37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 297551 |
Time | |
Date | 199502 |
Day | Sun |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : dqo |
State Reference | DE |
Altitude | msl bound lower : 12000 msl bound upper : 13000 |
Environment | |
Flight Conditions | IMC |
Light | Night |
Aircraft 1 | |
Operator | general aviation : corporate |
Make Model Name | Falcon 900 |
Operating Under FAR Part | Part 91 |
Navigation In Use | Other Other |
Flight Phase | descent other |
Route In Use | enroute airway : zdc |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 60 flight time total : 8400 flight time type : 1200 |
ASRS Report | 297551 |
Person 2 | |
Affiliation | Other |
Function | flight crew : first officer |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : crossing restriction not met altitude deviation : undershoot non adherence : clearance |
Independent Detector | other controllera other flight crewa |
Resolutory Action | other |
Consequence | faa : assigned or threatened penalties |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
It will never happen to me, but it did! Descending through FL180, I turned to the PNF, to confirm the altimeter setting. I heard 29.53 and repeated 29.53 back to other pilot who was now talking to center (approach?), and he nodded his head affirmative. Due to cockpit workload at the moment, we did not xchk our altimeters (contrary to company policy and common sense). Was given a crossing restr of steffe intersection at 12000 ft. A restr I made with precision (to the wrong altitude). Passing steffe intersection, center cleared us to a lower altitude, and inquired what our present altitude was. The pilot, PNF, reported 13000 ft and I quickly corrected him and told him we were at 12000 ft. A quick check of altimeters revealed the problem. I had set 29.53 on my side, he had the correct setting of 30.53. I actually was at 13000 ft, when I should have been at 12000 ft. On 2 separate occasions, between 18000 ft and 12000 ft, our checklist requires that the altimeters be checked. Unfortunately, at both times, 1 pilot, or the other was talking on a different radio (ATIS, office, company helicopter) and both pilots failed to xchk our altimeters. Vigilance is mandatory! Our checklist does not allow for deferring an item, and skipped items can be easily forgotten. Luckily there was no reported conflict, but crossing restrs are there for a purpose.
Original NASA ASRS Text
Title: A CORPORATE FLC WAS DISTRACTED WITH COMS DURING THE-HIGH- WORKLOAD DSCNT PHASE, AND SET ALTIMETER INCORRECTLY -- FAILING TO MEET A XING RESTR.
Narrative: IT WILL NEVER HAPPEN TO ME, BUT IT DID! DSNDING THROUGH FL180, I TURNED TO THE PNF, TO CONFIRM THE ALTIMETER SETTING. I HEARD 29.53 AND REPEATED 29.53 BACK TO OTHER PLT WHO WAS NOW TALKING TO CTR (APCH?), AND HE NODDED HIS HEAD AFFIRMATIVE. DUE TO COCKPIT WORKLOAD AT THE MOMENT, WE DID NOT XCHK OUR ALTIMETERS (CONTRARY TO COMPANY POLICY AND COMMON SENSE). WAS GIVEN A XING RESTR OF STEFFE INTXN AT 12000 FT. A RESTR I MADE WITH PRECISION (TO THE WRONG ALT). PASSING STEFFE INTXN, CTR CLRED US TO A LOWER ALT, AND INQUIRED WHAT OUR PRESENT ALT WAS. THE PLT, PNF, RPTED 13000 FT AND I QUICKLY CORRECTED HIM AND TOLD HIM WE WERE AT 12000 FT. A QUICK CHK OF ALTIMETERS REVEALED THE PROB. I HAD SET 29.53 ON MY SIDE, HE HAD THE CORRECT SETTING OF 30.53. I ACTUALLY WAS AT 13000 FT, WHEN I SHOULD HAVE BEEN AT 12000 FT. ON 2 SEPARATE OCCASIONS, BTWN 18000 FT AND 12000 FT, OUR CHKLIST REQUIRES THAT THE ALTIMETERS BE CHKED. UNFORTUNATELY, AT BOTH TIMES, 1 PLT, OR THE OTHER WAS TALKING ON A DIFFERENT RADIO (ATIS, OFFICE, COMPANY HELI) AND BOTH PLTS FAILED TO XCHK OUR ALTIMETERS. VIGILANCE IS MANDATORY! OUR CHKLIST DOES NOT ALLOW FOR DEFERRING AN ITEM, AND SKIPPED ITEMS CAN BE EASILY FORGOTTEN. LUCKILY THERE WAS NO RPTED CONFLICT, BUT XING RESTRS ARE THERE FOR A PURPOSE.
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.