37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 301439 |
Time | |
Date | 199504 |
Day | Wed |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : fll |
State Reference | FL |
Altitude | msl bound lower : 11000 msl bound upper : 13000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air taxi |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 135 |
Flight Phase | climbout : intermediate altitude |
Route In Use | enroute airway : zma |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air taxi |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 80 flight time total : 5400 flight time type : 80 |
ASRS Report | 301439 |
Person 2 | |
Affiliation | company : air taxi |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : overshoot non adherence : clearance other anomaly other |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Aircraft just took off from fxe with a clearance of radar vectors bimini, as filed. We were cleared to 16000 ft and as we passed through 10000 ft the cabin altitude warning sounded simultaneously with both engine bleeds reverting to emergency bleed. This flooded the cabin with smokey hot bleed air along with much noise of rushing air. Just seconds into this, ATC transmitted something and my copilot responded. I continued to deal with the pressurization problem. I then heard ATC say to just maintain 13000 ft. I heard this at 12500 ft indicated. The previous transmission the copilot then told me was an amendment of our previous clearance to 16000 ft to 11000 ft. I never heard the amendment due to my preoccupation with smoke and noise from the emergency bleed air. My copilot did but did not put 11000 ft in the window nor see to it I heard the amendment. As it turns out, on her preflight the copilot did not turn the engine bleeds on thus we were unpressurized. She was too excited to monitor the plane and inform me of the amended altitude clearance. This copilot is brand new and has little experience. She did not perform a proper preflight and did not relay the ATC instructions to the PF. The whole incident can be attributed to her inexperience. These cheap, willing, inexperienced pilots are a dangerous trend and should be regulated out of complex, high performance turbo jets. These aircraft are designed for 2 pilots, yet, for all practical purposes, I am flying single pilot.
Original NASA ASRS Text
Title: FLC OF AN LTT JET AMB OVERSHOT CLB ALT ASSIGNMENT DUE TO THE FO NOT INFORMING THE FLYING CAPT.
Narrative: ACFT JUST TOOK OFF FROM FXE WITH A CLRNC OF RADAR VECTORS BIMINI, AS FILED. WE WERE CLRED TO 16000 FT AND AS WE PASSED THROUGH 10000 FT THE CABIN ALT WARNING SOUNDED SIMULTANEOUSLY WITH BOTH ENG BLEEDS REVERTING TO EMER BLEED. THIS FLOODED THE CABIN WITH SMOKEY HOT BLEED AIR ALONG WITH MUCH NOISE OF RUSHING AIR. JUST SECONDS INTO THIS, ATC XMITTED SOMETHING AND MY COPLT RESPONDED. I CONTINUED TO DEAL WITH THE PRESSURIZATION PROB. I THEN HEARD ATC SAY TO JUST MAINTAIN 13000 FT. I HEARD THIS AT 12500 FT INDICATED. THE PREVIOUS XMISSION THE COPLT THEN TOLD ME WAS AN AMENDMENT OF OUR PREVIOUS CLRNC TO 16000 FT TO 11000 FT. I NEVER HEARD THE AMENDMENT DUE TO MY PREOCCUPATION WITH SMOKE AND NOISE FROM THE EMER BLEED AIR. MY COPLT DID BUT DID NOT PUT 11000 FT IN THE WINDOW NOR SEE TO IT I HEARD THE AMENDMENT. AS IT TURNS OUT, ON HER PREFLT THE COPLT DID NOT TURN THE ENG BLEEDS ON THUS WE WERE UNPRESSURIZED. SHE WAS TOO EXCITED TO MONITOR THE PLANE AND INFORM ME OF THE AMENDED ALT CLRNC. THIS COPLT IS BRAND NEW AND HAS LITTLE EXPERIENCE. SHE DID NOT PERFORM A PROPER PREFLT AND DID NOT RELAY THE ATC INSTRUCTIONS TO THE PF. THE WHOLE INCIDENT CAN BE ATTRIBUTED TO HER INEXPERIENCE. THESE CHEAP, WILLING, INEXPERIENCED PLTS ARE A DANGEROUS TREND AND SHOULD BE REGULATED OUT OF COMPLEX, HIGH PERFORMANCE TURBO JETS. THESE ACFT ARE DESIGNED FOR 2 PLTS, YET, FOR ALL PRACTICAL PURPOSES, I AM FLYING SINGLE PLT.
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.