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|
Attributes | |
ACN | 93803 |
Time | |
Date | 198809 |
Day | Sun |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : yyz |
State Reference | ON |
Altitude | msl bound lower : 9000 msl bound upper : 9000 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : yyz |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other |
Flight Phase | descent other |
Route In Use | arrival : profile descent |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 225 flight time total : 4900 flight time type : 600 |
ASRS Report | 93803 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : instrument pilot : flight engineer pilot : commercial pilot : cfi pilot : atp |
Experience | flight time total : 10000 |
ASRS Report | 93933 |
Events | |
Anomaly | altitude deviation : crossing restriction not met inflight encounter : weather non adherence : published procedure |
Independent Detector | other flight crewa |
Resolutory Action | none taken : anomaly accepted |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Cleared for the profile descent for runway 06 into yyz. The captain (not flying) misinterpreted the DME associated with davni intersection. As a result, I was instructed to descend early to meet a modified crossing restriction, issued by the approach controller. I explained the location of davni intersection and he realized his mistake. WX was IFR, rain and turbulence. Contributing factors: controller modification of an already complex and confusing profile descent into yyz, a mileage (DME) mistake on the profile descent plate and the yyz VOR becoming out of service during the descent. While this arrival may decrease workload of the controllers, the workload is evermore increased for pilots during this critical and very busy phase of flight.
Original NASA ASRS Text
Title: MISINTERPRETED PROFILE DESCENT PROC AND BEGAN DESCENT EARLY.
Narrative: CLRED FOR THE PROFILE DSCNT FOR RWY 06 INTO YYZ. THE CAPT (NOT FLYING) MISINTERPRETED THE DME ASSOCIATED WITH DAVNI INTXN. AS A RESULT, I WAS INSTRUCTED TO DSND EARLY TO MEET A MODIFIED XING RESTRICTION, ISSUED BY THE APCH CTLR. I EXPLAINED THE LOCATION OF DAVNI INTXN AND HE REALIZED HIS MISTAKE. WX WAS IFR, RAIN AND TURB. CONTRIBUTING FACTORS: CTLR MODIFICATION OF AN ALREADY COMPLEX AND CONFUSING PROFILE DSCNT INTO YYZ, A MILEAGE (DME) MISTAKE ON THE PROFILE DSCNT PLATE AND THE YYZ VOR BECOMING OUT OF SERVICE DURING THE DSCNT. WHILE THIS ARR MAY DECREASE WORKLOAD OF THE CTLRS, THE WORKLOAD IS EVERMORE INCREASED FOR PLTS DURING THIS CRITICAL AND VERY BUSY PHASE OF FLT.
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.