37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 296370 |
Time | |
Date | 199502 |
Day | Sat |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : psp |
State Reference | CA |
Altitude | msl bound lower : 9000 msl bound upper : 10800 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zla |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 135 |
Flight Phase | descent other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial pilot : cfi |
Experience | flight time last 90 days : 150 flight time total : 1630 flight time type : 130 |
ASRS Report | 296370 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | 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 |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Cleared from 12000-10000 ft MSL, we were talking about an interesting subject unrelated to aviation. We were flying an aircraft which normally has an altitude alerter. Like pavlovian dogs, we tend to use it and respond to it -- we're conditioned to it. This item had been deferred more than once, and we knew we were especially susceptible with it inoperative. Still, we suddenly realized that we were at 9000 ft and immediately began a climb back to 10000 ft. Through 10800 ft ATC asked us to say altitude and we apologized and told him 9800 ft for 10000 ft. We decided after this incident that a good corrective action is to always make our standard '1000 ft to go' calls before the alerter goes off and to be even more alert when we fly an aircraft with an inoperative alerter. Another thing that might help is limiting the number of times items like this may be deferred.
Original NASA ASRS Text
Title: ALTDEV ALT OVERSHOT IN DSCNT AND SUBSEQUENT RE-CLB TO THE CLRED TO ALT.
Narrative: CLRED FROM 12000-10000 FT MSL, WE WERE TALKING ABOUT AN INTERESTING SUBJECT UNRELATED TO AVIATION. WE WERE FLYING AN ACFT WHICH NORMALLY HAS AN ALT ALERTER. LIKE PAVLOVIAN DOGS, WE TEND TO USE IT AND RESPOND TO IT -- WE'RE CONDITIONED TO IT. THIS ITEM HAD BEEN DEFERRED MORE THAN ONCE, AND WE KNEW WE WERE ESPECIALLY SUSCEPTIBLE WITH IT INOP. STILL, WE SUDDENLY REALIZED THAT WE WERE AT 9000 FT AND IMMEDIATELY BEGAN A CLB BACK TO 10000 FT. THROUGH 10800 FT ATC ASKED US TO SAY ALT AND WE APOLOGIZED AND TOLD HIM 9800 FT FOR 10000 FT. WE DECIDED AFTER THIS INCIDENT THAT A GOOD CORRECTIVE ACTION IS TO ALWAYS MAKE OUR STANDARD '1000 FT TO GO' CALLS BEFORE THE ALERTER GOES OFF AND TO BE EVEN MORE ALERT WHEN WE FLY AN ACFT WITH AN INOP ALERTER. ANOTHER THING THAT MIGHT HELP IS LIMITING THE NUMBER OF TIMES ITEMS LIKE THIS MAY BE DEFERRED.
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.