37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 128881 |
Time | |
Date | 198911 |
Day | Mon |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : dfw |
State Reference | TX |
Altitude | msl bound lower : 15000 msl bound upper : 15600 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : dfw |
Operator | common carrier : air carrier |
Make Model Name | Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other Other |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure other enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : instrument pilot : commercial pilot : atp |
Experience | flight time last 90 days : 180 flight time total : 16600 flight time type : 2300 |
ASRS Report | 128881 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 180 flight time total : 11000 flight time type : 420 |
ASRS Report | 128837 |
Events | |
Anomaly | aircraft equipment problem : critical altitude deviation : overshoot non adherence : clearance other spatial deviation |
Independent Detector | other controllera other flight crewa |
Resolutory Action | aircraft : equipment problem dissipated flight crew : overcame equipment problem other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Shortly after takeoff we experienced a transient electrical system failure. Within a few seconds all indications appeared normal. A very short time later we leveled at the assigned altitude of 10,000'. At this time the controller called us as being somewhat above 10,000'. All 3 of our altimeters indicated 10,000'. We were then cleared on a 050 degree heading to intercept the departure (dfw 067 degree radial) and a climb to 15,000'. We were intercepting the departure radial according to the FMC (RNAV) indications when the controller notified us we were not intercepting the proper radial. (He incorrectly assumed we were intercepting the 078 degree radial.) in fact, we later concluded the transient power loss had caused a shift in the FMC position which could be seen on the map display. About this time we experienced a failure of both eec's. In the confusion we exceeded the assigned 15,000' altitude momentarily by about 600' which was also called by the controller. I believe this is a classic example of a condition of multiple abnormalities where an altitude deviation occurs during the confusion.
Original NASA ASRS Text
Title: ACR 2 ENGINE LGT EXPERIENCES ELECTRICAL SYSTEM MALFUNCTIONS AFTER TKOF. ALT DEVIATION.
Narrative: SHORTLY AFTER TKOF WE EXPERIENCED A TRANSIENT ELECTRICAL SYSTEM FAILURE. WITHIN A FEW SECONDS ALL INDICATIONS APPEARED NORMAL. A VERY SHORT TIME LATER WE LEVELED AT THE ASSIGNED ALT OF 10,000'. AT THIS TIME THE CTLR CALLED US AS BEING SOMEWHAT ABOVE 10,000'. ALL 3 OF OUR ALTIMETERS INDICATED 10,000'. WE WERE THEN CLRED ON A 050 DEG HDG TO INTERCEPT THE DEP (DFW 067 DEG RADIAL) AND A CLIMB TO 15,000'. WE WERE INTERCEPTING THE DEP RADIAL ACCORDING TO THE FMC (RNAV) INDICATIONS WHEN THE CTLR NOTIFIED US WE WERE NOT INTERCEPTING THE PROPER RADIAL. (HE INCORRECTLY ASSUMED WE WERE INTERCEPTING THE 078 DEG RADIAL.) IN FACT, WE LATER CONCLUDED THE TRANSIENT POWER LOSS HAD CAUSED A SHIFT IN THE FMC POSITION WHICH COULD BE SEEN ON THE MAP DISPLAY. ABOUT THIS TIME WE EXPERIENCED A FAILURE OF BOTH EEC'S. IN THE CONFUSION WE EXCEEDED THE ASSIGNED 15,000' ALT MOMENTARILY BY ABOUT 600' WHICH WAS ALSO CALLED BY THE CTLR. I BELIEVE THIS IS A CLASSIC EXAMPLE OF A CONDITION OF MULTIPLE ABNORMALITIES WHERE AN ALT DEVIATION OCCURS DURING THE CONFUSION.
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.