37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 295888 |
Time | |
Date | 199502 |
Day | Mon |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : pye |
State Reference | CA |
Altitude | msl bound lower : 14000 msl bound upper : 15000 |
Environment | |
Flight Conditions | VMC |
Light | Dusk |
Aircraft 1 | |
Controlling Facilities | artcc : zoa |
Operator | common carrier : air carrier |
Make Model Name | Jetstream Series Commuter Aircraft |
Operating Under FAR Part | Part 135 |
Flight Phase | cruise other |
Route In Use | enroute airway : zoa |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : atp pilot : commercial pilot : instrument pilot : cfi |
Experience | flight time last 90 days : 275 flight time total : 10981 flight time type : 4597 |
ASRS Report | 295888 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : atp pilot : instrument |
Events | |
Anomaly | altitude deviation : undershoot non adherence : clearance non adherence : far other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : became reoriented flight crew : returned to intended course or assigned course |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
I inadvertently leveled out at 14000 ft (15000 ft assigned), and was level for 10-12 mins when I realized my error, and climbed to 15000 ft immediately. ATC never commented or inquired about the premature level off, and no traffic conflict existed. When I discovered my mistake, I wondered why my first officer hadn't said anything about the error, I discovered that he was reading a newspaper! I'd had 2 or 3 discussions with him in the previous week about reading in-flight-particularly in sterile cockpit environment, also, I'd talked with him about helping out as a team effort to give our airline standard callouts, particularly while climbing/descending and while on approach. I was busy in climb and cruise, holding altitude with turbulence conditions, thinking about potential holding at sfo (our destination) and whether we'd make it into mod that evening (due to valley fog): as our jetstream does not have autoplt, I was pre-occupied with my flying and hadn't noticed that my first officer was reading. I've had a long heart-to-heart, man- to-man discussion with my first officer since then, and appealed to him to make a dedicated effort 'to join the team.' but I believe that, with 5+ yrs as a first officer after being a captain for a short time, he is burned out on flying and doesn't care to put forth a professional effort-particularly in that our company has entered into an anti-labor mode (it's contract renewal time, and with talk of considerable layoffs, cut-backs, base closures and pilot furloughs, everyone is distracted by their concerns). Contributing factors: we both were dogged tired, 4 to 5 12-hour days of bad (violent) WX for the past 5 weeks-especially with no autoplt. It was getting late in our work day. This was our 7TH leg, with holding and departure delays, neither of us had had a meal break. Both of us were not only tired, but badly fatigued due to hunger and de-hydration.
Original NASA ASRS Text
Title: ALTDEV.
Narrative: I INADVERTENTLY LEVELED OUT AT 14000 FT (15000 FT ASSIGNED), AND WAS LEVEL FOR 10-12 MINS WHEN I REALIZED MY ERROR, AND CLBED TO 15000 FT IMMEDIATELY. ATC NEVER COMMENTED OR INQUIRED ABOUT THE PREMATURE LEVEL OFF, AND NO TFC CONFLICT EXISTED. WHEN I DISCOVERED MY MISTAKE, I WONDERED WHY MY FO HADN'T SAID ANYTHING ABOUT THE ERROR, I DISCOVERED THAT HE WAS READING A NEWSPAPER! I'D HAD 2 OR 3 DISCUSSIONS WITH HIM IN THE PREVIOUS WEEK ABOUT READING INFLT-PARTICULARLY IN STERILE COCKPIT ENVIRONMENT, ALSO, I'D TALKED WITH HIM ABOUT HELPING OUT AS A TEAM EFFORT TO GIVE OUR AIRLINE STANDARD CALLOUTS, PARTICULARLY WHILE CLBING/DSNDING AND WHILE ON APCH. I WAS BUSY IN CLB AND CRUISE, HOLDING ALT WITH TURB CONDITIONS, THINKING ABOUT POTENTIAL HOLDING AT SFO (OUR DEST) AND WHETHER WE'D MAKE IT INTO MOD THAT EVENING (DUE TO VALLEY FOG): AS OUR JETSTREAM DOES NOT HAVE AUTOPLT, I WAS PRE-OCCUPIED WITH MY FLYING AND HADN'T NOTICED THAT MY FO WAS READING. I'VE HAD A LONG HEART-TO-HEART, MAN- TO-MAN DISCUSSION WITH MY FO SINCE THEN, AND APPEALED TO HIM TO MAKE A DEDICATED EFFORT 'TO JOIN THE TEAM.' BUT I BELIEVE THAT, WITH 5+ YRS AS A FO AFTER BEING A CAPT FOR A SHORT TIME, HE IS BURNED OUT ON FLYING AND DOESN'T CARE TO PUT FORTH A PROFESSIONAL EFFORT-PARTICULARLY IN THAT OUR COMPANY HAS ENTERED INTO AN ANTI-LABOR MODE (IT'S CONTRACT RENEWAL TIME, AND WITH TALK OF CONSIDERABLE LAYOFFS, CUT-BACKS, BASE CLOSURES AND PLT FURLOUGHS, EVERYONE IS DISTRACTED BY THEIR CONCERNS). CONTRIBUTING FACTORS: WE BOTH WERE DOGGED TIRED, 4 TO 5 12-HR DAYS OF BAD (VIOLENT) WX FOR THE PAST 5 WEEKS-ESPECIALLY WITH NO AUTOPLT. IT WAS GETTING LATE IN OUR WORK DAY. THIS WAS OUR 7TH LEG, WITH HOLDING AND DEP DELAYS, NEITHER OF US HAD HAD A MEAL BREAK. BOTH OF US WERE NOT ONLY TIRED, BUT BADLY FATIGUED DUE TO HUNGER AND DE-HYDRATION.
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.