37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 300281 |
Time | |
Date | 199503 |
Day | Sat |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : lgc |
State Reference | GA |
Altitude | msl bound lower : 29000 msl bound upper : 29600 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : ztl tower : clt |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other |
Flight Phase | climbout : intermediate altitude |
Route In Use | enroute : direct |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 175 flight time total : 12138 flight time type : 9175 |
ASRS Report | 300281 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Experience | flight time last 90 days : 230 flight time total : 7900 flight time type : 3960 |
ASRS Report | 300066 |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | controller : issued new clearance 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:
We were climbing to FL290 and using omega to go direct to lgc VOR. Just as the autoplt was capturing FL290, ZTL called to give us direct to tiroe and descent pilot discretion to FL240. Tiroe is a fix on the la grange arrival into atlanta. We had not put tiroe into the omega, so the first officer offered to read the coordinates to me since the omega is on my side of the console. I agreed and when I finished entering the coordinates I gave the omega a direct track to tiroe. Just as I finished, I glanced at the altitude and realized that the autoplt had not leveled at FL290. We were passing through FL296. I disengaged the autoplt and corrected back to FL290. Since we had been cleared pilot discretion to FL240, I decided to go ahead and descend to FL240 at this time. The reason that the autoplt had not completed its leveloff at FL290 was that the first officer, without me noticing, had dialed in FL240 before the autoplt had completed its leveloff. If you change the altitude in the altitude alert on this aircraft before it has completed its leveloff, it will continue to climb or descend at its present rate. It also did not give us an altitude alert warning because we were still climbing and the new altitude that was set in was more than 1000 ft below our current altitude. This was a case of not first flying the airplane. I should not have let the navigation take priority over the flying of the airplane. If I had made the first officer put in the coordinates for tiroe by himself, I would have been able to make sure that the airplane leveled off at the assigned altitude. I would probably also noticed that the altitude in the altitude alert window had been changed even before it passed through FL290. Supplemental information from acn 300066: the captain asked for my help in reprogramming the omega to the new fix which was not programmed on our flight plan. Recommendations: 1) ATC: do not give a descent prior to level off at cruise altitude and also realize that the direct navigation capability of the B-727 with omega is more complex than the more modern 'glass cockpit,' FMS equipped aircraft. 2) crews: finish 1 phase of flight including level off prior to beginning the next. When cleared to a spot not programmed, have the PNF do all the additional programming while the PF concentrates on flying. Ask for a vector in order to comply with the clearance until the navigation computer can be successfully reprogrammed and checked for accuracy. Fly the airplane first!
Original NASA ASRS Text
Title: ALTDEV ALT OVERSHOT IN CLB.
Narrative: WE WERE CLBING TO FL290 AND USING OMEGA TO GO DIRECT TO LGC VOR. JUST AS THE AUTOPLT WAS CAPTURING FL290, ZTL CALLED TO GIVE US DIRECT TO TIROE AND DSCNT PLT DISCRETION TO FL240. TIROE IS A FIX ON THE LA GRANGE ARR INTO ATLANTA. WE HAD NOT PUT TIROE INTO THE OMEGA, SO THE FO OFFERED TO READ THE COORDINATES TO ME SINCE THE OMEGA IS ON MY SIDE OF THE CONSOLE. I AGREED AND WHEN I FINISHED ENTERING THE COORDINATES I GAVE THE OMEGA A DIRECT TRACK TO TIROE. JUST AS I FINISHED, I GLANCED AT THE ALT AND REALIZED THAT THE AUTOPLT HAD NOT LEVELED AT FL290. WE WERE PASSING THROUGH FL296. I DISENGAGED THE AUTOPLT AND CORRECTED BACK TO FL290. SINCE WE HAD BEEN CLRED PLT DISCRETION TO FL240, I DECIDED TO GO AHEAD AND DSND TO FL240 AT THIS TIME. THE REASON THAT THE AUTOPLT HAD NOT COMPLETED ITS LEVELOFF AT FL290 WAS THAT THE FO, WITHOUT ME NOTICING, HAD DIALED IN FL240 BEFORE THE AUTOPLT HAD COMPLETED ITS LEVELOFF. IF YOU CHANGE THE ALT IN THE ALT ALERT ON THIS ACFT BEFORE IT HAS COMPLETED ITS LEVELOFF, IT WILL CONTINUE TO CLB OR DSND AT ITS PRESENT RATE. IT ALSO DID NOT GIVE US AN ALT ALERT WARNING BECAUSE WE WERE STILL CLBING AND THE NEW ALT THAT WAS SET IN WAS MORE THAN 1000 FT BELOW OUR CURRENT ALT. THIS WAS A CASE OF NOT FIRST FLYING THE AIRPLANE. I SHOULD NOT HAVE LET THE NAV TAKE PRIORITY OVER THE FLYING OF THE AIRPLANE. IF I HAD MADE THE FO PUT IN THE COORDINATES FOR TIROE BY HIMSELF, I WOULD HAVE BEEN ABLE TO MAKE SURE THAT THE AIRPLANE LEVELED OFF AT THE ASSIGNED ALT. I WOULD PROBABLY ALSO NOTICED THAT THE ALT IN THE ALT ALERT WINDOW HAD BEEN CHANGED EVEN BEFORE IT PASSED THROUGH FL290. SUPPLEMENTAL INFO FROM ACN 300066: THE CAPT ASKED FOR MY HELP IN REPROGRAMMING THE OMEGA TO THE NEW FIX WHICH WAS NOT PROGRAMMED ON OUR FLT PLAN. RECOMMENDATIONS: 1) ATC: DO NOT GIVE A DSCNT PRIOR TO LEVEL OFF AT CRUISE ALT AND ALSO REALIZE THAT THE DIRECT NAV CAPABILITY OF THE B-727 WITH OMEGA IS MORE COMPLEX THAN THE MORE MODERN 'GLASS COCKPIT,' FMS EQUIPPED ACFT. 2) CREWS: FINISH 1 PHASE OF FLT INCLUDING LEVEL OFF PRIOR TO BEGINNING THE NEXT. WHEN CLRED TO A SPOT NOT PROGRAMMED, HAVE THE PNF DO ALL THE ADDITIONAL PROGRAMMING WHILE THE PF CONCENTRATES ON FLYING. ASK FOR A VECTOR IN ORDER TO COMPLY WITH THE CLRNC UNTIL THE NAV COMPUTER CAN BE SUCCESSFULLY REPROGRAMMED AND CHKED FOR ACCURACY. FLY THE AIRPLANE FIRST!
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.