FLC OF AN SMT FAILED TO FOLLOW THE MISSED APCH PROC RESULTING IN NOT ADHERING TO THE PUBLISHED TRACK AND ALT.

1995-05 · NASA ASRS report 304233

Date: 1995-05 · Aircraft: King Air C90 E90 · Phase: landing

Anomalies: deviation-altitude-excursion-from-assigned-altitude|deviation-track-heading-all-types|deviation-discrepancy-procedural-clearance|deviation-discrepancy-procedural-published-material-policy|inflight-event-encounter-loss-of-aircraft-control|other-unspecified

Synopsis

FLC OF AN SMT FAILED TO FOLLOW THE MISSED APCH PROC RESULTING IN NOT ADHERING TO THE PUBLISHED TRACK AND ALT.

Narrative

AFTER THE CAPT SHOT AN AUTOPLT COUPLED ILS APCH TO COATESVILLE; PA AND MISSED HE CALLED FOR ME TO CONTACT CTR AND RELAY THAT WE WERE ON THE MISSED APCH WHILE HE STAYED ON UNICOM FREQ. IN THE MOMENTS THEREAFTER THE ACFT DEVIATED FROM HDG AND ALT ASSIGNMENT OF THE PUBLISHED MISSED APCH PROC. IN THOSE BRIEF MOMENTS THE CAPT HAD THOUGHT THAT HE HAD TRANSFERRED ACFT CTL TO ME; WHILE I THOUGHT HE WAS STILL FLYING THE ACFT WITH THE AUTOPLT. AT THIS BUSY MOMENT IN THE COCKPIT A GROSS MISCOM OCCURRED. IN RETROSPECT; WE LEARNED WE NEED TO POSITIVELY PASS CTL OF THE ACFT THROUGH THE CHALLENGE AND RESPONSE TECHNIQUE. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: RPTR STATED THAT THE ACFT FLOWN DURING THIS INCIDENT WAS A BE90. HE SAID THAT IT TOOK A FEW MOMENTS TO REALIZE THAT THE AUTOPLT WAS NOT ENGAGED SINCE THE LAST THAT HE REMEMBERED SEEING IS THE INDICATIONS OF THE COUPLED APCH FROM WHICH THE MISSED APCH WAS BEING MADE. HE DID NOTICE THE GAR FLT DIRECTOR LIGHT ON AND THEN HIS ATTN WAS DIVERTED TO CONTACTING APCH CTL. HE FURTHER STATED THAT HE AND THE CAPT LEARNED A GOOD LESSON WITH REGARD TO FLC COMMUNICATING WITH EACH OTHER. HE HAS NOT FLOWN THE SAME CAPT SINCE SO CANNOT SAY HOW AFFECTIVE THE INCIDENT WAS TO THE CAPT'S FUTURE HABITS!

Source: NASA Aviation Safety Reporting System (public domain). Reports are voluntary submissions and are not verified by NASA.

Loading the flight search…

Frequently asked questions

How do I search flights by aircraft type on FlightFinder?

Pick an aircraft model — Boeing 737, Airbus A320, A380, Boeing 787 Dreamliner and more — enter your origin airport, and FlightFinder shows every route that plane flies from there with live fares.

Which aircraft types can I filter by?

We support Boeing 737/747/757/767/777/787, the full Airbus A220/A319/A320/A321/A330/A340/A350/A380 family, Embraer E170/E175/E190/E195, Bombardier CRJ and Dash 8, and the ATR 42/72 turboprops.

Is FlightFinder free to use?

Search and schedules are free. Pro ($4.99/month, $39/year, or $99 one-time lifetime) unlocks the enriched flight card — on-time stats, CO₂ per passenger, amenities, live gate & weather — plus My Trips with push alerts.

Where does the route data come from?

Live schedules come from Amadeus, AeroDataBox and Travelpayouts. Observed routes (which aircraft actually flew a given city pair) are crowdsourced from adsb.lol ADS-B data under the Open Database License.