37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 200291 |
Time | |
Date | 199201 |
Day | Tue |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : hdo |
State Reference | TX |
Altitude | msl bound lower : 7000 msl bound upper : 7800 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zhu |
Operator | general aviation : corporate |
Make Model Name | Small Transport, Low Wing, 2 Turboprop Eng |
Flight Phase | climbout : intermediate altitude cruise other |
Route In Use | enroute : direct |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : cfi |
Experience | flight time last 90 days : 80 flight time total : 9200 flight time type : 500 |
ASRS Report | 200291 |
Person 2 | |
Affiliation | Other |
Function | flight crew : first officer |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance |
Independent Detector | aircraft equipment other aircraft equipment : unspecified other flight crewa |
Resolutory Action | flight crew : returned to intended course or assigned course |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Our company aircraft is equipped with a flight director, and an altitude alert with an aural warning system. We usually switch seats after several legs. This was my leg to fly back to home base. Since we are the only 2 pilots for the company, we have our routine of the copilot doing all of the chart handling, map reading, etc. Houston center gave us a climb to 7000 ft. We acknowledged and set 7000 ft in the altitude alerter as we were climbing through 3000 ft. I asked the copilot to get out the arrival chart for the acton 2 arrival. After a few mins, I noticed he was having trouble getting the chart book out of the bottom holder located behind his seat. I turned around and reached down to pull it out, which did not seem to take very long at all. During this I heard the altitude warning tone go off, thinking this was the tone that usually sounds when reaching 1000 ft from the altitude set in the window. About the same time the chart book came out, I turned around and noticed we were 800 ft above our assigned altitude of 7000 ft. I immediately turned off the autoplt and lowered the nose to return to the assigned altitude of 7000 ft. The controller never mentioned the deviation, of course, neither did we. Shortly afterwards we were given a climb to 17000 ft, our requested altitude. After getting home we discussed the chain of events leading up to the altitude deviation. We have talked with our part-time coplts and have decided to have 1 pilot at the controls all the time, no matter what the cockpit distraction might be. We are also going to have altitude call-outs by the PNF.
Original NASA ASRS Text
Title: ALTDEV ALT OVERSHOT IN CLB.
Narrative: OUR COMPANY ACFT IS EQUIPPED WITH A FLT DIRECTOR, AND AN ALT ALERT WITH AN AURAL WARNING SYS. WE USUALLY SWITCH SEATS AFTER SEVERAL LEGS. THIS WAS MY LEG TO FLY BACK TO HOME BASE. SINCE WE ARE THE ONLY 2 PLTS FOR THE COMPANY, WE HAVE OUR ROUTINE OF THE COPLT DOING ALL OF THE CHART HANDLING, MAP READING, ETC. HOUSTON CTR GAVE US A CLB TO 7000 FT. WE ACKNOWLEDGED AND SET 7000 FT IN THE ALT ALERTER AS WE WERE CLBING THROUGH 3000 FT. I ASKED THE COPLT TO GET OUT THE ARR CHART FOR THE ACTON 2 ARR. AFTER A FEW MINS, I NOTICED HE WAS HAVING TROUBLE GETTING THE CHART BOOK OUT OF THE BOTTOM HOLDER LOCATED BEHIND HIS SEAT. I TURNED AROUND AND REACHED DOWN TO PULL IT OUT, WHICH DID NOT SEEM TO TAKE VERY LONG AT ALL. DURING THIS I HEARD THE ALT WARNING TONE GO OFF, THINKING THIS WAS THE TONE THAT USUALLY SOUNDS WHEN REACHING 1000 FT FROM THE ALT SET IN THE WINDOW. ABOUT THE SAME TIME THE CHART BOOK CAME OUT, I TURNED AROUND AND NOTICED WE WERE 800 FT ABOVE OUR ASSIGNED ALT OF 7000 FT. I IMMEDIATELY TURNED OFF THE AUTOPLT AND LOWERED THE NOSE TO RETURN TO THE ASSIGNED ALT OF 7000 FT. THE CTLR NEVER MENTIONED THE DEV, OF COURSE, NEITHER DID WE. SHORTLY AFTERWARDS WE WERE GIVEN A CLB TO 17000 FT, OUR REQUESTED ALT. AFTER GETTING HOME WE DISCUSSED THE CHAIN OF EVENTS LEADING UP TO THE ALTDEV. WE HAVE TALKED WITH OUR PART-TIME COPLTS AND HAVE DECIDED TO HAVE 1 PLT AT THE CTLS ALL THE TIME, NO MATTER WHAT THE COCKPIT DISTR MIGHT BE. WE ARE ALSO GOING TO HAVE ALT CALL-OUTS BY THE PNF.
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.