37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 109496 |
Time | |
Date | 198904 |
Day | Mon |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : gve |
State Reference | VA |
Altitude | msl bound lower : 33000 msl bound upper : 33000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zdc |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other Other |
Flight Phase | cruise other |
Route In Use | enroute airway : zdc |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : instrument pilot : commercial pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 225 flight time total : 8000 flight time type : 1000 |
ASRS Report | 109496 |
Person 2 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : radar |
Events | |
Anomaly | other anomaly other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
First officer departed cockpit to use lav. After adjusting O2 mask in place I verified the annunciator (FMA) had us in the perf mode. We were about to cross gve, so I checked the chart to verify the outbnd course. As I put in the outbnd course I noticed the aircraft descending at 200 FPM. A quick check of the FMA showed us no longer in the perf mode. I checked off the autoplt and returned the aircraft to FL330. (We lost about 250'.) a maintenance entry to this effect was made in the log book. There are no audio or visibility cues to alert you that the system drops from perf cruise to vertical speed and not altitude hold; ie, a design or program oversight, and the subtleness of this could spell real problems.
Original NASA ASRS Text
Title: ACFT DEVIATED FROM ASSIGNED CRUISE ALT.
Narrative: F/O DEPARTED COCKPIT TO USE LAV. AFTER ADJUSTING O2 MASK IN PLACE I VERIFIED THE ANNUNCIATOR (FMA) HAD US IN THE PERF MODE. WE WERE ABOUT TO CROSS GVE, SO I CHKED THE CHART TO VERIFY THE OUTBND COURSE. AS I PUT IN THE OUTBND COURSE I NOTICED THE ACFT DSNDING AT 200 FPM. A QUICK CHK OF THE FMA SHOWED US NO LONGER IN THE PERF MODE. I CHKED OFF THE AUTOPLT AND RETURNED THE ACFT TO FL330. (WE LOST ABOUT 250'.) A MAINT ENTRY TO THIS EFFECT WAS MADE IN THE LOG BOOK. THERE ARE NO AUDIO OR VIS CUES TO ALERT YOU THAT THE SYS DROPS FROM PERF CRUISE TO VERT SPD AND NOT ALT HOLD; IE, A DESIGN OR PROGRAM OVERSIGHT, AND THE SUBTLENESS OF THIS COULD SPELL REAL PROBS.
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.