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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 696289 |
| Time | |
| Date | 200604 |
| Local Time Of Day | 0001 To 0600 |
| Place | |
| Locale Reference | airport : rjbb.airport |
| State Reference | FO |
| Altitude | msl single value : 3000 |
| Environment | |
| Flight Conditions | IMC |
| Light | Night |
| Aircraft 1 | |
| Controlling Facilities | tracon : rjbb.tracon |
| Operator | common carrier : air carrier |
| Make Model Name | MD-11 |
| Operating Under FAR Part | Part 121 |
| Navigation In Use | ils localizer only : 24 |
| Flight Phase | descent : approach |
| Route In Use | arrival star : n/s |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| Experience | flight time last 90 days : 110 flight time total : 14500 |
| ASRS Report | 696289 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Events | |
| Anomaly | altitude deviation : crossing restriction not met non adherence : clearance non adherence : published procedure |
| Independent Detector | other flight crewa |
| Resolutory Action | none taken : detected after the fact |
| Supplementary | |
| Problem Areas | Chart Or Publication Flight Crew Human Performance |
| Primary Problem | Chart Or Publication |
| Air Traffic Incident | Pilot Deviation |
Narrative:
The airline I fly for is transitioning to an electronic flight bag. At the completion of 2 on-line training presentations; all pilots are encouraged to use the paper commercial charts as step #1 in the transition. Commercial chart's format will be the display on the electronic flight bag. On approach to osaka; japan; and using the commercial charts I missed a mandatory 2600 ft crossing altitude on the runway 24 ILS approach. Another commercial chart supplier has 'mandatory' printed on the vertical view of the chart; while this chart only shows the restr on the plan view and with only the altitude in bold and no other highlighting. Lesson learned: from now on I will look for the bold restrs and xref with the FMS.
Original NASA ASRS Text
Title: MD11 FLT CREW FAILS TO MEET MANDATORY XING RESTR ON DSCNT TO RJBB DUE TO UNFAMILIARITY WITH NEW CHARTING FORMAT.
Narrative: THE AIRLINE I FLY FOR IS TRANSITIONING TO AN ELECTRONIC FLT BAG. AT THE COMPLETION OF 2 ON-LINE TRAINING PRESENTATIONS; ALL PLTS ARE ENCOURAGED TO USE THE PAPER COMMERCIAL CHARTS AS STEP #1 IN THE TRANSITION. COMMERCIAL CHART'S FORMAT WILL BE THE DISPLAY ON THE ELECTRONIC FLT BAG. ON APCH TO OSAKA; JAPAN; AND USING THE COMMERCIAL CHARTS I MISSED A MANDATORY 2600 FT XING ALT ON THE RWY 24 ILS APCH. ANOTHER COMMERCIAL CHART SUPPLIER HAS 'MANDATORY' PRINTED ON THE VERT VIEW OF THE CHART; WHILE THIS CHART ONLY SHOWS THE RESTR ON THE PLAN VIEW AND WITH ONLY THE ALT IN BOLD AND NO OTHER HIGHLIGHTING. LESSON LEARNED: FROM NOW ON I WILL LOOK FOR THE BOLD RESTRS AND XREF WITH THE FMS.
Data retrieved from NASA's ASRS site as of January 2009 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.