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|
Attributes | |
ACN | 202153 |
Time | |
Date | 199202 |
Day | Tue |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : rid airport : eddf |
State Reference | FO |
Altitude | msl bound lower : 4000 msl bound upper : 5000 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : eddf tower : tul |
Operator | common carrier : air carrier |
Make Model Name | Widebody, Low Wing, 3 Turbojet Eng |
Navigation In Use | Other |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure other departure sid : sid |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Flight Phase | cruise other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time total : 11000 flight time type : 2500 |
ASRS Report | 202153 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : overshoot conflict : nmac non adherence : published procedure non adherence : clearance |
Independent Detector | other controllera |
Resolutory Action | none taken : detected after the fact |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Based on current WX conditions and ATIS information, a KIR2F SID runway 25 (5000 ft level off altitude) was filed out of the frankfurt airport. An airborne slot time of PM20 to PM35 was assigned. Late arrival of the push back equipment was delaying our push time. The expected and filed SID was briefed prior to receiving ATC clearance because once the equipment arrived, I knew that we would be rushed. The flight guidance was programmed accordingly. Ground control was asked if a new slot time was needed, and we were informed that we 'should' be able to make our departure window. ATC clearance was received, a KIR2L SID, indicating our departure runway was now 18 (4000 ft level off altitude). We started our push start at PM20. At PM30, ramp control cleared us to runway 18 and immediately switched us to tower who cleared us to 'line up and wait, and be ready to takeoff as soon as the aircraft landing on a crossing runway had landed.' during the short taxi and line up, 3 checklists were completed and the new SID was discussed. The heading bugs, course selectors, and radios were reset, but in the rush, no one reset the altitude arm/alerter to 4000 ft. The aircraft was extremely light and full power was used due to WX conditions (10 overcast 3 s-). Aircraft climbed quickly and by the time the aircraft was cleaned up and frankfurt departure was called, the flight guidance was already in the altitude capture mode for 5000 ft and I began to level off. The controller told us that we should be at 4000 per the SID and that we came very close to another aircraft. Anticipated and filed departure being changed, equipment delay and rapidly approaching slot time, along with short taxi, and exceptional aircraft performance were all contributing causes. Frankfurt has many sids with different initial altitudes, adding to the confusion. TCASII would have been invaluable in this situation!
Original NASA ASRS Text
Title: ALTDEV ALT OVERSHOT IN CLB PRODUCES AN NMAC.
Narrative: BASED ON CURRENT WX CONDITIONS AND ATIS INFO, A KIR2F SID RWY 25 (5000 FT LEVEL OFF ALT) WAS FILED OUT OF THE FRANKFURT ARPT. AN AIRBORNE SLOT TIME OF PM20 TO PM35 WAS ASSIGNED. LATE ARR OF THE PUSH BACK EQUIP WAS DELAYING OUR PUSH TIME. THE EXPECTED AND FILED SID WAS BRIEFED PRIOR TO RECEIVING ATC CLRNC BECAUSE ONCE THE EQUIP ARRIVED, I KNEW THAT WE WOULD BE RUSHED. THE FLT GUIDANCE WAS PROGRAMMED ACCORDINGLY. GND CTL WAS ASKED IF A NEW SLOT TIME WAS NEEDED, AND WE WERE INFORMED THAT WE 'SHOULD' BE ABLE TO MAKE OUR DEP WINDOW. ATC CLRNC WAS RECEIVED, A KIR2L SID, INDICATING OUR DEP RWY WAS NOW 18 (4000 FT LEVEL OFF ALT). WE STARTED OUR PUSH START AT PM20. AT PM30, RAMP CTL CLRED US TO RWY 18 AND IMMEDIATELY SWITCHED US TO TWR WHO CLRED US TO 'LINE UP AND WAIT, AND BE READY TO TKOF AS SOON AS THE ACFT LNDG ON A XING RWY HAD LANDED.' DURING THE SHORT TAXI AND LINE UP, 3 CHKLISTS WERE COMPLETED AND THE NEW SID WAS DISCUSSED. THE HDG BUGS, COURSE SELECTORS, AND RADIOS WERE RESET, BUT IN THE RUSH, NO ONE RESET THE ALT ARM/ALERTER TO 4000 FT. THE ACFT WAS EXTREMELY LIGHT AND FULL PWR WAS USED DUE TO WX CONDITIONS (10 OVCST 3 S-). ACFT CLBED QUICKLY AND BY THE TIME THE ACFT WAS CLEANED UP AND FRANKFURT DEP WAS CALLED, THE FLT GUIDANCE WAS ALREADY IN THE ALT CAPTURE MODE FOR 5000 FT AND I BEGAN TO LEVEL OFF. THE CTLR TOLD US THAT WE SHOULD BE AT 4000 PER THE SID AND THAT WE CAME VERY CLOSE TO ANOTHER ACFT. ANTICIPATED AND FILED DEP BEING CHANGED, EQUIP DELAY AND RAPIDLY APCHING SLOT TIME, ALONG WITH SHORT TAXI, AND EXCEPTIONAL ACFT PERFORMANCE WERE ALL CONTRIBUTING CAUSES. FRANKFURT HAS MANY SIDS WITH DIFFERENT INITIAL ALTS, ADDING TO THE CONFUSION. TCASII WOULD HAVE BEEN INVALUABLE IN THIS SITUATION!
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.