37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 238870 |
Time | |
Date | 199304 |
Day | Tue |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : bld |
State Reference | NV |
Altitude | msl bound lower : 20000 msl bound upper : 21000 |
Environment | |
Flight Conditions | Mixed |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zla |
Operator | other |
Make Model Name | Small Transport, Low Wing, 2 Turboprop Eng |
Navigation In Use | Other Other |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure other departure sid : sid |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : military |
Function | flight crew : captain oversight : pic |
Qualification | pilot : cfi pilot : military pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 9000 flight time type : 2500 |
ASRS Report | 238870 |
Person 2 | |
Affiliation | government : military |
Function | flight crew : first officer |
Qualification | pilot : military |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : overshoot non adherence : clearance |
Independent Detector | other controllera other flight crewa |
Resolutory Action | flight crew : became reoriented 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:
This airplane was having navigation and autoplt problems and was on an important mission. I delivered another airplane to las vegas so the mission could be competed. Maintenance was performed, and we filed a flight plan home. During climb out, #1 VOR failed (deviation bar locked up 'centered'). #2 VOR was selected, it worked. My copilot was programming the omega navigation. Traffic was reported to us and we were looking into clouds searching. The above navigation problems occurred approximately the same time as we approached the VOR and our altitude. I missed (failed to note) altitude for 45 seconds and recognized my error at the same time ATC queried me. I reduced power and returned to FL200 (assigned) rapidly 15 seconds. The crew was tired, did not trust the equipment (navigation, autoplt). Incidentally, the autoplt had been selected on about 2 mins before the incident and had failed (trim failure) about 1 min before the incident. While attempting to correct several problems and searching for traffic I flew through my assigned altitude. How to fix it: altitude alerter and better equipment. Don't fly tired.
Original NASA ASRS Text
Title: ALTDEV ALT OVERSHOT IN CLB.
Narrative: THIS AIRPLANE WAS HAVING NAV AND AUTOPLT PROBS AND WAS ON AN IMPORTANT MISSION. I DELIVERED ANOTHER AIRPLANE TO LAS VEGAS SO THE MISSION COULD BE COMPETED. MAINT WAS PERFORMED, AND WE FILED A FLT PLAN HOME. DURING CLBOUT, #1 VOR FAILED (DEV BAR LOCKED UP 'CTRED'). #2 VOR WAS SELECTED, IT WORKED. MY COPLT WAS PROGRAMMING THE OMEGA NAV. TFC WAS RPTED TO US AND WE WERE LOOKING INTO CLOUDS SEARCHING. THE ABOVE NAV PROBS OCCURRED APPROX THE SAME TIME AS WE APCHED THE VOR AND OUR ALT. I MISSED (FAILED TO NOTE) ALT FOR 45 SECONDS AND RECOGNIZED MY ERROR AT THE SAME TIME ATC QUERIED ME. I REDUCED PWR AND RETURNED TO FL200 (ASSIGNED) RAPIDLY 15 SECONDS. THE CREW WAS TIRED, DID NOT TRUST THE EQUIP (NAV, AUTOPLT). INCIDENTALLY, THE AUTOPLT HAD BEEN SELECTED ON ABOUT 2 MINS BEFORE THE INCIDENT AND HAD FAILED (TRIM FAILURE) ABOUT 1 MIN BEFORE THE INCIDENT. WHILE ATTEMPTING TO CORRECT SEVERAL PROBS AND SEARCHING FOR TFC I FLEW THROUGH MY ASSIGNED ALT. HOW TO FIX IT: ALT ALERTER AND BETTER EQUIP. DON'T FLY TIRED.
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.