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|
Attributes | |
ACN | 152053 |
Time | |
Date | 199007 |
Day | Mon |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : sac airport : smf |
State Reference | CA |
Altitude | msl bound lower : 11300 msl bound upper : 12000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zoa |
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 |
Route In Use | arrival other arrival star : star |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : cfi pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 8500 flight time type : 1200 |
ASRS Report | 152053 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : overshoot conflict : airborne less severe non adherence : clearance non adherence : published procedure non adherence : required legal separation |
Independent Detector | other controllera |
Resolutory Action | flight crew : returned to intended course or assigned course other |
Consequence | faa : investigated |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
En route to smf using autoplt (with automatic level off feature) we were issued descent clearance to 12000. Ctrl questioned our altitude as aircraft descended to about 11300; as our attention was diverted outside for previous traffic call out. 11000 was set in altitude alert window instead of 12000, either inadvertently or malfunction. Perhaps long flight time day, traffic call out caused us to miss double check of altitude assignment against altitude alert window setting. Callback conversation with reporter revealed the following: they had been cleared for the wraps 4 arrival. In anticipation of crossing sac VOR at 11000', first officer entered it in the FMC to get an idea about where he would be starting his descent. He forgot to take it out and when they were cleared to 12000' the FMC still had 11000' loaded in it. Altitude alert was also set to 11000' and reporter could not explain why.
Original NASA ASRS Text
Title: MLG CLEARED TO DESCEND TO 12000' OVERSHOOTS TO 11300' BEFORE CORRECTING.
Narrative: ENRTE TO SMF USING AUTOPLT (WITH AUTO LEVEL OFF FEATURE) WE WERE ISSUED DSNT CLRNC TO 12000. CTRL QUESTIONED OUR ALT AS ACFT DSNDED TO ABOUT 11300; AS OUR ATTN WAS DIVERTED OUTSIDE FOR PREVIOUS TFC CALL OUT. 11000 WAS SET IN ALT ALERT WINDOW INSTEAD OF 12000, EITHER INADVERTENTLY OR MALFUNCTION. PERHAPS LONG FLT TIME DAY, TFC CALL OUT CAUSED US TO MISS DOUBLE CHK OF ALT ASSIGNMENT AGAINST ALT ALERT WINDOW SETTING. CALLBACK CONVERSATION WITH REPORTER REVEALED THE FOLLOWING: THEY HAD BEEN CLRED FOR THE WRAPS 4 ARR. IN ANTICIPATION OF XING SAC VOR AT 11000', F/O ENTERED IT IN THE FMC TO GET AN IDEA ABOUT WHERE HE WOULD BE STARTING HIS DSNT. HE FORGOT TO TAKE IT OUT AND WHEN THEY WERE CLRED TO 12000' THE FMC STILL HAD 11000' LOADED IN IT. ALT ALERT WAS ALSO SET TO 11000' AND RPTR COULD NOT EXPLAIN WHY.
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.