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|
Attributes | |
ACN | 93526 |
Time | |
Date | 198809 |
Day | Thu |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : zzz |
State Reference | US |
Altitude | msl bound lower : 34550 msl bound upper : 35000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zbw |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other |
Flight Phase | cruise other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 130 flight time total : 10000 flight time type : 325 |
ASRS Report | 93526 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : excursion from assigned altitude non adherence : clearance |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : returned to intended course or assigned course flight crew : overcame equipment problem |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
During cruise with pms in 'perf' mode and DFGS system 1 in use at FL350, the sif (stall indication failure) light on the overhead annunciator panel illuminated followed by an amber slat disagree light and CDU message of vmax 188. Autothrottles went to 'clmp' (clamp) and pitch mode of autoplt defaulted to mach hold causing aircraft to descend 450' before descent could be arrested. Airspeed never got lower than 240 (KIAS) or .73 mach. The system was recycled and reinstated in DFGS #1 and perf and it worked normally remainder of flight. The sif and slat disagree lights went out almost immediately during altitude recovery after the autoplt was disconnected. It strikes me that the -930 computer should default to mach or speed hold on the autothrottles and the altitude hold on the pitch. Altitude deviations of this sort have a great potential to be dangerous.
Original NASA ASRS Text
Title: MLG ON AUTOPLT LOST 450'.
Narrative: DURING CRUISE WITH PMS IN 'PERF' MODE AND DFGS SYS 1 IN USE AT FL350, THE SIF (STALL INDICATION FAILURE) LIGHT ON THE OVERHEAD ANNUNCIATOR PANEL ILLUMINATED FOLLOWED BY AN AMBER SLAT DISAGREE LIGHT AND CDU MESSAGE OF VMAX 188. AUTOTHROTTLES WENT TO 'CLMP' (CLAMP) AND PITCH MODE OF AUTOPLT DEFAULTED TO MACH HOLD CAUSING ACFT TO DSND 450' BEFORE DSCNT COULD BE ARRESTED. AIRSPD NEVER GOT LOWER THAN 240 (KIAS) OR .73 MACH. THE SYS WAS RECYCLED AND REINSTATED IN DFGS #1 AND PERF AND IT WORKED NORMALLY REMAINDER OF FLT. THE SIF AND SLAT DISAGREE LIGHTS WENT OUT ALMOST IMMEDIATELY DURING ALT RECOVERY AFTER THE AUTOPLT WAS DISCONNECTED. IT STRIKES ME THAT THE -930 COMPUTER SHOULD DEFAULT TO MACH OR SPD HOLD ON THE AUTOTHROTTLES AND THE ALT HOLD ON THE PITCH. ALT DEVIATIONS OF THIS SORT HAVE A GREAT POTENTIAL TO BE DANGEROUS.
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.