37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 300333 |
Time | |
Date | 199503 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : cak |
State Reference | OH |
Altitude | msl bound lower : 16000 msl bound upper : 16500 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zob |
Operator | general aviation : corporate |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Operating Under FAR Part | Part 91 |
Navigation In Use | Other |
Flight Phase | climbout : intermediate altitude cruise other |
Flight Plan | IFR |
Aircraft 2 | |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Operating Under FAR Part | other : unknown |
Flight Phase | cruise other |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : captain oversight : pic |
Qualification | pilot : commercial pilot : atp |
Experience | flight time last 90 days : 140 flight time total : 7200 flight time type : 3000 |
ASRS Report | 300333 |
Person 2 | |
Affiliation | Other |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 6370 flight time type : 2500 |
ASRS Report | 300978 |
Events | |
Anomaly | altitude deviation : overshoot conflict : airborne less severe non adherence : clearance non adherence : required legal separation other anomaly other |
Independent Detector | other controllera other flight crewa |
Resolutory Action | flight crew : overcame equipment problem flight crew : returned to intended course or assigned course other |
Consequence | faa : reviewed incident with flight crew |
Miss Distance | horizontal : 10560 vertical : 700 |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
While climbing en route from cak to syr we were told by ATC to level off at 16000 ft. I selected 16000 ft on the altitude pre-select and altitude pre-select was selected on the autoplt. As we approached 16000 ft ATC called traffic crossing from left to right at 17000 ft. We reported the traffic in sight. At about this time I thought I noticed the aircraft leveling off at 16000 ft, although I did not confirm that the autoplt had captured 16000 ft. Shortly after this I noticed the aircraft still climbing at about 16200 ft. I selected altitude hold on the autoplt at which time the aircraft pitched down abruptly and then up. I disconnected the autoplt and leveled off and then returned to 16000 ft. While this was happening, ATC requested our altitude and my copilot reported 16300 ft. That was our highest observed altitude. The traffic was in sight always and no action was necessary to avoid a conflict with this aircraft. ATC then requested that we call them at (217) 774- 0329 when we landed at syr. When I contacted them they advised me that they had not had their minimum separation requirements between our 2 aircraft and that a report would have to be filed with the FAA. I believe there were several contributing factors in this incident: failure on my part to confirm that the autoplt had captured the selected altitude. Attention was diverted outside the cockpit at a critical time when we tried to locate the reported traffic. Although I have many hours flying this type of aircraft, I had not flown this particular aircraft in several months and was not aware that autoplt sometimes porpoises when it levels off. This was the second leg of an early morning flight which had followed a long day and a short night. I did not feel as sharp as I normally do on a flight and I'm sure my copilot was experiencing some fatigue as he had been with me on the previous flight. Supplemental information from acn 300978: I called one to go as the aircraft climbed through 15000 ft. ZOB called traffic 12 O'clock 17000 ft. I reported looking negative contact. ZOB called traffic 2 O'clock, 17000 ft sbound. I reported traffic in sight, at which time the altitude alert sounded, indicating 16300 ft and climbing. The PF disengaged autoplt and leveled off at approximately 16500 ft. My concern was twofold, first, altitude awareness, second, traffic awareness. I feel as PNF I did the right thing. I called one to go to alert PF of altitude awareness, after which I was continually looking outside of the aircraft for traffic.
Original NASA ASRS Text
Title: SEPARATION MINIMA WAS LOST AS A FLC, DISTRACTED BY TFC, FAILED TO RECOGNIZE AN AUTOFLT ALT CAPTURE FAILURE.
Narrative: WHILE CLBING ENRTE FROM CAK TO SYR WE WERE TOLD BY ATC TO LEVEL OFF AT 16000 FT. I SELECTED 16000 FT ON THE ALT PRE-SELECT AND ALT PRE-SELECT WAS SELECTED ON THE AUTOPLT. AS WE APCHED 16000 FT ATC CALLED TFC XING FROM L TO R AT 17000 FT. WE RPTED THE TFC IN SIGHT. AT ABOUT THIS TIME I THOUGHT I NOTICED THE ACFT LEVELING OFF AT 16000 FT, ALTHOUGH I DID NOT CONFIRM THAT THE AUTOPLT HAD CAPTURED 16000 FT. SHORTLY AFTER THIS I NOTICED THE ACFT STILL CLBING AT ABOUT 16200 FT. I SELECTED ALT HOLD ON THE AUTOPLT AT WHICH TIME THE ACFT PITCHED DOWN ABRUPTLY AND THEN UP. I DISCONNECTED THE AUTOPLT AND LEVELED OFF AND THEN RETURNED TO 16000 FT. WHILE THIS WAS HAPPENING, ATC REQUESTED OUR ALT AND MY COPLT RPTED 16300 FT. THAT WAS OUR HIGHEST OBSERVED ALT. THE TFC WAS IN SIGHT ALWAYS AND NO ACTION WAS NECESSARY TO AVOID A CONFLICT WITH THIS ACFT. ATC THEN REQUESTED THAT WE CALL THEM AT (217) 774- 0329 WHEN WE LANDED AT SYR. WHEN I CONTACTED THEM THEY ADVISED ME THAT THEY HAD NOT HAD THEIR MINIMUM SEPARATION REQUIREMENTS BTWN OUR 2 ACFT AND THAT A RPT WOULD HAVE TO BE FILED WITH THE FAA. I BELIEVE THERE WERE SEVERAL CONTRIBUTING FACTORS IN THIS INCIDENT: FAILURE ON MY PART TO CONFIRM THAT THE AUTOPLT HAD CAPTURED THE SELECTED ALT. ATTN WAS DIVERTED OUTSIDE THE COCKPIT AT A CRITICAL TIME WHEN WE TRIED TO LOCATE THE RPTED TFC. ALTHOUGH I HAVE MANY HRS FLYING THIS TYPE OF ACFT, I HAD NOT FLOWN THIS PARTICULAR ACFT IN SEVERAL MONTHS AND WAS NOT AWARE THAT AUTOPLT SOMETIMES PORPOISES WHEN IT LEVELS OFF. THIS WAS THE SECOND LEG OF AN EARLY MORNING FLT WHICH HAD FOLLOWED A LONG DAY AND A SHORT NIGHT. I DID NOT FEEL AS SHARP AS I NORMALLY DO ON A FLT AND I'M SURE MY COPLT WAS EXPERIENCING SOME FATIGUE AS HE HAD BEEN WITH ME ON THE PREVIOUS FLT. SUPPLEMENTAL INFO FROM ACN 300978: I CALLED ONE TO GO AS THE ACFT CLBED THROUGH 15000 FT. ZOB CALLED TFC 12 O'CLOCK 17000 FT. I RPTED LOOKING NEGATIVE CONTACT. ZOB CALLED TFC 2 O'CLOCK, 17000 FT SBOUND. I RPTED TFC IN SIGHT, AT WHICH TIME THE ALT ALERT SOUNDED, INDICATING 16300 FT AND CLBING. THE PF DISENGAGED AUTOPLT AND LEVELED OFF AT APPROX 16500 FT. MY CONCERN WAS TWOFOLD, FIRST, ALT AWARENESS, SECOND, TFC AWARENESS. I FEEL AS PNF I DID THE RIGHT THING. I CALLED ONE TO GO TO ALERT PF OF ALT AWARENESS, AFTER WHICH I WAS CONTINUALLY LOOKING OUTSIDE OF THE ACFT FOR TFC.
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.