - Procedural Published Material / Policy |
Narrative:
On initial approach to sequ; RNAV (rnp) runway 35; between dagma and anbur a descent below the anbur restriction of 14;820 ft occurred to approximately 13;900 ft. An immediate correction and return to 14;800 ft was initiated. No terrain cautions or warnings occurred. A major contributer at the time of the incident was VNAV path had changed to VNAV speed; and was not immediately noticed. The FAF altitude of 11;500 ft that was set in the MCP was not reset to 14;900 ft for anbur when in VNAV speed. Strict adherence to all company procedures for sequ would have most likely prevented this unfortunate event. I think the first officer's mental alertness (tired) could have played a part; although when asked he denied it.
Original NASA ASRS Text
Title: B757 Flight Crew reports descending below 14;820 FT prior to ANBUR during the RNAV Runway 35 approach to SEQU. VNAV had become disengaged without the crew noticing.
Narrative: On initial approach to SEQU; RNAV (RNP) Runway 35; between DAGMA and ANBUR a descent below the ANBUR restriction of 14;820 FT occurred to approximately 13;900 FT. An immediate correction and return to 14;800 FT was initiated. No terrain cautions or warnings occurred. A major contributer at the time of the incident was VNAV PATH had changed to VNAV SPD; and was not immediately noticed. The FAF altitude of 11;500 FT that was set in the MCP was not reset to 14;900 FT for ANBUR when in VNAV SPD. Strict adherence to all company procedures for SEQU would have most likely prevented this unfortunate event. I think the First Officer's mental alertness (tired) could have played a part; although when asked he denied it.
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.