37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 309960 |
Time | |
Date | 199506 |
Day | Wed |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : bae |
State Reference | WI |
Altitude | msl bound lower : 34600 msl bound upper : 35000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zau tower : sat |
Operator | common carrier : air carrier |
Make Model Name | B727-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise other |
Route In Use | enroute : on vectors enroute airway : zau |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 180 flight time total : 10000 flight time type : 600 |
ASRS Report | 309960 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : clearance |
Independent Detector | other controllera |
Resolutory Action | flight crew : returned to intended course or assigned course other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
First officer was flying level at FL350. Aircraft was on autoplt with altitude hold. The first officer kicked off the autoplt to retrim the airplane. I watched his trimming and he turned the autoplt back on. He left the altitude hold switch off. I noticed that, but I also saw he was 100 ft high. Assuming he was descending to level at FL350, I turned my attention back to the PA I was going to make. My so was busy with an ACARS message. My PA was finished and ATC called to ask if we were level at 35000 ft. I looked up to see that we were at 34600 ft and quickly noticed that the altitude hold green light was not on. The first officer quickly corrected his mistake and climbed us to FL350 and engaged altitude hold. He said he forgot the switch after trimming the aircraft. It is another case of '1 step at a time' or 'complete 1 task first, before starting another.' I should not have assumed he (first officer) would re-engage altitude hold.
Original NASA ASRS Text
Title: FLC DEVIATES FROM ASSIGNED ALT.
Narrative: FO WAS FLYING LEVEL AT FL350. ACFT WAS ON AUTOPLT WITH ALT HOLD. THE FO KICKED OFF THE AUTOPLT TO RETRIM THE AIRPLANE. I WATCHED HIS TRIMMING AND HE TURNED THE AUTOPLT BACK ON. HE LEFT THE ALT HOLD SWITCH OFF. I NOTICED THAT, BUT I ALSO SAW HE WAS 100 FT HIGH. ASSUMING HE WAS DSNDING TO LEVEL AT FL350, I TURNED MY ATTN BACK TO THE PA I WAS GOING TO MAKE. MY SO WAS BUSY WITH AN ACARS MESSAGE. MY PA WAS FINISHED AND ATC CALLED TO ASK IF WE WERE LEVEL AT 35000 FT. I LOOKED UP TO SEE THAT WE WERE AT 34600 FT AND QUICKLY NOTICED THAT THE ALT HOLD GREEN LIGHT WAS NOT ON. THE FO QUICKLY CORRECTED HIS MISTAKE AND CLBED US TO FL350 AND ENGAGED ALT HOLD. HE SAID HE FORGOT THE SWITCH AFTER TRIMMING THE ACFT. IT IS ANOTHER CASE OF '1 STEP AT A TIME' OR 'COMPLETE 1 TASK FIRST, BEFORE STARTING ANOTHER.' I SHOULD NOT HAVE ASSUMED HE (FO) WOULD RE-ENGAGE ALT HOLD.
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.