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|
Attributes | |
ACN | 129418 |
Time | |
Date | 198911 |
Day | Wed |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | atc facility : zzz |
State Reference | US |
Altitude | msl bound lower : 15600 msl bound upper : 16000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zzz tower : srq |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other |
Flight Phase | cruise other descent other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 5000 flight time type : 500 |
ASRS Report | 129418 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance non adherence : far other anomaly other |
Independent Detector | other controllera |
Resolutory Action | flight crew : returned to intended course or assigned course flight crew : became reoriented other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
ATC had cleared us down to 16,000. It was late at night (after midnight), going through a light cloud layer with some ice in it, busy with some problem the girls had in back, trying to make regular company calls, and were busy doing the regular descent checklist. We leveled at 16,000 (actually the autoplt did). A few mins later center asked our altitude. All 3 altimeters showed 16,000. ATC gave us the current altimeter setting. We looked to check it and discovered we had forgotten to reset passing 18,000. Lucky there was no traffic conflict, but what if there had been VFR traffic at 15,500? (We were about 400' low.) another case of tired overworked pilots.
Original NASA ASRS Text
Title: ACR FLT CREW FORGETS TO SET ALTIMETERS PASSING 18,000' IN DESCENT.
Narrative: ATC HAD CLRED US DOWN TO 16,000. IT WAS LATE AT NIGHT (AFTER MIDNIGHT), GOING THROUGH A LIGHT CLOUD LAYER WITH SOME ICE IN IT, BUSY WITH SOME PROBLEM THE GIRLS HAD IN BACK, TRYING TO MAKE REGULAR COMPANY CALLS, AND WERE BUSY DOING THE REGULAR DSCNT CHECKLIST. WE LEVELED AT 16,000 (ACTUALLY THE AUTOPLT DID). A FEW MINS LATER CENTER ASKED OUR ALT. ALL 3 ALTIMETERS SHOWED 16,000. ATC GAVE US THE CURRENT ALTIMETER SETTING. WE LOOKED TO CHECK IT AND DISCOVERED WE HAD FORGOTTEN TO RESET PASSING 18,000. LUCKY THERE WAS NO TFC CONFLICT, BUT WHAT IF THERE HAD BEEN VFR TFC AT 15,500? (WE WERE ABOUT 400' LOW.) ANOTHER CASE OF TIRED OVERWORKED PLTS.
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.