37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 143156 |
Time | |
Date | 199004 |
Day | Sat |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : msp |
State Reference | MN |
Altitude | msl bound lower : 5000 msl bound upper : 5800 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : msp tracon : roa |
Operator | common carrier : air carrier |
Make Model Name | Light Transport, Low Wing, 2 Turboprop Eng |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure other |
Flight Plan | IFR |
Person 1 | |
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 |
ASRS Report | 143156 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : instrument pilot : commercial pilot : atp |
Experience | flight time last 90 days : 170 flight time total : 5000 |
Events | |
Anomaly | altitude deviation : overshoot |
Independent Detector | other flight crewa |
Resolutory Action | controller : issued new clearance none taken : anomaly accepted none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We were cleared after takeoff to climb to 5000'. At 5800' the captain, now PNF, noticed the altitude and the first officer (PF) immediately corrected by pushing the nose down, at which time msp departure assigned a higher altitude. On the same leg we are not sure if we were cleared to land at our destination airport. Crew fatigue was the leading factor in these occurrences. Lack of altitude alert, autoplt, were contributing factors. We had flown over 23 hours in the past 4 days, 9.5 hours the day before with 9 hours reduced rest and a pre-dawn show time. Hand flying an aircraft 7 hours a day with 8+ legs, with seats that are uncomfortable (they only adjust up-down, forward-back) and the noise and vibration levels of turbo-propeller aircraft leads to crew fatigue at a faster rate than aircraft that have autoplts and more comfortable seats, which have greater range of adjustment. With predawn show times, many times the restaurants at the hotels are not open and therefore no breakfast, and many times no breaks long enough to grab a bite to eat the rest of the day also leads to crew fatigue.
Original NASA ASRS Text
Title: ALT DEVIATION ON CLIMB BLAMED ON FATIGUE. WORK SCHEDULING OF FLT CREWS PROTESTED. DISCOMFORT OF HAND-FLYING ACFT.
Narrative: WE WERE CLRED AFTER TKOF TO CLB TO 5000'. AT 5800' THE CAPT, NOW PNF, NOTICED THE ALT AND THE F/O (PF) IMMEDIATELY CORRECTED BY PUSHING THE NOSE DOWN, AT WHICH TIME MSP DEP ASSIGNED A HIGHER ALT. ON THE SAME LEG WE ARE NOT SURE IF WE WERE CLRED TO LAND AT OUR DEST ARPT. CREW FATIGUE WAS THE LEADING FACTOR IN THESE OCCURRENCES. LACK OF ALT ALERT, AUTOPLT, WERE CONTRIBUTING FACTORS. WE HAD FLOWN OVER 23 HRS IN THE PAST 4 DAYS, 9.5 HRS THE DAY BEFORE WITH 9 HRS REDUCED REST AND A PRE-DAWN SHOW TIME. HAND FLYING AN ACFT 7 HRS A DAY WITH 8+ LEGS, WITH SEATS THAT ARE UNCOMFORTABLE (THEY ONLY ADJUST UP-DOWN, FORWARD-BACK) AND THE NOISE AND VIBRATION LEVELS OF TURBO-PROP ACFT LEADS TO CREW FATIGUE AT A FASTER RATE THAN ACFT THAT HAVE AUTOPLTS AND MORE COMFORTABLE SEATS, WHICH HAVE GREATER RANGE OF ADJUSTMENT. WITH PREDAWN SHOW TIMES, MANY TIMES THE RESTAURANTS AT THE HOTELS ARE NOT OPEN AND THEREFORE NO BREAKFAST, AND MANY TIMES NO BREAKS LONG ENOUGH TO GRAB A BITE TO EAT THE REST OF THE DAY ALSO LEADS TO CREW FATIGUE.
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.