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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 428645 |
| Time | |
| Date | 199902 |
| Day | Tue |
| Local Time Of Day | 1201 To 1800 |
| Place | |
| Locale Reference | atc facility : zob.artcc |
| State Reference | OH |
| Altitude | msl bound lower : 12000 msl bound upper : 12400 |
| Environment | |
| Flight Conditions | IMC |
| Weather Elements | Ice |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | artcc : zob.artcc |
| Operator | general aviation : corporate |
| Make Model Name | Turbo Commander 690C |
| Operating Under FAR Part | Part 91 |
| Flight Phase | climbout other |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : corporate |
| Function | flight crew : single pilot oversight : pic |
| Qualification | pilot : multi engine pilot : instrument pilot : atp pilot : cfi pilot : commercial |
| Experience | flight time last 90 days : 70 flight time total : 9600 flight time type : 400 |
| ASRS Report | 428645 |
| Person 2 | |
| Affiliation | government : faa |
| Function | controller : radar |
| Qualification | controller : radar |
| Events | |
| Anomaly | altitude deviation : overshoot non adherence : clearance |
| Independent Detector | aircraft equipment : altitude alert |
| Resolutory Action | flight crew : returned to original clearance flight crew : overrode automation |
| Supplementary | |
| Problem Areas | Flight Crew Human Performance |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
I had just leveled off at 12000 ft as I encountered icing (light) conditions. The climb was being conducted with autoplt engaged. At 11500 ft, I decreased rate of climb to 500 FPM and engaged altitude hold at 12000 ft. I then placed my attention on the overhead switch panel to select propeller deice and windshield heat and to verify that engine ignition was on. (Engine anti-ice is annunciated on a lower annunciator panel and was observed to be activated.) at that moment, the altitude alerter gave an aural alert that target altitude was exceeded and I looked at flight instruments to find the aircraft in an uncommanded nose high, wings level climb at 1100 FPM. I immediately took manual control of the yoke, pitching down and simultaneously disengaging the autoplt. I recovered at 12400 ft as ATC alerted me to traffic in my vicinity. I trimmed the aircraft and cautiously re-engaged the autoplt which functioned correctly for the duration of the flight. I believe this occurred because of the multi tasking involved with simultaneous leveling off and encounter with icing conditions. The altitude alerter served its purpose and this was a never before observed autoplt malfunction in this particular aircraft.
Original NASA ASRS Text
Title: AN AC690B FAILED TO LEVEL OFF AT ASSIGNED ALT OF 12000 FT.
Narrative: I HAD JUST LEVELED OFF AT 12000 FT AS I ENCOUNTERED ICING (LIGHT) CONDITIONS. THE CLB WAS BEING CONDUCTED WITH AUTOPLT ENGAGED. AT 11500 FT, I DECREASED RATE OF CLB TO 500 FPM AND ENGAGED ALT HOLD AT 12000 FT. I THEN PLACED MY ATTN ON THE OVERHEAD SWITCH PANEL TO SELECT PROP DEICE AND WINDSHIELD HEAT AND TO VERIFY THAT ENG IGNITION WAS ON. (ENG ANTI-ICE IS ANNUNCIATED ON A LOWER ANNUNCIATOR PANEL AND WAS OBSERVED TO BE ACTIVATED.) AT THAT MOMENT, THE ALT ALERTER GAVE AN AURAL ALERT THAT TARGET ALT WAS EXCEEDED AND I LOOKED AT FLT INSTS TO FIND THE ACFT IN AN UNCOMMANDED NOSE HIGH, WINGS LEVEL CLB AT 1100 FPM. I IMMEDIATELY TOOK MANUAL CTL OF THE YOKE, PITCHING DOWN AND SIMULTANEOUSLY DISENGAGING THE AUTOPLT. I RECOVERED AT 12400 FT AS ATC ALERTED ME TO TFC IN MY VICINITY. I TRIMMED THE ACFT AND CAUTIOUSLY RE-ENGAGED THE AUTOPLT WHICH FUNCTIONED CORRECTLY FOR THE DURATION OF THE FLT. I BELIEVE THIS OCCURRED BECAUSE OF THE MULTI TASKING INVOLVED WITH SIMULTANEOUS LEVELING OFF AND ENCOUNTER WITH ICING CONDITIONS. THE ALT ALERTER SERVED ITS PURPOSE AND THIS WAS A NEVER BEFORE OBSERVED AUTOPLT MALFUNCTION IN THIS PARTICULAR ACFT.
Data retrieved from NASA's ASRS site as of July 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.