37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 240452 |
Time | |
Date | 199304 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : cle |
State Reference | OH |
Altitude | msl bound lower : 5000 msl bound upper : 5500 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : cle tower : cle |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other Other |
Flight Phase | climbout : intermediate altitude |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 210 flight time total : 3500 flight time type : 800 |
ASRS Report | 240452 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 6000 flight time type : 800 |
ASRS Report | 240136 |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance other anomaly other |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Copilot programmed ACARS at cle for cle-ord requested a pre-departure clearance. Posted pre-departure clearance, set altimeter, squawk, and departure frequency. On departure unable to communicate with departure control. Continued climb on 010 degree heading to 7000 ft, talked to tower again (on departure) and told them unable on 132.85. They sent us to a different frequency for departure control. Departure advised us that we were going through our assigned altitude of 5000 ft. We were passing 5500 ft going to 7000 ft as programmed on fmp and pre-departure clearance. After leveling at 6000 ft, controller asked us about our clearance. Informed him of our pre-departure clearance only to realize that somehow a pre-departure clearance from the previous leg was being flown from rdu-cle. We failed to catch the mistake and flew an incorrect pre- departure clearance to 7000 ft. Crew fatigue and complacency are causal. Lack of attention to detail also, recommend cle ground verify proper pre-departure clearance by readback of proper transponder code in future. We had the rdu-cle code in transponder at the time. Supplemental information from acn 240136: taking another look at the ACARS clearance showed we had received a clearance for a flight rdu-cle!
Original NASA ASRS Text
Title: ALTDEV ALT OVERSHOT ON DEP. PROC ACCOUNT WRONG ACARS CLRNC INPUT INTO FMC.
Narrative: COPLT PROGRAMMED ACARS AT CLE FOR CLE-ORD REQUESTED A PRE-DEP CLRNC. POSTED PRE-DEP CLRNC, SET ALTIMETER, SQUAWK, AND DEP FREQ. ON DEP UNABLE TO COMMUNICATE WITH DEP CTL. CONTINUED CLB ON 010 DEG HDG TO 7000 FT, TALKED TO TWR AGAIN (ON DEP) AND TOLD THEM UNABLE ON 132.85. THEY SENT US TO A DIFFERENT FREQ FOR DEP CTL. DEP ADVISED US THAT WE WERE GOING THROUGH OUR ASSIGNED ALT OF 5000 FT. WE WERE PASSING 5500 FT GOING TO 7000 FT AS PROGRAMMED ON FMP AND PRE-DEP CLRNC. AFTER LEVELING AT 6000 FT, CTLR ASKED US ABOUT OUR CLRNC. INFORMED HIM OF OUR PRE-DEP CLRNC ONLY TO REALIZE THAT SOMEHOW A PRE-DEP CLRNC FROM THE PREVIOUS LEG WAS BEING FLOWN FROM RDU-CLE. WE FAILED TO CATCH THE MISTAKE AND FLEW AN INCORRECT PRE- DEP CLRNC TO 7000 FT. CREW FATIGUE AND COMPLACENCY ARE CAUSAL. LACK OF ATTN TO DETAIL ALSO, RECOMMEND CLE GND VERIFY PROPER PRE-DEP CLRNC BY READBACK OF PROPER XPONDER CODE IN FUTURE. WE HAD THE RDU-CLE CODE IN XPONDER AT THE TIME. SUPPLEMENTAL INFO FROM ACN 240136: TAKING ANOTHER LOOK AT THE ACARS CLRNC SHOWED WE HAD RECEIVED A CLRNC FOR A FLT RDU-CLE!
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.