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|
Attributes | |
ACN | 181971 |
Time | |
Date | 199106 |
Day | Wed |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : dag |
State Reference | CA |
Altitude | msl bound lower : 24000 msl bound upper : 25000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zla |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Flight Phase | cruise other descent other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 240 flight time total : 15700 flight time type : 11000 |
ASRS Report | 181971 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : crossing restriction not met altitude deviation : undershoot non adherence : clearance |
Independent Detector | other controllera other flight crewa |
Resolutory Action | none taken : anomaly accepted |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation other |
Narrative:
While cruising at FL280, descent to a crossing restriction 10 mi northeast of dag VORTAC was initiated late. The restriction was made a few mi past the 10 mi restriction. I believe that crew fatigue was a prime factor in this incident. We were on the third day of a 4 day trip pairing, which flew 27 flts in a 4 day period. Flight time scheduled at 28 hours and 15 mins. All but 6 of these round trips were in and out of 'kamikaze alley' (aka, bur). Crew rest was approximately 14 hours between each of these days. There is such a let down when not dodging aircraft in and out of bur that one tends to relax and not pay as much attention as needed at cruise flight. We also noted a near miss of 2 light aircraft in the bur area on the previous leg. Also the loud vol of the TCAS system constantly yelling at one contributes greatly to overall cockpit fatigue.
Original NASA ASRS Text
Title: ALT DEVIATION. ALT CROSSING RESTRICTION NOT MADE.
Narrative: WHILE CRUISING AT FL280, DSNT TO A XING RESTRICTION 10 MI NE OF DAG VORTAC WAS INITIATED LATE. THE RESTRICTION WAS MADE A FEW MI PAST THE 10 MI RESTRICTION. I BELIEVE THAT CREW FATIGUE WAS A PRIME FACTOR IN THIS INCIDENT. WE WERE ON THE THIRD DAY OF A 4 DAY TRIP PAIRING, WHICH FLEW 27 FLTS IN A 4 DAY PERIOD. FLT TIME SCHEDULED AT 28 HRS AND 15 MINS. ALL BUT 6 OF THESE ROUND TRIPS WERE IN AND OUT OF 'KAMIKAZE ALLEY' (AKA, BUR). CREW REST WAS APPROX 14 HRS BTWN EACH OF THESE DAYS. THERE IS SUCH A LET DOWN WHEN NOT DODGING ACFT IN AND OUT OF BUR THAT ONE TENDS TO RELAX AND NOT PAY AS MUCH ATTN AS NEEDED AT CRUISE FLT. WE ALSO NOTED A NEAR MISS OF 2 LIGHT ACFT IN THE BUR AREA ON THE PREVIOUS LEG. ALSO THE LOUD VOL OF THE TCAS SYS CONSTANTLY YELLING AT ONE CONTRIBUTES GREATLY TO OVERALL COCKPIT 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.