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Heading track and speed deviation during the PIC's high, unstabilized approach frustrates the first officer of a gii on the tiptoe visual to runway 28 at sfo, ca.
| Attributes | |
| ACN | 541736 |
| Time | |
| Date | 200203 |
| Day | Thu |
| Local Time Of Day | 1801 To 2400 |
| Place | |
| Locale Reference | airport : sfo.airport |
| State Reference | CA |
| Altitude | msl single value : 4000 |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | tower : sfo.tower tower : sjc.tower |
| Operator | common carrier : air carrier |
| Make Model Name | Gulfstream II |
| Operating Under FAR Part | Part 135 |
| Flight Phase | descent : approach landing : go around |
| Route In Use | approach : visual arrival star : tiptoe |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air taxi |
| Function | flight crew : first officer |
| Qualification | pilot : instrument pilot : commercial pilot : atp pilot : multi engine |
| Experience | flight time last 90 days : 150 flight time total : 17000 flight time type : 500 |
| ASRS Report | 541736 |
| Person 2 | |
| Affiliation | company : air taxi |
| Function | flight crew : captain oversight : pic |
| Events | |
| Anomaly | altitude deviation : undershoot non adherence : clearance non adherence : published procedure other anomaly other anomaly other anomaly other other spatial deviation |
| Independent Detector | other controllera other flight crewa |
| Resolutory Action | controller : separated traffic controller : issued new clearance flight crew : executed go around |
| Supplementary | |
| Problem Areas | Flight Crew Human Performance |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
Aircraft was cleared for tiptoe visual approach to runway 28L. I read back clearance. Captain (PF) thought he was cleared for visual and began turn directly toward runway. I told him 'no, you were cleared for tiptoe visual.' he continued inbound after a second reminder. I then gave him a heading to comply with clearance. He continued directly to airport. He was high and close to traffic he was supposed to follow. Eventually we were told to go around. I believe that company needs to revisit CRM with this individual.
Original NASA ASRS Text
Title: HDG TRACK AND SPD DEV DURING THE PIC'S HIGH, UNSTABILIZED APCH FRUSTRATES THE FO OF A GII ON THE TIPTOE VISUAL TO RWY 28 AT SFO, CA.
Narrative: ACFT WAS CLRED FOR TIPTOE VISUAL APCH TO RWY 28L. I READ BACK CLRNC. CAPT (PF) THOUGHT HE WAS CLRED FOR VISUAL AND BEGAN TURN DIRECTLY TOWARD RWY. I TOLD HIM 'NO, YOU WERE CLRED FOR TIPTOE VISUAL.' HE CONTINUED INBOUND AFTER A SECOND REMINDER. I THEN GAVE HIM A HDG TO COMPLY WITH CLRNC. HE CONTINUED DIRECTLY TO ARPT. HE WAS HIGH AND CLOSE TO TFC HE WAS SUPPOSED TO FOLLOW. EVENTUALLY WE WERE TOLD TO GO AROUND. I BELIEVE THAT COMPANY NEEDS TO REVISIT CRM WITH THIS INDIVIDUAL.
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.