37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 196164 |
Time | |
Date | 199112 |
Day | Fri |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : yyz |
State Reference | ON |
Altitude | msl bound lower : 11000 msl bound upper : 13000 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Flight Phase | descent other |
Route In Use | arrival : profile descent enroute airway : czyz |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 210 flight time total : 9800 flight time type : 1600 |
ASRS Report | 196164 |
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 non adherence : published procedure |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Cleared for profile descent runway 24 yyz. Crossed ywt VOR at 17000 ft MSL. Started descent to 11000 ft MSL at ywt and noticed too late that crossing restriction of 11000 ft and 250 KTS is based on 26 DME southwest of yyz. Originally interpreted chart to read 26 DME northwest of ywt. Didn't make crossing restriction. Center said nothing about deviation. Remedy: please rewrite profile descent chart in more of a readable format. Chart is very confusing as it is now written.
Original NASA ASRS Text
Title: ACR PLT MISREADS PROFILE DSCNT AND IS UNABLE TO MAKE XING RESTRICTION.
Narrative: CLRED FOR PROFILE DSCNT RWY 24 YYZ. CROSSED YWT VOR AT 17000 FT MSL. STARTED DSCNT TO 11000 FT MSL AT YWT AND NOTICED TOO LATE THAT XING RESTRICTION OF 11000 FT AND 250 KTS IS BASED ON 26 DME SW OF YYZ. ORIGINALLY INTERPRETED CHART TO READ 26 DME NW OF YWT. DIDN'T MAKE XING RESTRICTION. CENTER SAID NOTHING ABOUT DEV. REMEDY: PLEASE REWRITE PROFILE DSCNT CHART IN MORE OF A READABLE FORMAT. CHART IS VERY CONFUSING AS IT IS NOW WRITTEN.
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.