37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 263798 |
Time | |
Date | 199402 |
Day | Sat |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : tpe |
State Reference | FO |
Altitude | msl bound lower : 1750 msl bound upper : 2000 |
Environment | |
Flight Conditions | IMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : tpe |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other |
Flight Phase | descent : approach descent other landing other |
Route In Use | approach : straight in enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : cfi pilot : atp pilot : instrument |
Experience | flight time last 90 days : 180 flight time total : 18000 flight time type : 6000 |
ASRS Report | 263798 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial |
Events | |
Anomaly | altitude deviation : overshoot non adherence : published procedure non adherence : clearance other spatial deviation |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
It was a late night cargo flight. ATC cleared us to descend to an altitude just above the transition level. They did not give us an altimeter setting. We were handed off to approach control who cleared us to continue our descent to the MVA and began to radar vector us to the ILS. There was little other traffic. I do not, nor does my crew, recall hearing an altimeter setting from approach but we did have the ATIS. It was 4 broken 20 overcast 3 mi plus with calm winds. The altimeter was 1011 hp. My so copies 30.11 in instead of 1011 hp. My personal SOP is to always xchk the ATIS altimeter setting with that given by approach control. Perhaps it was the late hour and my fatigue, or my confidence in the usually very competent so, or my complacency, or all of the above that caused me to not double-check the altimeter setting. We flew thinking we were at 2000 ft when in fact we were at 1750 ft. The controller never said a word about our altitude even though we were being radar vectored. When we crossed the OM we noticed our altitude was different from that published even though we were exactly on glide path. We could see the ground shortly thereafter and we were in the clear at approximately 600 ft. At the gate I checked the ATIS again and the reason for the altitude difference was obvious. Complacency and fatigue combined to compromise the safety of this flight.
Original NASA ASRS Text
Title: AN ACR WDB FRTR LANDED WITH THE WRONG ALTIMETER SETTING.
Narrative: IT WAS A LATE NIGHT CARGO FLT. ATC CLRED US TO DSND TO AN ALT JUST ABOVE THE TRANSITION LEVEL. THEY DID NOT GIVE US AN ALTIMETER SETTING. WE WERE HANDED OFF TO APCH CTL WHO CLRED US TO CONTINUE OUR DSCNT TO THE MVA AND BEGAN TO RADAR VECTOR US TO THE ILS. THERE WAS LITTLE OTHER TFC. I DO NOT, NOR DOES MY CREW, RECALL HEARING AN ALTIMETER SETTING FROM APCH BUT WE DID HAVE THE ATIS. IT WAS 4 BROKEN 20 OVCST 3 MI PLUS WITH CALM WINDS. THE ALTIMETER WAS 1011 HP. MY SO COPIES 30.11 IN INSTEAD OF 1011 HP. MY PERSONAL SOP IS TO ALWAYS XCHK THE ATIS ALTIMETER SETTING WITH THAT GIVEN BY APCH CTL. PERHAPS IT WAS THE LATE HR AND MY FATIGUE, OR MY CONFIDENCE IN THE USUALLY VERY COMPETENT SO, OR MY COMPLACENCY, OR ALL OF THE ABOVE THAT CAUSED ME TO NOT DOUBLE-CHK THE ALTIMETER SETTING. WE FLEW THINKING WE WERE AT 2000 FT WHEN IN FACT WE WERE AT 1750 FT. THE CTLR NEVER SAID A WORD ABOUT OUR ALT EVEN THOUGH WE WERE BEING RADAR VECTORED. WHEN WE CROSSED THE OM WE NOTICED OUR ALT WAS DIFFERENT FROM THAT PUBLISHED EVEN THOUGH WE WERE EXACTLY ON GLIDE PATH. WE COULD SEE THE GND SHORTLY THEREAFTER AND WE WERE IN THE CLR AT APPROX 600 FT. AT THE GATE I CHKED THE ATIS AGAIN AND THE REASON FOR THE ALT DIFFERENCE WAS OBVIOUS. COMPLACENCY AND FATIGUE COMBINED TO COMPROMISE THE SAFETY OF THIS FLT.
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.