37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 193875 |
Time | |
Date | 199111 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : fak |
State Reference | VA |
Altitude | msl bound lower : 37000 msl bound upper : 37700 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zdc |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other Other |
Flight Phase | cruise other |
Route In Use | enroute airway : zdc |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : atp |
Experience | flight time last 90 days : 210 flight time total : 9000 |
ASRS Report | 193875 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : commercial pilot : instrument pilot : atp |
Experience | controller military : 8 controller non radar : 4 controller radar : 11 controller supervisory : 8 flight time total : 9500 |
ASRS Report | 193805 |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : clearance other spatial deviation |
Independent Detector | other controllera other flight crewa |
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:
Directed by ATC to reduce to slowest speed in cruise for sequence into nyc. Captain pulled up holding page on FMC to check the slowest speed at FL370. Captain returned to cruise page and pressed 'execute' not clearing previously the 'holding page.' I was checking and setting arrival page when captain executed holding not telling me about his action. When I returned to the legs page I noticed pps holding and airplane in turn for about 80 degrees from the fpl course. I questioned captain about his action when he disconnected autoplt and started correcting his error. During that turn airplane gained about 700 ft above assigned altitude. ATC controller questioned our heading and we told him that we are correcting altitude and heading due to unintentional execution of pps holding. I was PF and captain should have coordinated any maneuvers or action, so we could have avoided unintentional deviation from course and altitude. I blame poor crew coordination for this incident. Also, there was no need to disconnect autoplt.
Original NASA ASRS Text
Title: ACR MLG ALTDEV EXCURSION FROM CLRNC ALT AS PIC TURNS BACK ON COURSE FROM A HDG DEV.
Narrative: DIRECTED BY ATC TO REDUCE TO SLOWEST SPD IN CRUISE FOR SEQUENCE INTO NYC. CAPT PULLED UP HOLDING PAGE ON FMC TO CHK THE SLOWEST SPD AT FL370. CAPT RETURNED TO CRUISE PAGE AND PRESSED 'EXECUTE' NOT CLRING PREVIOUSLY THE 'HOLDING PAGE.' I WAS CHKING AND SETTING ARR PAGE WHEN CAPT EXECUTED HOLDING NOT TELLING ME ABOUT HIS ACTION. WHEN I RETURNED TO THE LEGS PAGE I NOTICED PPS HOLDING AND AIRPLANE IN TURN FOR ABOUT 80 DEGS FROM THE FPL COURSE. I QUESTIONED CAPT ABOUT HIS ACTION WHEN HE DISCONNECTED AUTOPLT AND STARTED CORRECTING HIS ERROR. DURING THAT TURN AIRPLANE GAINED ABOUT 700 FT ABOVE ASSIGNED ALT. ATC CTLR QUESTIONED OUR HDG AND WE TOLD HIM THAT WE ARE CORRECTING ALT AND HDG DUE TO UNINTENTIONAL EXECUTION OF PPS HOLDING. I WAS PF AND CAPT SHOULD HAVE COORDINATED ANY MANEUVERS OR ACTION, SO WE COULD HAVE AVOIDED UNINTENTIONAL DEV FROM COURSE AND ALT. I BLAME POOR CREW COORD FOR THIS INCIDENT. ALSO, THERE WAS NO NEED TO DISCONNECT AUTOPLT.
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.