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|
Attributes | |
ACN | 144385 |
Time | |
Date | 199004 |
Day | Mon |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : cvg |
State Reference | OH |
Altitude | msl bound lower : 11500 msl bound upper : 12000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : cvg |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other Other |
Flight Phase | descent other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 100 flight time total : 8000 flight time type : 600 |
ASRS Report | 144385 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : returned to intended course or assigned course |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Another altitude bust in the 'brand X air carrier medium large transport'. I've never in my career had so many altitude busts until I got in this airplane. The scenario is all too familiar. One pilot involved in approach phase miscellany (ATIS, checklist, etc) the other pilot trusting the autoplt to make the level off and getting involved in something else at the last min. Next is the sound of the altitude warning and a mad scramble to level the aircraft off before ATC notices. This time we made it down to 500' too low due to a high rate of descent engendered by a crossing restriction given too close in by ATC. My fault for assuming the first officer had it under control. His fault for assuming the autoplt had it. The designers /flight mgrs/flight instrs (etc) fault for encouraging maximum utilization for the autoplt which has the net effect of taking the pilot out of the loop in spite of your best intentions. Human beings are not good 'monitors' of machinery, the mind tends to wander if there is no need to actively control the process.
Original NASA ASRS Text
Title: ACR MLG ALT OVERSHOOT IN DESCENT.
Narrative: ANOTHER ALT BUST IN THE 'BRAND X ACR MLG'. I'VE NEVER IN MY CAREER HAD SO MANY ALT BUSTS UNTIL I GOT IN THIS AIRPLANE. THE SCENARIO IS ALL TOO FAMILIAR. ONE PLT INVOLVED IN APCH PHASE MISCELLANY (ATIS, CHKLIST, ETC) THE OTHER PLT TRUSTING THE AUTOPLT TO MAKE THE LEVEL OFF AND GETTING INVOLVED IN SOMETHING ELSE AT THE LAST MIN. NEXT IS THE SOUND OF THE ALT WARNING AND A MAD SCRAMBLE TO LEVEL THE ACFT OFF BEFORE ATC NOTICES. THIS TIME WE MADE IT DOWN TO 500' TOO LOW DUE TO A HIGH RATE OF DSNT ENGENDERED BY A XING RESTRICTION GIVEN TOO CLOSE IN BY ATC. MY FAULT FOR ASSUMING THE F/O HAD IT UNDER CTL. HIS FAULT FOR ASSUMING THE AUTOPLT HAD IT. THE DESIGNERS /FLT MGRS/FLT INSTRS (ETC) FAULT FOR ENCOURAGING MAX UTILIZATION FOR THE AUTOPLT WHICH HAS THE NET EFFECT OF TAKING THE PLT OUT OF THE LOOP IN SPITE OF YOUR BEST INTENTIONS. HUMAN BEINGS ARE NOT GOOD 'MONITORS' OF MACHINERY, THE MIND TENDS TO WANDER IF THERE IS NO NEED TO ACTIVELY CTL THE PROCESS.
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.