37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 142775 |
Time | |
Date | 199004 |
Day | Mon |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : sea |
State Reference | WA |
Altitude | msl bound lower : 11000 msl bound upper : 12000 |
Environment | |
Flight Conditions | Mixed |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : sea |
Operator | common carrier : air carrier |
Make Model Name | Large Transport, Low Wing, 3 Turbojet Eng |
Flight Phase | descent other |
Route In Use | arrival other arrival star : star |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : flight engineer pilot : atp pilot : instrument |
Experience | flight time last 90 days : 200 flight time total : 5000 flight time type : 200 |
ASRS Report | 142775 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : crossing restriction not met altitude deviation : overshoot non adherence : clearance other anomaly other |
Independent Detector | other controllera other flight crewa |
Resolutory Action | controller : issued new clearance none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We were given the following clrncs during the first 71 mi of the jawbn arrival vancouver transition. Cross vancouver at FL280 or below 250 KTS to maintain 16000' then cross diggn at 16000' to maintain 12000' then maintain 12000' until alkia descend and maintain 7000'. As PF I did not understand or hear clearly the third clearance given at approximately diggn. I thought I asked the other two crew members if we were to cross alkia at 7000' and thought they said yes. 7000' was set in awi (altitude warning indicator) by the captain. The procedure at air carrier a airlines is to set the lowest altitude that you are cleared to at that time. At approximately 13 mi from alkia I began my descent to cross alkia at 7000' (the clearance I thought we had been given). At approximately 11000' the captain and second officer, restated that we were to maintain 12000' until alkia. I leveled off at 11000' and the captain contacted approach and reaffirmed the clearance, then stated that we may have initially misunderstood it when given and asked if we could maintain 11000' to alkia. Approach approved. I think several factors contributed to this situation. I was flying an large transport model new to me as a result of the air carrier a and B merger. We had only recently started mixing crews and flying old large transport models. The autoplt was significantly different and throughout the descent I was trying to learn its capabilities. The captain was also my first ex-air carrier B captain and was knowledgeable in its use and was showing me how to use it. I had flown the model previously but he was the first captain to know its features. So at the time of the misunderstood clearance I was preoccupied with leveling the aircraft using the unfamiliar autoplt and did not hear it clearly for myself. Seeing 7000' set in the awi (not quite correct according to procedure) led me to further believe I was to descend. Also the previous tower clrncs were to be at a certain altitude at the fix which further had my thoughts toward that end if you will. The rest of the flight went west/O occurrence.
Original NASA ASRS Text
Title: ALT DEVIATION. ALT OVERSHOT. MISSED CROSSING RESTRICTION.
Narrative: WE WERE GIVEN THE FOLLOWING CLRNCS DURING THE FIRST 71 MI OF THE JAWBN ARR VANCOUVER TRANSITION. CROSS VANCOUVER AT FL280 OR BELOW 250 KTS TO MAINTAIN 16000' THEN CROSS DIGGN AT 16000' TO MAINTAIN 12000' THEN MAINTAIN 12000' UNTIL ALKIA DSND AND MAINTAIN 7000'. AS PF I DID NOT UNDERSTAND OR HEAR CLRLY THE THIRD CLRNC GIVEN AT APPROX DIGGN. I THOUGHT I ASKED THE OTHER TWO CREW MEMBERS IF WE WERE TO CROSS ALKIA AT 7000' AND THOUGHT THEY SAID YES. 7000' WAS SET IN AWI (ALT WARNING INDICATOR) BY THE CAPT. THE PROC AT ACR A AIRLINES IS TO SET THE LOWEST ALT THAT YOU ARE CLRED TO AT THAT TIME. AT APPROX 13 MI FROM ALKIA I BEGAN MY DSNT TO CROSS ALKIA AT 7000' (THE CLRNC I THOUGHT WE HAD BEEN GIVEN). AT APPROX 11000' THE CAPT AND S/O, RESTATED THAT WE WERE TO MAINTAIN 12000' UNTIL ALKIA. I LEVELED OFF AT 11000' AND THE CAPT CONTACTED APCH AND REAFFIRMED THE CLRNC, THEN STATED THAT WE MAY HAVE INITIALLY MISUNDERSTOOD IT WHEN GIVEN AND ASKED IF WE COULD MAINTAIN 11000' TO ALKIA. APCH APPROVED. I THINK SEVERAL FACTORS CONTRIBUTED TO THIS SITUATION. I WAS FLYING AN LGT MODEL NEW TO ME AS A RESULT OF THE ACR A AND B MERGER. WE HAD ONLY RECENTLY STARTED MIXING CREWS AND FLYING OLD LGT MODELS. THE AUTOPLT WAS SIGNIFICANTLY DIFFERENT AND THROUGHOUT THE DSNT I WAS TRYING TO LEARN ITS CAPABILITIES. THE CAPT WAS ALSO MY FIRST EX-ACR B CAPT AND WAS KNOWLEDGEABLE IN ITS USE AND WAS SHOWING ME HOW TO USE IT. I HAD FLOWN THE MODEL PREVIOUSLY BUT HE WAS THE FIRST CAPT TO KNOW ITS FEATURES. SO AT THE TIME OF THE MISUNDERSTOOD CLRNC I WAS PREOCCUPIED WITH LEVELING THE ACFT USING THE UNFAMILIAR AUTOPLT AND DID NOT HEAR IT CLRLY FOR MYSELF. SEEING 7000' SET IN THE AWI (NOT QUITE CORRECT ACCORDING TO PROC) LED ME TO FURTHER BELIEVE I WAS TO DSND. ALSO THE PREVIOUS TWR CLRNCS WERE TO BE AT A CERTAIN ALT AT THE FIX WHICH FURTHER HAD MY THOUGHTS TOWARD THAT END IF YOU WILL. THE REST OF THE FLT WENT W/O OCCURRENCE.
Data retrieved from NASA's ASRS site as of July 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.