37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 205528 |
Time | |
Date | 199203 |
Day | Sat |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : brl |
State Reference | IA |
Altitude | msl bound lower : 20000 msl bound upper : 21000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zkc |
Operator | common carrier : air carrier |
Make Model Name | Light Transport, Low Wing, 2 Turboprop Eng |
Flight Phase | cruise other |
Route In Use | enroute airway : zkc |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : instrument pilot : commercial |
Experience | flight time last 90 days : 203 flight time total : 12000 flight time type : 2000 |
ASRS Report | 205528 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : cfi pilot : atp |
Experience | flight time total : 4000 flight time type : 1800 |
ASRS Report | 206063 |
Events | |
Anomaly | altitude deviation : undershoot non adherence : clearance other anomaly other |
Independent Detector | atc equipment other atc equipment : unspecified 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:
Cid to stl, air carrier light transport aircraft was cleared to FL210 by ZAU. Altitude was set on altitude alerter by the captain. However, we inadvertently leveled off at FL200 and did not become aware of our mistake until changing frequency to ZKC and advising of our present altitude. The center controller replied asking about altitude cleared to, to which I replied 'we're climbing to FL210.' the controller acknowledged and we reached assigned altitude shortly thereafter. No mention of any conflict was made by ATC. Time (estimated) spent at wrong altitude was 5 mins or less. The following factors, I feel, contributed to this situation: crew inattn due to fatigue. Crew got off duty the previous night at XX07, checking into hotel at around XY00. Crew departed hotel at OZ00 next morning. Crew was on 'required' reduced rest of no less than 8 hours. However, current FARS consider transportation to and from hotel part of 'required rest!' actual crew rest was more on the order of 5 hours. Crew had been on duty for 10 hours 56 mins on previous day, flying a total of 4 hours 49 mins.
Original NASA ASRS Text
Title: ACR LTT ACFT FLC INADVERTENTLY UNDERSHOT ASSIGNED ALT.
Narrative: CID TO STL, ACR LTT ACFT WAS CLRED TO FL210 BY ZAU. ALT WAS SET ON ALT ALERTER BY THE CAPT. HOWEVER, WE INADVERTENTLY LEVELED OFF AT FL200 AND DID NOT BECOME AWARE OF OUR MISTAKE UNTIL CHANGING FREQ TO ZKC AND ADVISING OF OUR PRESENT ALT. THE CTR CTLR REPLIED ASKING ABOUT ALT CLRED TO, TO WHICH I REPLIED 'WE'RE CLBING TO FL210.' THE CTLR ACKNOWLEDGED AND WE REACHED ASSIGNED ALT SHORTLY THEREAFTER. NO MENTION OF ANY CONFLICT WAS MADE BY ATC. TIME (ESTIMATED) SPENT AT WRONG ALT WAS 5 MINS OR LESS. THE FOLLOWING FACTORS, I FEEL, CONTRIBUTED TO THIS SITUATION: CREW INATTN DUE TO FATIGUE. CREW GOT OFF DUTY THE PREVIOUS NIGHT AT XX07, CHKING INTO HOTEL AT AROUND XY00. CREW DEPARTED HOTEL AT OZ00 NEXT MORNING. CREW WAS ON 'REQUIRED' REDUCED REST OF NO LESS THAN 8 HRS. HOWEVER, CURRENT FARS CONSIDER TRANSPORTATION TO AND FROM HOTEL PART OF 'REQUIRED REST!' ACTUAL CREW REST WAS MORE ON THE ORDER OF 5 HRS. CREW HAD BEEN ON DUTY FOR 10 HRS 56 MINS ON PREVIOUS DAY, FLYING A TOTAL OF 4 HRS 49 MINS.
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.