37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 303365 |
Time | |
Date | 199504 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : vrb |
State Reference | FL |
Altitude | msl bound lower : 14000 msl bound upper : 16000 |
Environment | |
Flight Conditions | Mixed |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | descent other |
Route In Use | enroute airway : zma |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : commercial pilot : flight engineer pilot : instrument pilot : atp |
Experience | flight time last 90 days : 210 flight time total : 10000 flight time type : 5000 |
ASRS Report | 303365 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial |
Events | |
Anomaly | altitude deviation : crossing restriction not met non adherence : clearance |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Descending into mia on the heatt 4 arrival, first officer flying and we were cleared (I think) to cross heatt at 16000 ft, descend to 14000 ft (or 11000 ft). First officer programmed the FMC and we started down. I got busy with ATIS, cabin calls, checklists, etc, and didn't aggressively monitor the first officer who took the autoplt off VNAV and began using vertical speed to avoid buildups. He shallowed the rate of descent and eventually leveled at our assigned altitude of 14000 ft (11000 ft). We then both came to the realization that we might have busted a restr at heatt, which we recall crossing at about 15000 ft. No comment was received from ATC but the first officer and I were concerned enough about our lack of precision to decide to fill out this form. I do not think that we actually busted the clearance but I will be the first to agree that we eventually became unsure of what it was. Solution: 1) write down crossing restrs. 2) monitor first officer's performance even if FMC is programmed. Human factors: FMC complacency 'set it up and forget it' does not work.
Original NASA ASRS Text
Title: ALT XING RESTR MISSED.
Narrative: DSNDING INTO MIA ON THE HEATT 4 ARR, FO FLYING AND WE WERE CLRED (I THINK) TO CROSS HEATT AT 16000 FT, DSND TO 14000 FT (OR 11000 FT). FO PROGRAMMED THE FMC AND WE STARTED DOWN. I GOT BUSY WITH ATIS, CABIN CALLS, CHKLISTS, ETC, AND DIDN'T AGGRESSIVELY MONITOR THE FO WHO TOOK THE AUTOPLT OFF VNAV AND BEGAN USING VERT SPD TO AVOID BUILDUPS. HE SHALLOWED THE RATE OF DSCNT AND EVENTUALLY LEVELED AT OUR ASSIGNED ALT OF 14000 FT (11000 FT). WE THEN BOTH CAME TO THE REALIZATION THAT WE MIGHT HAVE BUSTED A RESTR AT HEATT, WHICH WE RECALL XING AT ABOUT 15000 FT. NO COMMENT WAS RECEIVED FROM ATC BUT THE FO AND I WERE CONCERNED ENOUGH ABOUT OUR LACK OF PRECISION TO DECIDE TO FILL OUT THIS FORM. I DO NOT THINK THAT WE ACTUALLY BUSTED THE CLRNC BUT I WILL BE THE FIRST TO AGREE THAT WE EVENTUALLY BECAME UNSURE OF WHAT IT WAS. SOLUTION: 1) WRITE DOWN XING RESTRS. 2) MONITOR FO'S PERFORMANCE EVEN IF FMC IS PROGRAMMED. HUMAN FACTORS: FMC COMPLACENCY 'SET IT UP AND FORGET IT' DOES NOT WORK.
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.