37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 311261 |
Time | |
Date | 199507 |
Day | Sun |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : dca |
State Reference | DC |
Altitude | msl bound lower : 2000 msl bound upper : 2500 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | general aviation : personal |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Operating Under FAR Part | Part 91 |
Flight Phase | descent other |
Route In Use | enroute airway : zdc |
Flight Plan | VFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : single pilot |
Qualification | pilot : commercial pilot : instrument |
Experience | flight time last 90 days : 50 flight time total : 1500 flight time type : 900 |
ASRS Report | 311261 |
Person 2 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : radar |
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 | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Descended below assigned altitude of 2500 ft to 2000 ft. Was tired and forgot because descent was from 11500 ft. Callback conversation with reporter revealed the following information: reporter says that another incident occurred besides the altitude deviation which was more interesting to ASRS. Aircraft he was flying, the SOP is takeoff on main fuel tanks and after takeoff switch to auxiliary tanks, then, when burned down, switch back to mains. His personal procedure is to set a timer clock to remind him when to switch back to mains, but when the timer went off he forgot to switch until both engines quit from fuel starvation. He lost several thousand ft, notified ATC and got the engines restarted. Later the altitude deviation occurred. Reporter said, 'it's worth a piece of paper and 32 cents to send a report to cover myself.'
Original NASA ASRS Text
Title: ALTDEV.
Narrative: DSNDED BELOW ASSIGNED ALT OF 2500 FT TO 2000 FT. WAS TIRED AND FORGOT BECAUSE DSCNT WAS FROM 11500 FT. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: RPTR SAYS THAT ANOTHER INCIDENT OCCURRED BESIDES THE ALTDEV WHICH WAS MORE INTERESTING TO ASRS. ACFT HE WAS FLYING, THE SOP IS TKOF ON MAIN FUEL TANKS AND AFTER TKOF SWITCH TO AUX TANKS, THEN, WHEN BURNED DOWN, SWITCH BACK TO MAINS. HIS PERSONAL PROC IS TO SET A TIMER CLOCK TO REMIND HIM WHEN TO SWITCH BACK TO MAINS, BUT WHEN THE TIMER WENT OFF HE FORGOT TO SWITCH UNTIL BOTH ENGS QUIT FROM FUEL STARVATION. HE LOST SEVERAL THOUSAND FT, NOTIFIED ATC AND GOT THE ENGS RESTARTED. LATER THE ALTDEV OCCURRED. RPTR SAID, 'IT'S WORTH A PIECE OF PAPER AND 32 CENTS TO SEND A RPT TO COVER MYSELF.'
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.