37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 293995 |
Time | |
Date | 199501 |
Day | Sat |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : eno |
State Reference | DE |
Altitude | msl bound lower : 17000 msl bound upper : 17000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | A300 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other |
Flight Phase | descent other |
Route In Use | enroute : direct enroute airway : zdc |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 240 flight time total : 9500 flight time type : 1200 |
ASRS Report | 293995 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 450 flight time total : 13000 flight time type : 2300 |
ASRS Report | 293076 |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance |
Independent Detector | 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:
Captain went to bathroom. Air carrier X was level at FL190 and received a clearance to 17000 ft. The ATIS form did record 29.61 inches and the controller said 29.61 inches, yet I mistakenly dialed in 30.61 inches on my altimeter. Immediately after that the autoplt clicked off for unknown reasons. I restored it and continued the descent. The 700 ft (approaching altitude) warning went off and immediately thereafter, the autoplt clicked off again. I restored it again, just as the captain walked back in. I noticed that the aircraft was leveling off at an altitude inconsistent with the alerter or the clearance and immediately checked the captain's altimeter settings (still on 29.92 inches) because on some of the ex-air carrier A300's, the 4TH altimeter (on captain's side) drove the autoplt #2. The captain reached over his seat to set his altimeters (2 plus standby) when ATC informed me to climb back to 17000 ft. At that time the captain noticed that my altimeter was set 1000 ft off. I corrected the altimeter and the altitude. Supplemental information from acn 293076: I stepped out of cockpit approximately 1 min when we started a descent. The descent didn't feel smooth/normal so I came back to cockpit immediately. I asked first officer (he was hand flying aircraft now) what was wrong. He stated aircraft was trying to level off at too low an altitude and he was overriding it. My altimeter read 16400 ft descending (29.92) and his read approximately 17100 ft descending (30.60). ATIS card said 29.60. I immediately ordered him to climb. 17000 ft was set in autoplt altitude window. ATC asked our altitude as we started up. I responded climbing to 17000 ft. ATC responded 'that's your assigned altitude.' first officer had accepted descent from FL190 to 17000 ft, but set his altimeter at 30.60 (WX was clear/cold and he thought high pressure was in area). He is a good pilot but was tired and it was last leg of a 3 day trip in good WX.
Original NASA ASRS Text
Title: ACR X WRONG ALTIMETER SETTING DSNDED BELOW ASSIGNED ALT. ALTDEV. PLTDEV.
Narrative: CAPT WENT TO BATHROOM. ACR X WAS LEVEL AT FL190 AND RECEIVED A CLRNC TO 17000 FT. THE ATIS FORM DID RECORD 29.61 INCHES AND THE CTLR SAID 29.61 INCHES, YET I MISTAKENLY DIALED IN 30.61 INCHES ON MY ALTIMETER. IMMEDIATELY AFTER THAT THE AUTOPLT CLICKED OFF FOR UNKNOWN REASONS. I RESTORED IT AND CONTINUED THE DSCNT. THE 700 FT (APCHING ALT) WARNING WENT OFF AND IMMEDIATELY THEREAFTER, THE AUTOPLT CLICKED OFF AGAIN. I RESTORED IT AGAIN, JUST AS THE CAPT WALKED BACK IN. I NOTICED THAT THE ACFT WAS LEVELING OFF AT AN ALT INCONSISTENT WITH THE ALERTER OR THE CLRNC AND IMMEDIATELY CHKED THE CAPT'S ALTIMETER SETTINGS (STILL ON 29.92 INCHES) BECAUSE ON SOME OF THE EX-ACR A300'S, THE 4TH ALTIMETER (ON CAPT'S SIDE) DROVE THE AUTOPLT #2. THE CAPT REACHED OVER HIS SEAT TO SET HIS ALTIMETERS (2 PLUS STANDBY) WHEN ATC INFORMED ME TO CLB BACK TO 17000 FT. AT THAT TIME THE CAPT NOTICED THAT MY ALTIMETER WAS SET 1000 FT OFF. I CORRECTED THE ALTIMETER AND THE ALT. SUPPLEMENTAL INFO FROM ACN 293076: I STEPPED OUT OF COCKPIT APPROX 1 MIN WHEN WE STARTED A DSCNT. THE DSCNT DIDN'T FEEL SMOOTH/NORMAL SO I CAME BACK TO COCKPIT IMMEDIATELY. I ASKED FO (HE WAS HAND FLYING ACFT NOW) WHAT WAS WRONG. HE STATED ACFT WAS TRYING TO LEVEL OFF AT TOO LOW AN ALT AND HE WAS OVERRIDING IT. MY ALTIMETER READ 16400 FT DSNDING (29.92) AND HIS READ APPROX 17100 FT DSNDING (30.60). ATIS CARD SAID 29.60. I IMMEDIATELY ORDERED HIM TO CLB. 17000 FT WAS SET IN AUTOPLT ALT WINDOW. ATC ASKED OUR ALT AS WE STARTED UP. I RESPONDED CLBING TO 17000 FT. ATC RESPONDED 'THAT'S YOUR ASSIGNED ALT.' FO HAD ACCEPTED DSCNT FROM FL190 TO 17000 FT, BUT SET HIS ALTIMETER AT 30.60 (WX WAS CLR/COLD AND HE THOUGHT HIGH PRESSURE WAS IN AREA). HE IS A GOOD PLT BUT WAS TIRED AND IT WAS LAST LEG OF A 3 DAY TRIP IN GOOD WX.
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.