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|
Attributes | |
ACN | 142887 |
Time | |
Date | 199004 |
Day | Sat |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : brd |
State Reference | MN |
Altitude | msl bound lower : 10400 msl bound upper : 12000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Light Transport, Low Wing, 2 Turboprop Eng |
Flight Phase | descent other |
Route In Use | arrival other enroute airway : zmp |
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 : 170 flight time total : 5000 |
ASRS Report | 142887 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Experience | flight time last 90 days : 280 flight time total : 2010 flight time type : 610 |
Events | |
Anomaly | altitude deviation : overshoot |
Independent Detector | other controllera other flight crewa |
Resolutory Action | none taken : anomaly accepted |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Center assigned 12000'. Descended out of 17000' and continued descending to 10400' before captain (as PF) realized error. PNF (first officer) and PF both had eyes open but brain asleep. No traffic conflict. Far's rest and flight time daily limitations inadequate. Company does not view far's as maximum flight/minimum rest limitations, but as goals to aim for when developing schedule. Far's regarding altitude alert should be based on aircraft performance not on weight nor number of seats. Scheduled airline aircraft should have autoplts to reduce fatigue and provide stabilized approachs when pilots are fatigued. Require minimum comfort standard for pilot seats: including seat tilt, and lumbar adjustment (or at least convex seat curvature for the back instead of concave seat in the lumbar region).
Original NASA ASRS Text
Title: ALT DEVIATION ON DESCENT. REPORTER BLAMES FATIGUE FROM POOR REST SCHEDULING.
Narrative: CTR ASSIGNED 12000'. DSNDED OUT OF 17000' AND CONTINUED DSNDING TO 10400' BEFORE CAPT (AS PF) REALIZED ERROR. PNF (F/O) AND PF BOTH HAD EYES OPEN BUT BRAIN ASLEEP. NO TFC CONFLICT. FAR'S REST AND FLT TIME DAILY LIMITATIONS INADEQUATE. COMPANY DOES NOT VIEW FAR'S AS MAX FLT/MINIMUM REST LIMITATIONS, BUT AS GOALS TO AIM FOR WHEN DEVELOPING SCHEDULE. FAR'S REGARDING ALT ALERT SHOULD BE BASED ON ACFT PERFORMANCE NOT ON WT NOR NUMBER OF SEATS. SCHEDULED AIRLINE ACFT SHOULD HAVE AUTOPLTS TO REDUCE FATIGUE AND PROVIDE STABILIZED APCHS WHEN PLTS ARE FATIGUED. REQUIRE MINIMUM COMFORT STANDARD FOR PLT SEATS: INCLUDING SEAT TILT, AND LUMBAR ADJUSTMENT (OR AT LEAST CONVEX SEAT CURVATURE FOR THE BACK INSTEAD OF CONCAVE SEAT IN THE LUMBAR REGION).
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.