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Atlas / ASRS / ACN 1883808

NASA · Aviation Safety Reporting System

PC-12 pilot reported they switched NAV sources which caused the auto pilot to disconnect resulting in the aircraft descending too low on the approach and a Ground Proximity Warning along with an ATC Low Altitude Alert.

ACN 1883808 2022-03 PC-12 Emergency Medical Service Incidents
Initial Approach Route In Use.OtherPart 135

What is ASRS?

The Aviation Safety Reporting System is NASA's voluntary, confidential, non- punitive incident-reporting system, established 1976. Pilots, controllers, dispatchers, and maintenance technicians file reports describing safety- relevant events. NASA de-identifies every report before adding it to the public database. Reports are not investigated by NASA, the FAA, or the NTSB — they represent the reporter's perspective.

Pilot narrative

Verbatim from the de-identified NASA record. First-person account by the reporter. NASA strips identifying details (names, company, specific time); anonymization placeholders are ZZZ, X, Y.

I had been cleared for the ILS XX approach at ZZZ and directed to maintain 3,000 ft. until established. I was in VMC conditions with a broken layer well below my altitude. I was vectored to the final approach course and intercepted it utilizing GPS. Outside the FAF, I attempted to switch NAV sources from GPS to LOC. I believed I had set the NAV 1 radio to VLOC. I later discovered that I had selected VLOC in the NAV 2 radio which was why I was unable to find a LOC 1 setting in my NAV source menu. Switching NAV sources caused the autopilot to disconnect. When I was unable to locate a "LOC 1" in my NAV source menu, I became distracted by that issue and did not notice that the aircraft had entered a descent. When I did notice the descent, I incorrectly believed I was inside the FAF. Approximately ½ mile outside the FAF, I received a GPWS altitude alert. I responded to the alert by adding power and initiating a climb. Simultaneously, ATC issued a low altitude alert. I advised ATC that I was climbing and requested vectors for another approach. All of this occurred in VMC conditions above a low broken/scattered layer. The subsequent approach was completed without incident through a thin low broken/scattered cloud layer. Learning points. I will ensure that I closely monitor which radio I have configured for the approach. When the autopilot is engaged, I will ensure that I temporarily select HDG mode when changing NAV sources. When I had trouble with the NAV source selection, I should have reengaged the autopilot in HDG and ALT mode while I troubleshot the issue. If the issue could not be troubleshot in a timely manner, it would have been appropriate to request vectors for another approach, this would have provided additional time to identify the issue. While I regret that this incident occurred, I am thankful for my training which enabled me to immediately, and appropriately, respond to the GPWS message. In addition, I am appreciative of the alert ATC Controller who issued the low altitude alert. I am committed to lifetime learning and view this incident as a significant event that will help me be a more proficient pilot. I also plan to share with other pilots so that they may benefit from my learning experience.

NASA classification — Anomalies

  • Deviation - Altitude
  • Deviation / Discrepancy - Procedural
  • Inflight Event / Encounter

NASA classification — Assessments

Contributing Factors / Situations
Airspace Structure · Chart Or Publication · Software and Automation · Procedure · Human Factors
Primary Problem
Human Factors

ASRS reports are voluntarily submitted, de-identified by NASA, and represent the reporter's perspective. The presence of reports on a topic cannot be used to infer prevalence in the National Airspace System. The authoritative source is the NASA ASRS Database Online at asrs.arc.nasa.gov ↗.