37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 214709 |
Time | |
Date | 199207 |
Day | Fri |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : sli airport : lax |
State Reference | CA |
Altitude | msl bound lower : 6500 msl bound upper : 7400 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : sna |
Operator | common carrier : air carrier |
Make Model Name | Light Transport, Low Wing, 2 Turboprop Eng |
Flight Phase | cruise other |
Route In Use | enroute airway : sna |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : cfi |
Experience | flight time last 90 days : 45 flight time total : 5200 flight time type : 25 |
ASRS Report | 214709 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude altitude deviation : overshoot non adherence : clearance other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : returned to intended course or assigned course flight crew : became reoriented other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Flying to lax from san. Second day on line after completing captain initial operating experience. Third flight san-lax in 2 days. (After many (18-24) months since flying the route as first officer). Inbound to seal beach. Checklists in progress. First officer returns from briefing passenger and says what are you doing, we're supposed to maintain 7000 ft. I say, we were cleared to 4000 ft. I have a distinct memory of acknowledging that clearance. First officer says we were cleared to 7000 ft, I am sure first officer was offline when 4000 ft clearance happened. Leveled off at 6500 ft, verified with ATC, then climbed back to 7000 ft. Altitude did not capture (altitude armed repushed, but altitude alerter not reset to 7000 ft). Aircraft continued climb and did not efficiently level off when altitude hold button pushed. Took manual control at 7300 ft and returned to 7000 ft. No apparent traffic conflict -- ATC not excited. (But subsequent vectors and clrncs not as closely adhered to because of the distraction). All ok by the time turning to final. What happened? I don't know. Possibilities: I heard or misread clearance. But 7000 ft and 4000 ft don't sound at all alike. I remember thinking 4000 seems a little low, but maybe this isn't out of the ordinary for our position, we will be descending to land. (In retrospect, my first officer pointed out the floor of the TCA in that area is above 4000, which I didn't know. The floor is at 6000 ft). I followed a clearance for another airplane (but if I responded, it was not caught. Did I make up the memory of responding?) I made up the 4000. (Also hard to believe). I received a bogus clearance. NOTAMS show that as a possibility in that area. (This is what I suspect happened). Contributing factors: cockpit distrs, inexperience in aircraft and inexperience (lack of recent) on that route, especially with respect to that specific airplane.
Original NASA ASRS Text
Title: CLRNC REPLY TO WRONG CALL SIGN RESULTS IN ALTDEV ALT EXCURSION.
Narrative: FLYING TO LAX FROM SAN. SECOND DAY ON LINE AFTER COMPLETING CAPT INITIAL OPERATING EXPERIENCE. THIRD FLT SAN-LAX IN 2 DAYS. (AFTER MANY (18-24) MONTHS SINCE FLYING THE RTE AS FO). INBOUND TO SEAL BEACH. CHKLISTS IN PROGRESS. FO RETURNS FROM BRIEFING PAX AND SAYS WHAT ARE YOU DOING, WE'RE SUPPOSED TO MAINTAIN 7000 FT. I SAY, WE WERE CLRED TO 4000 FT. I HAVE A DISTINCT MEMORY OF ACKNOWLEDGING THAT CLRNC. FO SAYS WE WERE CLRED TO 7000 FT, I AM SURE FO WAS OFFLINE WHEN 4000 FT CLRNC HAPPENED. LEVELED OFF AT 6500 FT, VERIFIED WITH ATC, THEN CLBED BACK TO 7000 FT. ALT DID NOT CAPTURE (ALT ARMED REPUSHED, BUT ALT ALERTER NOT RESET TO 7000 FT). ACFT CONTINUED CLB AND DID NOT EFFICIENTLY LEVEL OFF WHEN ALT HOLD BUTTON PUSHED. TOOK MANUAL CTL AT 7300 FT AND RETURNED TO 7000 FT. NO APPARENT TFC CONFLICT -- ATC NOT EXCITED. (BUT SUBSEQUENT VECTORS AND CLRNCS NOT AS CLOSELY ADHERED TO BECAUSE OF THE DISTR). ALL OK BY THE TIME TURNING TO FINAL. WHAT HAPPENED? I DON'T KNOW. POSSIBILITIES: I HEARD OR MISREAD CLRNC. BUT 7000 FT AND 4000 FT DON'T SOUND AT ALL ALIKE. I REMEMBER THINKING 4000 SEEMS A LITTLE LOW, BUT MAYBE THIS ISN'T OUT OF THE ORDINARY FOR OUR POS, WE WILL BE DSNDING TO LAND. (IN RETROSPECT, MY FO POINTED OUT THE FLOOR OF THE TCA IN THAT AREA IS ABOVE 4000, WHICH I DIDN'T KNOW. THE FLOOR IS AT 6000 FT). I FOLLOWED A CLRNC FOR ANOTHER AIRPLANE (BUT IF I RESPONDED, IT WAS NOT CAUGHT. DID I MAKE UP THE MEMORY OF RESPONDING?) I MADE UP THE 4000. (ALSO HARD TO BELIEVE). I RECEIVED A BOGUS CLRNC. NOTAMS SHOW THAT AS A POSSIBILITY IN THAT AREA. (THIS IS WHAT I SUSPECT HAPPENED). CONTRIBUTING FACTORS: COCKPIT DISTRS, INEXPERIENCE IN ACFT AND INEXPERIENCE (LACK OF RECENT) ON THAT RTE, ESPECIALLY WITH RESPECT TO THAT SPECIFIC AIRPLANE.
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.