37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 302630 |
Time | |
Date | 199504 |
Day | Sat |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : pie airport : tpa |
State Reference | FL |
Altitude | msl bound lower : 4000 msl bound upper : 5000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : tpa |
Operator | common carrier : air carrier |
Make Model Name | Beech 1900 |
Operating Under FAR Part | Part 135 |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : cfi pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 2950 flight time type : 600 |
ASRS Report | 302630 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance |
Independent Detector | other controllera other flight crewa |
Resolutory Action | flight crew : returned to intended course or assigned course |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
After departing pie, we were given altitude initially of 1600 ft. We leveled off until reaching departure control who then cleared us higher. Although I heard the clearance from departure controller, I did not hear the readback due to the radios on this aircraft. (I could not hear my copilot's xmissions.) for some reason I focused on the 1600 ft and kept 6000 ft in my mind for next altitude. As I'm rapidly climbing through 5000 ft, I sort of had a flashback that made me question my copilot as to our assigned altitude and he then said 4000 ft was the assigned. I immediately began a descent back to 4000 ft and at this point ATC asked us to say assigned altitude. We confirmed to him we were 4000 ft and correcting. He said 'roger' and that was that. Shortly thereafter we were cleared higher and handed off. Once again, altitude alert should be a mandatory piece of equipment, especially in commuters where we often by 8-10 legs a day and fatigue can cause one to perhaps not be as concentrated after 12-13 legs in 2 days. Usually, after going to departure on this route, we're cleared from 1600 ft and then up to 10000 ft or higher. A creature of habit -- I focused on the higher altitude. Better communication between crew and altitude alert could have prevented this. No other aircraft conflicts were involved.
Original NASA ASRS Text
Title: FLC OVERSHOOTS ASSIGNED ALT.
Narrative: AFTER DEPARTING PIE, WE WERE GIVEN ALT INITIALLY OF 1600 FT. WE LEVELED OFF UNTIL REACHING DEP CTL WHO THEN CLRED US HIGHER. ALTHOUGH I HEARD THE CLRNC FROM DEP CTLR, I DID NOT HEAR THE READBACK DUE TO THE RADIOS ON THIS ACFT. (I COULD NOT HEAR MY COPLT'S XMISSIONS.) FOR SOME REASON I FOCUSED ON THE 1600 FT AND KEPT 6000 FT IN MY MIND FOR NEXT ALT. AS I'M RAPIDLY CLBING THROUGH 5000 FT, I SORT OF HAD A FLASHBACK THAT MADE ME QUESTION MY COPLT AS TO OUR ASSIGNED ALT AND HE THEN SAID 4000 FT WAS THE ASSIGNED. I IMMEDIATELY BEGAN A DSCNT BACK TO 4000 FT AND AT THIS POINT ATC ASKED US TO SAY ASSIGNED ALT. WE CONFIRMED TO HIM WE WERE 4000 FT AND CORRECTING. HE SAID 'ROGER' AND THAT WAS THAT. SHORTLY THEREAFTER WE WERE CLRED HIGHER AND HANDED OFF. ONCE AGAIN, ALT ALERT SHOULD BE A MANDATORY PIECE OF EQUIP, ESPECIALLY IN COMMUTERS WHERE WE OFTEN BY 8-10 LEGS A DAY AND FATIGUE CAN CAUSE ONE TO PERHAPS NOT BE AS CONCENTRATED AFTER 12-13 LEGS IN 2 DAYS. USUALLY, AFTER GOING TO DEP ON THIS RTE, WE'RE CLRED FROM 1600 FT AND THEN UP TO 10000 FT OR HIGHER. A CREATURE OF HABIT -- I FOCUSED ON THE HIGHER ALT. BETTER COM BTWN CREW AND ALT ALERT COULD HAVE PREVENTED THIS. NO OTHER ACFT CONFLICTS WERE INVOLVED.
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.