A CPR JET; DSNDING; OVERSHOT ITS ASSIGNED ALT WHEN DISTR BY PASSING TFC. THE ALT CAPTURE WAS NULLIFIED BY THE CAPT'S MISUSE OF THE ACFT'S HORIZ STABILIZER'S TRIM WHEEL.
Synopsis
A CPR JET; DSNDING; OVERSHOT ITS ASSIGNED ALT WHEN DISTR BY PASSING TFC. THE ALT CAPTURE WAS NULLIFIED BY THE CAPT'S MISUSE OF THE ACFT'S HORIZ STABILIZER'S TRIM WHEEL.
Narrative
AT APPROX XA40Z NEAR KRENA INTXN ON V100 W OF OBK VOR; I HAD AN ALTDEV. I HAD BEEN CLRED TO DSND TO 11000 FT FROM FL230. I WAS FLYING THE AIRPLANE ON THE AUTOPLT. OUT OF 12000 FT; OUR TCASII GAVE A TA; AN INBOUND B737 INTO ORD. THIS TFC WAS MAINTAINING 10000 FT AND WAS APCHING US ON A 1 O'CLOCK TO 7 O'CLOCK PATH. MY CO-CAPT GOT A VISUAL ON THE TFC AND I ROLLED IN SOME NOSE-UP TRIM TO SLOW OUR VERT CLOSURE WITH THE TFC. THIS WAS MY FIRST MISTAKE. AS THE BOEING PASSED IN FRONT OF US AND OFF OUR L SIDE AND I TOOK MY ATTN OFF THE FLT DIRECTOR AND OBSERVED IT (MISTAKE #2); AS I LOOKED BACK AT THE EFIS I SAW THE FLT DIRECTOR HAD NOT CAPTURED 11000 FT AND WAS CONTINUING OUR DSCNT. I DISENGAGED THE AUTOPLT AND PITCHED UP. WE DSNDED TO ABOUT 10700 FT AND WERE PROBABLY 2 OR 3 MI BEHIND THE B737. AS WE RETURNED TO 11000 FT; CTR ASKED FOR A VERIFICATION OF OUR ALT. THIS WAS VERY EMBARRASSING AND HUMBLING AND COULD HAVE EASILY HAD VERY SERIOUS CONSEQUENCES. IN HINDSIGHT; THERE WERE SEVERAL HUMAN FACTORS. FIRST; WAS MY FAILURE TO USE THE PROPER TECHNIQUE IN APPLYING TRIM WHEN THE AIRPLANE IS BEING FLOWN BY THE FLT DIRECTOR. EVERY AIRPLANE I HAVE FLOWN WILL DISCONNECT ALT CAPTURE IF YOU MANUALLY TRIM WHILE THE FLT DIRECTOR IS TRYING TO CAPTURE AN ALT. WHY I DID THIS AND DIDN'T SEE THE ANNUNCIATION THAT I HAD LOST ALT CAPTURE IS A MYSTERY TO ME. THIS IS ONE 'GOTCHA' THAT WON'T BITE ME IN THE FUTURE. MY SECOND MISTAKE WAS TO AVERT MY ATTN FROM MY AIRPLANE AND A FAILURE TO CLOSELY MONITOR THE AUTOPLT'S FLYING. I VIOLATED THE CARDINAL RULE OF A PLT -- 'FLY YOUR AIRPLANE.' IF I HAD BEEN WATCHING MY INSTS INSTEAD OF THE B737; I WOULD HAVE NOTICED OUR AIRPLANE WAS NOT GOING TO LEVEL OFF AT 11000 FT AND COULD HAVE TAKEN APPROPRIATE AND TIMELY ACTIONS TO DO SO. PERSONALLY; THIS FAILURE IS THE MOST DAMNING AND SHOWS A BREAKDOWN OF PERSONAL DISCIPLINE; SOMETHING I HAVE ALWAYS STRIVED FOR. IT HAS CAUSED A SELF-EXAM OF MY FLYING HABITS; PRIORITIES AND JUDGEMENT. I FEEL PRETTY BADLY ABOUT THIS INCIDENT AND THE AREAS WHERE I WAS DEFICIENT. I PLEDGE TO DO MUCH BETTER IN THE FUTURE.
Source: NASA Aviation Safety Reporting System (public domain). Reports are voluntary submissions and are not verified by NASA.