37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 304170 |
Time | |
Date | 199505 |
Day | Mon |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : oxi airport : ord |
State Reference | IN |
Altitude | msl bound lower : 9000 msl bound upper : 9700 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zau tower : stl |
Operator | common carrier : air carrier |
Make Model Name | ATR 72 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other |
Flight Phase | descent other |
Route In Use | arrival star : star |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 11500 flight time type : 600 |
ASRS Report | 304170 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 6000 flight time type : 5000 |
ASRS Report | 304171 |
Events | |
Anomaly | altitude deviation : undershoot altitude deviation : crossing restriction not met non adherence : clearance |
Independent Detector | other controllera |
Resolutory Action | none taken : detected after the fact |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We received a crossing restr for oxi plus or minus 60 DME out and started to descend out of 14000 ft at 500 FPM. During this prolonged descent the first officer went off the air to pick up ord ATIS. The left pack was deferred and the cockpit temperature was uncomfortably high. I tried to make adjustments to the air conditioning system, while flying and doing radios and failed to notice our proximity to oxi VOR and didn't realize the mistake until ATC queried us. Failure to properly divide cockpit duties was the primary cause of the incident with, uncomfortable temperature due to deferral as a contributing factor. Callback conversation with reporter revealed the following information: the captain was flying an ATR- 72 at the time and he set up a shallow descent because 'I interpreted the instructions as to start descent now, but cross oxi at 9000 ft.' this was much too early for a normal descent so he started down at 500 FPM and then got distracted. He thinks that he was at 9700 ft at oxi, but the controller did not ask him about the crossing until much later and after he was level at 9000 ft. The captain, who has about 6000 hours in the ATR-72, said that he was aware of the insidious nature of these slow dscnts.
Original NASA ASRS Text
Title: ALT XING RESTR -- THE ACR WAS HIGH AT THE ASSIGNED VOR XING.
Narrative: WE RECEIVED A XING RESTR FOR OXI PLUS OR MINUS 60 DME OUT AND STARTED TO DSND OUT OF 14000 FT AT 500 FPM. DURING THIS PROLONGED DSCNT THE FO WENT OFF THE AIR TO PICK UP ORD ATIS. THE L PACK WAS DEFERRED AND THE COCKPIT TEMP WAS UNCOMFORTABLY HIGH. I TRIED TO MAKE ADJUSTMENTS TO THE AIR CONDITIONING SYS, WHILE FLYING AND DOING RADIOS AND FAILED TO NOTICE OUR PROX TO OXI VOR AND DIDN'T REALIZE THE MISTAKE UNTIL ATC QUERIED US. FAILURE TO PROPERLY DIVIDE COCKPIT DUTIES WAS THE PRIMARY CAUSE OF THE INCIDENT WITH, UNCOMFORTABLE TEMP DUE TO DEFERRAL AS A CONTRIBUTING FACTOR. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: THE CAPT WAS FLYING AN ATR- 72 AT THE TIME AND HE SET UP A SHALLOW DSCNT BECAUSE 'I INTERPRETED THE INSTRUCTIONS AS TO START DSCNT NOW, BUT CROSS OXI AT 9000 FT.' THIS WAS MUCH TOO EARLY FOR A NORMAL DSCNT SO HE STARTED DOWN AT 500 FPM AND THEN GOT DISTRACTED. HE THINKS THAT HE WAS AT 9700 FT AT OXI, BUT THE CTLR DID NOT ASK HIM ABOUT THE XING UNTIL MUCH LATER AND AFTER HE WAS LEVEL AT 9000 FT. THE CAPT, WHO HAS ABOUT 6000 HRS IN THE ATR-72, SAID THAT HE WAS AWARE OF THE INSIDIOUS NATURE OF THESE SLOW DSCNTS.
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.