37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 182340 |
Time | |
Date | 199106 |
Day | Thu |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : sbp |
State Reference | CA |
Altitude | msl bound lower : 5000 msl bound upper : 5500 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zla |
Operator | other |
Make Model Name | Small Transport |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure sid : sid |
Flight Plan | IFR |
Aircraft 2 | |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Flight Phase | descent : approach |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : cfi |
Experience | flight time last 90 days : 100 flight time total : 3500 flight time type : 400 |
ASRS Report | 182340 |
Person 2 | |
Affiliation | Other |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Events | |
Anomaly | altitude deviation : overshoot non adherence : required legal separation non adherence : clearance other anomaly other |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance 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:
Departing sbp IFR, clearance was crepe 3 departure, maintain 5000', expect 12000' in 10 mins. After handoff to center for departure control, we (crew) understood and read back, 'leaving 5000, turn left heading 240 degrees for vector on course.' first officer was flying and turned to assigned heading climbing through 5000'. At 5300' center advised assigned altitude was 5000'. We had climbed to 5500' by now and immediately descended to 5000'. Center then informed us we had traffic at 12 O'clock and 1 mi at 6000' on the localizer. After passing traffic (IMC) higher altitude was assigned and climb resumed. In the cockpit the words 'reaching' and 'leaving' sound much alike. We (crew) now believe clearance was probably 'reaching 5000' turn,' etc. Even our readback to the controller with 'leaving' didn't catch the different wording.
Original NASA ASRS Text
Title: AIR AMBULANCE ON DEP CLIMBS ABOVE ASSIGNED ALT.
Narrative: DEPARTING SBP IFR, CLRNC WAS CREPE 3 DEP, MAINTAIN 5000', EXPECT 12000' IN 10 MINS. AFTER HDOF TO CENTER FOR DEP CTL, WE (CREW) UNDERSTOOD AND READ BACK, 'LEAVING 5000, TURN LEFT HDG 240 DEGS FOR VECTOR ON COURSE.' F/O WAS FLYING AND TURNED TO ASSIGNED HDG CLBING THROUGH 5000'. AT 5300' CENTER ADVISED ASSIGNED ALT WAS 5000'. WE HAD CLBED TO 5500' BY NOW AND IMMEDIATELY DSNDED TO 5000'. CENTER THEN INFORMED US WE HAD TFC AT 12 O'CLOCK AND 1 MI AT 6000' ON THE LOC. AFTER PASSING TFC (IMC) HIGHER ALT WAS ASSIGNED AND CLB RESUMED. IN THE COCKPIT THE WORDS 'REACHING' AND 'LEAVING' SOUND MUCH ALIKE. WE (CREW) NOW BELIEVE CLRNC WAS PROBABLY 'REACHING 5000' TURN,' ETC. EVEN OUR READBACK TO THE CTLR WITH 'LEAVING' DIDN'T CATCH THE DIFFERENT WORDING.
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.