37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 306850 |
Time | |
Date | 199506 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : flm |
State Reference | KY |
Altitude | msl bound lower : 10400 msl bound upper : 11000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : cvg tower : sgf |
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 : cvg |
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 : 7000 flight time type : 800 |
ASRS Report | 306850 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 6500 flight time type : 200 |
ASRS Report | 306609 |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : became reoriented other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Cleared out of 22000 ft to 17000 ft. Selected 17000 ft on altitude selector and pressed altitude select on autoplt and made required callout. Before reaching 17000 ft, ATC cleared us to cross flm at 11000 ft. I selected 11000 ft in altitude selector, then pressed altitude select by force of habit, thereby turning off altitude capture mode of autoplt. I didn't make required callout at this time, at 17000 ft I increased rate of descent to cross flm at 11000 ft and made a mental note of 1000 ft to go but neglected to make the required callout. The first officer didn't catch either missed callouts or descent through selected altitude. At 10400 ft I noticed the error and notified ATC immediately. Supplemental information from acn 306609: it goes to prove standard callouts when used, decrease the chances of this type of situation from occurring.
Original NASA ASRS Text
Title: ALTDEV ALT OVERSHOT IN DSCNT.
Narrative: CLRED OUT OF 22000 FT TO 17000 FT. SELECTED 17000 FT ON ALT SELECTOR AND PRESSED ALT SELECT ON AUTOPLT AND MADE REQUIRED CALLOUT. BEFORE REACHING 17000 FT, ATC CLRED US TO CROSS FLM AT 11000 FT. I SELECTED 11000 FT IN ALT SELECTOR, THEN PRESSED ALT SELECT BY FORCE OF HABIT, THEREBY TURNING OFF ALT CAPTURE MODE OF AUTOPLT. I DIDN'T MAKE REQUIRED CALLOUT AT THIS TIME, AT 17000 FT I INCREASED RATE OF DSCNT TO CROSS FLM AT 11000 FT AND MADE A MENTAL NOTE OF 1000 FT TO GO BUT NEGLECTED TO MAKE THE REQUIRED CALLOUT. THE FO DIDN'T CATCH EITHER MISSED CALLOUTS OR DSCNT THROUGH SELECTED ALT. AT 10400 FT I NOTICED THE ERROR AND NOTIFIED ATC IMMEDIATELY. SUPPLEMENTAL INFO FROM ACN 306609: IT GOES TO PROVE STANDARD CALLOUTS WHEN USED, DECREASE THE CHANCES OF THIS TYPE OF SIT FROM OCCURRING.
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.