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|
Attributes | |
ACN | 130465 |
Time | |
Date | 198912 |
Day | Fri |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : ord |
State Reference | IL |
Altitude | msl bound lower : 5000 msl bound upper : 5320 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : ord |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other |
Flight Phase | climbout : initial cruise other |
Route In Use | departure sid : sid |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : commercial pilot : atp pilot : instrument |
Experience | flight time last 90 days : 140 flight time total : 17000 flight time type : 600 |
ASRS Report | 130465 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : cfi pilot : commercial pilot : flight engineer pilot : instrument pilot : atp |
Experience | flight time last 90 days : 50 flight time total : 7000 flight time type : 50 |
ASRS Report | 130531 |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance |
Independent Detector | other flight crewa |
Resolutory Action | none taken : anomaly accepted |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Given a left turn to 180 degree for peotone and to maintain 5000'. Overshot altitude by approximately 320' and recovered immediately. Two reasons for the altitude overshoot are: 1) absence of aural altitude alert system. 2) use of a third altimeter. Pilot's and copilot's altimeters are set to QFE for landing and takeoff, while a center altimeter is set for qnh. This system negates the normal instrument scan by forcing pilots to look over to the third altimeter for correct MSL information. In this case, the pilot flying forgot to glance over to #3 or center altimeter and was using normal pilot scan, using an altimeter with a QFE setting therefore overshooting the assigned altitude. It is unnatural to have to break one's scan to check an altimeter that is on the center console. This is always a potential problem.
Original NASA ASRS Text
Title: FLT CREW OF MLG OVERSHOT ASSIGNED ALT ON SID OUT OF ORD.
Narrative: GIVEN A LEFT TURN TO 180 DEG FOR PEOTONE AND TO MAINTAIN 5000'. OVERSHOT ALT BY APPROX 320' AND RECOVERED IMMEDIATELY. TWO REASONS FOR THE ALT OVERSHOOT ARE: 1) ABSENCE OF AURAL ALT ALERT SYSTEM. 2) USE OF A THIRD ALTIMETER. PLT'S AND COPLT'S ALTIMETERS ARE SET TO QFE FOR LNDG AND TKOF, WHILE A CENTER ALTIMETER IS SET FOR QNH. THIS SYSTEM NEGATES THE NORMAL INSTRUMENT SCAN BY FORCING PLTS TO LOOK OVER TO THE THIRD ALTIMETER FOR CORRECT MSL INFORMATION. IN THIS CASE, THE PLT FLYING FORGOT TO GLANCE OVER TO #3 OR CENTER ALTIMETER AND WAS USING NORMAL PLT SCAN, USING AN ALTIMETER WITH A QFE SETTING THEREFORE OVERSHOOTING THE ASSIGNED ALT. IT IS UNNATURAL TO HAVE TO BREAK ONE'S SCAN TO CHECK AN ALTIMETER THAT IS ON THE CENTER CONSOLE. THIS IS ALWAYS A POTENTIAL PROBLEM.
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.