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|
Attributes | |
ACN | 124451 |
Time | |
Date | 198910 |
Day | Fri |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : bae |
State Reference | WI |
Altitude | msl bound lower : 10000 msl bound upper : 12000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Large Transport, Low Wing, 3 Turbojet Eng |
Flight Phase | cruise other descent other |
Route In Use | enroute airway : v2 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 180 flight time total : 8500 flight time type : 3000 |
ASRS Report | 124451 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 160 flight time total : 1800 flight time type : 160 |
ASRS Report | 124379 |
Events | |
Anomaly | altitude deviation : crossing restriction not met altitude deviation : undershoot non adherence : clearance |
Independent Detector | other controllera |
Resolutory Action | none taken : anomaly accepted none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
This was my 1ST flight as an airline captain. My first officer had 10 months with the company and 4 months as a first officer (still on probation). The second officer had only 4 months with the company (also on probation). Our clearance was to cross 'waits' intersection at 10,000', during our descent for milwaukee. I was flying and mistakenly had put in my head that waits was 10 DME, instead of the 15 DME point. As we passed waits (15 DME) at about 12,000', the controller noted over the air that we had missed our restriction. During the preflight briefing of my crew, we determined all cockpit crew members level of experience. Since I was in my first 100 hours, I would be the pilot flying. I asked my first officer and second officer, more than once, to speak up if they saw anything wrong. After all this took place, my first officer admitted he saw the problem, but didn't say anything. Possible solutions: 1) maybe we had too much inexperience in the cockpit. Of the 3 seats in the cockpit, one individual had 4 months in his seat and the rest of us had less. 2) cockpit resource management (CRM) - we desperately need it at our company. Fortunately they are in the process of developing it. 3) I was flying medium large transport, first officer, when I took 1 month to train as large transport captain, including safety time and FAA line check. I then returned to medium large transport first officer for 3 months. Then I was assigned large transport captain. I took a recency of experience in the simulator and was sent on my way. I feel I should have had more safety time, since I hadn't flown this place/position for 90 days.
Original NASA ASRS Text
Title: ACR LGT ALT DEVIATION UNDERSHOT MISSED CROSSING RESTRICTION.
Narrative: THIS WAS MY 1ST FLT AS AN AIRLINE CAPT. MY F/O HAD 10 MONTHS WITH THE COMPANY AND 4 MONTHS AS A F/O (STILL ON PROBATION). THE S/O HAD ONLY 4 MONTHS WITH THE COMPANY (ALSO ON PROBATION). OUR CLRNC WAS TO CROSS 'WAITS' INTXN AT 10,000', DURING OUR DSCNT FOR MILWAUKEE. I WAS FLYING AND MISTAKENLY HAD PUT IN MY HEAD THAT WAITS WAS 10 DME, INSTEAD OF THE 15 DME POINT. AS WE PASSED WAITS (15 DME) AT ABOUT 12,000', THE CTLR NOTED OVER THE AIR THAT WE HAD MISSED OUR RESTRICTION. DURING THE PREFLT BRIEFING OF MY CREW, WE DETERMINED ALL COCKPIT CREW MEMBERS LEVEL OF EXPERIENCE. SINCE I WAS IN MY FIRST 100 HRS, I WOULD BE THE PLT FLYING. I ASKED MY F/O AND S/O, MORE THAN ONCE, TO SPEAK UP IF THEY SAW ANYTHING WRONG. AFTER ALL THIS TOOK PLACE, MY F/O ADMITTED HE SAW THE PROBLEM, BUT DIDN'T SAY ANYTHING. POSSIBLE SOLUTIONS: 1) MAYBE WE HAD TOO MUCH INEXPERIENCE IN THE COCKPIT. OF THE 3 SEATS IN THE COCKPIT, ONE INDIVIDUAL HAD 4 MONTHS IN HIS SEAT AND THE REST OF US HAD LESS. 2) COCKPIT RESOURCE MGMNT (CRM) - WE DESPERATELY NEED IT AT OUR COMPANY. FORTUNATELY THEY ARE IN THE PROCESS OF DEVELOPING IT. 3) I WAS FLYING MLG, F/O, WHEN I TOOK 1 MONTH TO TRAIN AS LGT CAPT, INCLUDING SAFETY TIME AND FAA LINE CHECK. I THEN RETURNED TO MLG F/O FOR 3 MONTHS. THEN I WAS ASSIGNED LGT CAPT. I TOOK A RECENCY OF EXPERIENCE IN THE SIMULATOR AND WAS SENT ON MY WAY. I FEEL I SHOULD HAVE HAD MORE SAFETY TIME, SINCE I HADN'T FLOWN THIS PLACE/POSITION FOR 90 DAYS.
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.