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|
Attributes | |
ACN | 160280 |
Time | |
Date | 199010 |
Day | Tue |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : slc |
State Reference | UT |
Altitude | agl bound lower : 0 agl bound upper : 4500 |
Environment | |
Flight Conditions | VMC |
Light | Dusk |
Aircraft 1 | |
Controlling Facilities | tracon : slc |
Operator | common carrier : air carrier |
Make Model Name | Widebody, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other Other |
Flight Phase | climbout : intermediate altitude cruise other |
Route In Use | departure sid : sid |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : flight engineer pilot : cfi |
Experience | flight time last 90 days : 200 flight time total : 24000 flight time type : 1500 |
ASRS Report | 160280 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : overshoot non adherence : published procedure non adherence : clearance |
Independent Detector | other controllera |
Resolutory Action | flight crew : returned to intended course or assigned course other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
10/90 slc-pdx total preflight cockpit checklist had been completed. We had the departure information and our IFR clearance to pdx. We were cleared to 8000' (standard slc departure). All required items had been entered into the MCP correctly and verified. When we swapped power from the ground to the APU, a total power failure occurred. MCP reverted to 200 KTS, 0 degrees, 10000'. We caught 2 of the 3 somewhere before we took the runway for takeoff. First officer was flying and he properly briefed the departure path and altitude verbally upon taking the runway. Neither of us had caught the altitude window still showing 1000'. We were in excess of 9000' when departure control called. Had the MCP altitude window failed to 0' instead of 10000, we would have caught it easily on takeoff. 1000' is not a standard departure altitude at all airports. This was the last leg of a 13 hours duty day. We had already been on duty 10 hours, 48 mins. Fatigue was probably a factor in that we had gone through 3 check rides, one after another, on the same day!
Original NASA ASRS Text
Title: FLT CREW FAILED TO RESET MCP AFTER A POWER FAILURE AND OVERSHOT ALT DURING SID FROM SLC.
Narrative: 10/90 SLC-PDX TOTAL PREFLT COCKPIT CHKLIST HAD BEEN COMPLETED. WE HAD THE DEP INFO AND OUR IFR CLRNC TO PDX. WE WERE CLRED TO 8000' (STANDARD SLC DEP). ALL REQUIRED ITEMS HAD BEEN ENTERED INTO THE MCP CORRECTLY AND VERIFIED. WHEN WE SWAPPED PWR FROM THE GND TO THE APU, A TOTAL PWR FAILURE OCCURRED. MCP REVERTED TO 200 KTS, 0 DEGS, 10000'. WE CAUGHT 2 OF THE 3 SOMEWHERE BEFORE WE TOOK THE RWY FOR TKOF. F/O WAS FLYING AND HE PROPERLY BRIEFED THE DEP PATH AND ALT VERBALLY UPON TAKING THE RWY. NEITHER OF US HAD CAUGHT THE ALT WINDOW STILL SHOWING 1000'. WE WERE IN EXCESS OF 9000' WHEN DEP CTL CALLED. HAD THE MCP ALT WINDOW FAILED TO 0' INSTEAD OF 10000, WE WOULD HAVE CAUGHT IT EASILY ON TKOF. 1000' IS NOT A STANDARD DEP ALT AT ALL ARPTS. THIS WAS THE LAST LEG OF A 13 HRS DUTY DAY. WE HAD ALREADY BEEN ON DUTY 10 HRS, 48 MINS. FATIGUE WAS PROBABLY A FACTOR IN THAT WE HAD GONE THROUGH 3 CHK RIDES, ONE AFTER ANOTHER, ON THE SAME DAY!
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.