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|
Attributes | |
ACN | 157426 |
Time | |
Date | 199009 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : ewr |
State Reference | NJ |
Altitude | msl bound lower : 4650 msl bound upper : 5000 |
Environment | |
Flight Conditions | Mixed |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : n90 |
Operator | common carrier : air carrier |
Make Model Name | Large Transport, Low Wing, 3 Turbojet Eng |
Flight Phase | descent : approach |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 105 flight time total : 6790 flight time type : 350 |
ASRS Report | 157426 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : commercial pilot : flight engineer |
Experience | flight time last 90 days : 135 flight time total : 9778 flight time type : 4400 |
ASRS Report | 157074 |
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:
Prior contributing factors: short layover less than 8 hours of rest with no time for meals. Less than fully alert when events snowballed. Were given a turn and descent concurrently. During these maneuvers, stabilizer out of trim light illuminated. Disengaged autoplt. Aircraft pitched down hard, required considerable nose up trim to reduce heavy nose down pressure. Aircraft descended 350-400' below assigned altitude before all was normalized. Comments: not enough emphasis is placed on good crew rest. There is so much publicity given to drug and alcohol problems which are miniscule in comparison to the dangers posed by fatigued crews. It seems like every time that I have 2 long flying days split by a short layover, I have to submit a NASA report for some fatigue related incident! Eight hours behind the door is not enough. One cannot immediately fall asleep after the completion of a duty period, and that 8 hours includes the time required to shower and get ready in the morning and ride to the airport. The result is 5 1/2 to 6 hours rest, dangerous!!
Original NASA ASRS Text
Title: ALT OVERSHOT ON DESCENT.
Narrative: PRIOR CONTRIBUTING FACTORS: SHORT LAYOVER LESS THAN 8 HOURS OF REST WITH NO TIME FOR MEALS. LESS THAN FULLY ALERT WHEN EVENTS SNOWBALLED. WERE GIVEN A TURN AND DSNT CONCURRENTLY. DURING THESE MANEUVERS, STAB OUT OF TRIM LIGHT ILLUMINATED. DISENGAGED AUTOPLT. ACFT PITCHED DOWN HARD, REQUIRED CONSIDERABLE NOSE UP TRIM TO REDUCE HEAVY NOSE DOWN PRESSURE. ACFT DSNDED 350-400' BELOW ASSIGNED ALT BEFORE ALL WAS NORMALIZED. COMMENTS: NOT ENOUGH EMPHASIS IS PLACED ON GOOD CREW REST. THERE IS SO MUCH PUBLICITY GIVEN TO DRUG AND ALCOHOL PROBS WHICH ARE MINISCULE IN COMPARISON TO THE DANGERS POSED BY FATIGUED CREWS. IT SEEMS LIKE EVERY TIME THAT I HAVE 2 LONG FLYING DAYS SPLIT BY A SHORT LAYOVER, I HAVE TO SUBMIT A NASA RPT FOR SOME FATIGUE RELATED INCIDENT! EIGHT HOURS BEHIND THE DOOR IS NOT ENOUGH. ONE CANNOT IMMEDIATELY FALL ASLEEP AFTER THE COMPLETION OF A DUTY PERIOD, AND THAT 8 HOURS INCLUDES THE TIME REQUIRED TO SHOWER AND GET READY IN THE MORNING AND RIDE TO THE ARPT. THE RESULT IS 5 1/2 TO 6 HOURS REST, DANGEROUS!!
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.