37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 301670 |
Time | |
Date | 199504 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : alw |
State Reference | WA |
Altitude | msl bound lower : 12000 msl bound upper : 15500 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : n90 |
Operator | common carrier : air taxi |
Make Model Name | Golden Eagle 421 |
Operating Under FAR Part | Part 135 |
Flight Phase | cruise other |
Route In Use | enroute airway : zse |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air taxi |
Function | flight crew : single pilot |
Qualification | pilot : commercial pilot : instrument |
ASRS Report | 301670 |
Person 2 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : radar |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : excursion from assigned altitude non adherence : clearance other anomaly other |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance other |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Primary Problem | Aircraft |
Air Traffic Incident | Pilot Deviation |
Narrative:
The aircraft was a cessna 421 golden eagle. I climbed up to and leveled off at my requested and assigned altitude of 12000 ft MSL. After about 4000 ft MSL on the climb, conditions became IMC and remained that way up until the occurrence of the incident. I was hand flying the aircraft level at 12000 ft MSL as indicated on the pilots altimeter, for approximately 10 mins, when suddenly the altimeter started to rapidly spin upward. When it stopped it was indicating 15500 ft MSL. Very soon after this took place, and while I am trying to figure out what went wrong, the controller asked me about my altitude. I told him that I had experienced some sort of altimeter malfunction and asked at what altitude he showed me. He said 15000 ft MSL which was what my altimeter also was now indicating. After that confirmation, he asked me what altitude I wanted to maintain. I requested 14000 ft which he cleared me to. That was the end of the discussion about the problem at the time. By now I realized what had happened was my altimeter for some reason had become stuck soon after I leveled off at 12000 ft MSL. The aircraft however had not yet completely reached its cruising speed so it again began to climb slowly and I did not detect it until the altimeter finally became unstuck and it then spun on up to my actual altitude. I was able to complete the flight with no further problem or a reoccurrence of the altitude sticking. After the flight we called and talked to the controllers supervisor and explained the problem to him. It did not cause a loss of separation and the supervisor said that there would be no action take on it. I learned several things from this incident, but I believe the most important one and the only thing that could prevent something like this from happening again is ones continuous scan of all flight instruments, including and any duplicate instruments that may be present, such as the altimeter on the coplts side. I also failed to notice that my vsi must have been showing my climb rate which should have alerted me to the fact that things were not adding up and could have helped me remedy the situation before it got as bad as it did. I was flying without a copilot and this is an incident where the presence of one might have also helped to prevent this occurrence. Since my job does not provide a copilot for me I must do his job and perform all the functions that he would normally do, that I am capable of, and that will now include a more frequent check of the instruments on his side of the cockpit.
Original NASA ASRS Text
Title: PLT OF SMT TWIN ATX FOUND HIMSELF 3500 FT ABOVE ASSIGNED ALT DUE TO A STUCK ALTIMETER.
Narrative: THE ACFT WAS A CESSNA 421 GOLDEN EAGLE. I CLBED UP TO AND LEVELED OFF AT MY REQUESTED AND ASSIGNED ALT OF 12000 FT MSL. AFTER ABOUT 4000 FT MSL ON THE CLB, CONDITIONS BECAME IMC AND REMAINED THAT WAY UP UNTIL THE OCCURRENCE OF THE INCIDENT. I WAS HAND FLYING THE ACFT LEVEL AT 12000 FT MSL AS INDICATED ON THE PLTS ALTIMETER, FOR APPROX 10 MINS, WHEN SUDDENLY THE ALTIMETER STARTED TO RAPIDLY SPIN UPWARD. WHEN IT STOPPED IT WAS INDICATING 15500 FT MSL. VERY SOON AFTER THIS TOOK PLACE, AND WHILE I AM TRYING TO FIGURE OUT WHAT WENT WRONG, THE CTLR ASKED ME ABOUT MY ALT. I TOLD HIM THAT I HAD EXPERIENCED SOME SORT OF ALTIMETER MALFUNCTION AND ASKED AT WHAT ALT HE SHOWED ME. HE SAID 15000 FT MSL WHICH WAS WHAT MY ALTIMETER ALSO WAS NOW INDICATING. AFTER THAT CONFIRMATION, HE ASKED ME WHAT ALT I WANTED TO MAINTAIN. I REQUESTED 14000 FT WHICH HE CLRED ME TO. THAT WAS THE END OF THE DISCUSSION ABOUT THE PROB AT THE TIME. BY NOW I REALIZED WHAT HAD HAPPENED WAS MY ALTIMETER FOR SOME REASON HAD BECOME STUCK SOON AFTER I LEVELED OFF AT 12000 FT MSL. THE ACFT HOWEVER HAD NOT YET COMPLETELY REACHED ITS CRUISING SPD SO IT AGAIN BEGAN TO CLB SLOWLY AND I DID NOT DETECT IT UNTIL THE ALTIMETER FINALLY BECAME UNSTUCK AND IT THEN SPUN ON UP TO MY ACTUAL ALT. I WAS ABLE TO COMPLETE THE FLT WITH NO FURTHER PROB OR A REOCCURRENCE OF THE ALT STICKING. AFTER THE FLT WE CALLED AND TALKED TO THE CTLRS SUPVR AND EXPLAINED THE PROB TO HIM. IT DID NOT CAUSE A LOSS OF SEPARATION AND THE SUPVR SAID THAT THERE WOULD BE NO ACTION TAKE ON IT. I LEARNED SEVERAL THINGS FROM THIS INCIDENT, BUT I BELIEVE THE MOST IMPORTANT ONE AND THE ONLY THING THAT COULD PREVENT SOMETHING LIKE THIS FROM HAPPENING AGAIN IS ONES CONTINUOUS SCAN OF ALL FLT INSTS, INCLUDING AND ANY DUPLICATE INSTS THAT MAY BE PRESENT, SUCH AS THE ALTIMETER ON THE COPLTS SIDE. I ALSO FAILED TO NOTICE THAT MY VSI MUST HAVE BEEN SHOWING MY CLB RATE WHICH SHOULD HAVE ALERTED ME TO THE FACT THAT THINGS WERE NOT ADDING UP AND COULD HAVE HELPED ME REMEDY THE SIT BEFORE IT GOT AS BAD AS IT DID. I WAS FLYING WITHOUT A COPLT AND THIS IS AN INCIDENT WHERE THE PRESENCE OF ONE MIGHT HAVE ALSO HELPED TO PREVENT THIS OCCURRENCE. SINCE MY JOB DOES NOT PROVIDE A COPLT FOR ME I MUST DO HIS JOB AND PERFORM ALL THE FUNCTIONS THAT HE WOULD NORMALLY DO, THAT I AM CAPABLE OF, AND THAT WILL NOW INCLUDE A MORE FREQUENT CHK OF THE INSTS ON HIS SIDE OF THE COCKPIT.
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.