ASRS CALLBACK includes excerpts from ASRS incident reports with supporting commentary. In addition, CALLBACK may contain summaries of ASRS research studies and related aviation safety information. CALLBACK is one of the ASRS's most effective tools for improving the quality of human performance in the National Aviation System (NAS) at the grass roots level.

Monday, March 18, 2013

CALLBACK 396 - January 2013


CALLBACK From the NASA Aviation Safety Reporting System
Issue 396
January 2013
What Would You Have Done?
This “interactive” issue of CALLBACK, presents three in-flight situations that involve General Aviation Pilots and one takeoff scenario that involves an Air Carrier Flight Crew. In “The First Half of the Story” you will find report excerpts describing the situation up to the decision point. It is up to the reader to determine the possible courses of action and make a decision (preferably within the same time frame that was available to the reporter).

The selected ASRS reports may not give all the information you want and you may not be experienced in the type of aircraft involved, but each incident should give you a chance to exercise your aviation decision-making skills. In “The Rest of the Story” you will find the actions actually taken by reporters in response to each situation. Bear in mind that their decisions may not necessarily represent the best course of action. Our intent is to stimulate thought, discussion, and training related to the type of incidents that were reported.
The First Half of the Story
Situation # 1: (C172RG Pilot's Report)
On departure, the gear retracted normally. However, immediately after retraction I heard a loud “POP” followed by a call from Tower indicating that my left main gear had retracted then fallen down again. Another aircraft behind me confirmed seeing the same thing.

The aircraft has a gear mirror installed on the right wing which allowed me to view all three gear. The left main was in a trailing position. The nose and right main were retracted. I cycled the gear. The left main didn’t move from its in-trail position.

I advised Tower that I would troubleshoot the gear and tried yawing the aircraft and maneuvering so as to swing the gear with inertia into the locked position…. Unable to retract or extend the gear, I made a call…to an A&P to confirm my suspicion that it was most likely the gear actuator that had broken loose from the pivot point…. I could land with the right main and nose gear down and locked or fully retracted. I could also land under power or secure the engine and try to save the engine and prop.

I had planned to leave at 0730, but the weather was 500 foot ceiling and 2 miles visibility. The lowest approach minimum at [my destination] was 1 mile visibility and 800 foot ceiling. The runway was short (2,000 feet) and there were no approach lights. I waited over two hours for the weather to improve, but it didn’t. I decided to request a Special VFR clearance after phoning the destination FBO. They told me the visibility there was at least 3-4 miles and the ceiling was definitely 500 feet or better. I assumed the ceiling would be at least 500 feet all the way on the 4-5 minute flight. When I got a few miles east of the airport the ceiling suddenly dropped and I had to decide whether to stay at 500 feet AGL and pop into the clouds or descend to remain clear.

When I had flown the route IFR earlier in the day the ceilings were about 3,500 to 4,000 feet. I decided to make the return trip VFR with flight following and stay under the 3,000 foot floor of the…Bravo airspace since that is what ATC would have had me do had I filed IFR. All was well until I reached the shoreline. I was at 2,700 feet and I was cleared by Approach through the Class D at or above 2,500 feet, but I had to stay below the Bravo airspace at 3,000 feet. As I reached land, the ceiling dropped to just about 2,700 feet so I descended to 2,500 feet, but that still put me in the base of the clouds. Then ATC warned me about traffic ahead on a missed approach and suddenly I found myself trapped in and out of the clouds, unable to descend without busting the Delta airspace. Meanwhile I could not see the traffic which was being called out straight ahead by the traffic warning system.

On takeoff roll approaching 80 knots, the Tower Controller called us and said in a very slow, unsure voice, “[Callsign 1…2…3…4…](pause).” He sounded as if he had something to tell us, but did not know what to say. We both noted a tone of concern and hesitation in his voice as if he was still unsure of something at that moment. We were light weight and had 13,000 feet of runway ahead of us. We had to make an immediate decision.
The Rest of the Story

The Reporter's Action:
At the cost of an engine and prop, but with significant risk reduction, I elected to land under power with right main and nose retracted. I contacted Tower, advised of our situation…and our intention to land gear up…. We landed uneventfully on the centerline with a soft, controlled, low energy touchdown; no fuel leaks, no hydraulic leaks, no oil leaks, no fire, and no injuries. The damage to the airframe was pretty minimal, however the propeller was obviously destroyed and therefore the engine will require teardown.

I felt it appropriate to make a report to document the decision-making on landing under power which I would highly recommend rather than making the error of “trying to save the engine and prop” and reducing options on landing. Because the sink was greater than I anticipated, I did need to add additional power just prior to touchdown. Should I have tried to “save” the engine, it would have made for a solid impact with the runway increasing damage to the airframe and possibly resulting in injury. Leaving the engine running, I was able to make a gentle, low energy touchdown. The resulting sensation in the cockpit was like a normal landing (louder, but normal forces), zero injuries, and a happy outcome. Again, I would highly recommend a low total energy touchdown under power for anyone finding they need to make a forced gear-up landing. The aircraft, engine, propeller can all be replaced and it’s not worth “trying to save” a machine at the cost of possible injury.

Thank you for providing the Aviation Safety Reporting System. As a long-time pilot, I find this open sharing of information valuable to aviation safety.

The Reporter's Action:
I decided to descend and went down to what I estimated to be about 350 feet AGL. Even though it was a sparsely populated area, I flew over two housing developments below 500 feet AGL. At three miles out, I saw the airport and runway, and the ceiling increased. I made an uneventful landing and it wasn’t till after I got out of the plane that I realized that I had busted the regulation for minimum altitude over a structure or vehicle. The basic cause was that I had made a false assumption that the ceiling would be at least 500 feet all the way since the two airports were only 10-11 miles apart. This was definitely a case of poor judgment on my part. In the future, I will not assume that the ceiling will remain uniform and give myself more margin for error. I should have waited until the ceiling was at least 800 to 1,000 feet. My desire to get an annual underway ASAP at [my destination] also played a role similar to the old “get-home-itis.”

The Reporter's Action:
I was able to turn into clear weather over the airport, away from the traffic, but busted VFR minimums and descended into the top 100 feet of the Delta airspace. I should have monitored the ATIS while I was over the ocean and asked for a clearance when it was clear I could not maintain VFR minimums (although it turned out to be mostly clear directly over the airport) or circled when the weather closed in and asked for a clearance. Next time I will get the clearance first and cancel if the weather accommodates.

The Reporter's Action:
I elected to initiate rejected takeoff procedures. During deceleration the Tower Controller said, “Disregard.” The sound of one’s voice, the tone and force, all convey a message. I did not like the message I was receiving and could not gamble that he was trying, but unable, to warn us of something ahead. I would take the same action again.
(From the First Officer’s report on the same incident)
I believe the rejected takeoff was the right thing to do. When you get a call from Tower at that point in the takeoff roll, the first thing that pops into your mind is “something’s wrong.” In the few seconds before he finished his thought, we were left to guess what the call was about. We were still relatively slow speed on the roll, so the Captain did what was prudent and safe by rejecting.
CALLBACK Issue 396
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November 2012
Report Intake:
Air Carrier/Air Taxi Pilots 3,498
General Aviation Pilots 1,064
Controllers 654
Cabin 275
Mechanics 130
Dispatcher 77
Military/Other 17
TOTAL 5,715
ASRS Alerts Issued:
Subject No. of Alerts
Aircraft or Aircraft Equipment 1
Airport Facility or Procedure 7
ATC Equipment or Procedure 4
Maintenance Procedure 1
Company Policy 1
TOTAL 14
Special Studies
Wake Vortex Encounter Study
In cooperation with the FAA, ASRS is conducting an ongoing study on wake vortex incidents, enroute and terminal, that occurred within the United States. Learn more »
Meteorlogical and Aeronautical Information Services Data Link and Application Study
ASRS, in cooperation with the FAA, is gathering reports of incidents that occurred while pilots were utilizing weather or AIS information in the cockpit obtained via data link on the ground or in the air. Learn more »
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A Monthly Safety Bulletin from The Office of the NASA Aviation Safety Reporting System
Issue 396
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