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|
Attributes | |
ACN | 107641 |
Time | |
Date | 198903 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : gad |
State Reference | AL |
Altitude | msl bound lower : 6000 msl bound upper : 6000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Light Transport, Low Wing, 2 Turboprop Eng |
Flight Phase | cruise other cruise other |
Route In Use | enroute airway : v325 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain |
Qualification | pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 120 flight time total : 10850 flight time type : 17 |
ASRS Report | 107641 |
Person 2 | |
Affiliation | company : air carrier |
Function | observation : company check pilot oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance flight crew : returned to intended course or assigned course |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Departing gadsen, al, we received a clearance as filed to maintain 5000'. Upon receiving the clearance the altitude of 6000' was dialed into the altitude alerter in error. (From an angle and at a glance, the 5 and the 6 on this particular altitude alerter look very similar.) we subsequently departed gadsen, climbed to 6000' and reported level at 6000' to ZTL. Center immediately advised us that we were only cleared to 5000' and directed us to descend to 5000'. This incident was caused by the crew incorrectly dialing up the wrong cruise altitude and was not realized by either crew member because of the similarity of the 2 numerals on this particular model. Being a new captain in this aircraft (receiving required operating experience at time of incident) possibly contributed to the cause. To prevent recurrence, my best advice is to check and double check.
Original NASA ASRS Text
Title: ON DEP REPORTER FLT CLIMBED THROUGH ALT AND LEVELED 1000' ABOVE SAME.
Narrative: DEPARTING GADSEN, AL, WE RECEIVED A CLRNC AS FILED TO MAINTAIN 5000'. UPON RECEIVING THE CLRNC THE ALT OF 6000' WAS DIALED INTO THE ALT ALERTER IN ERROR. (FROM AN ANGLE AND AT A GLANCE, THE 5 AND THE 6 ON THIS PARTICULAR ALT ALERTER LOOK VERY SIMILAR.) WE SUBSEQUENTLY DEPARTED GADSEN, CLBED TO 6000' AND RPTED LEVEL AT 6000' TO ZTL. CENTER IMMEDIATELY ADVISED US THAT WE WERE ONLY CLRED TO 5000' AND DIRECTED US TO DSND TO 5000'. THIS INCIDENT WAS CAUSED BY THE CREW INCORRECTLY DIALING UP THE WRONG CRUISE ALT AND WAS NOT REALIZED BY EITHER CREW MEMBER BECAUSE OF THE SIMILARITY OF THE 2 NUMERALS ON THIS PARTICULAR MODEL. BEING A NEW CAPT IN THIS ACFT (RECEIVING REQUIRED OPERATING EXPERIENCE AT TIME OF INCIDENT) POSSIBLY CONTRIBUTED TO THE CAUSE. TO PREVENT RECURRENCE, MY BEST ADVICE IS TO CHK AND DOUBLE CHK.
Data retrieved from NASA's ASRS site as of August 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.