37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 317144 |
Time | |
Date | 199509 |
Day | Fri |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : pvd |
State Reference | RI |
Altitude | msl bound lower : 10000 msl bound upper : 10400 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zbw |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : intermediate altitude cruise other |
Route In Use | enroute airway : zbw |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp pilot : cfi |
Experience | flight time last 90 days : 210 flight time total : 11000 flight time type : 3500 |
ASRS Report | 317144 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : commercial pilot : instrument pilot : atp |
Experience | flight time last 90 days : 180 flight time total : 11000 flight time type : 1500 |
ASRS Report | 316640 |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : clearance other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : unspecified other controllera |
Resolutory Action | flight crew : returned to intended course or assigned course other |
Consequence | Other |
Miss Distance | horizontal : 30000 vertical : 1500 |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Captain was flying aircraft. A failure occurred to maintain assigned altitude of 10000 ft MSL. I had made appropriate callouts on approach to altitude. It appears that the vertical speed command wheel on autoplt did not fall into detent or was nudged out to allow a slow rate climb. While attending to other essential duties, I verbally noted altitude at 10200 ft and climbing. Corrective measures were started, however, 10400 ft was top of climb. A TCASII TA shortly followed by ATC inquiry occurred. Supplemental information from acn 316640: I normally use heading select mode but heading select on this aircraft caused aircraft to fly 'wing down.' as aircraft was leveling at 10000 ft ATC requested a turn to 170 degrees and advised of traffic at 1-2 O'clock. The vertical speed wheel was rotated to the detent and the crew looked for the traffic. Aircraft continued to climb until the on board altitude alert activated. PF should verify that the detent is engaged and that the aircraft actually levels off before shifting attention outside of cockpit. Use of turn knob and thoughts about 10000 ft announcement could also have been a factor.
Original NASA ASRS Text
Title: ACR FLC DEV FROM ALT AFTER LEVEL OFF.
Narrative: CAPT WAS FLYING ACFT. A FAILURE OCCURRED TO MAINTAIN ASSIGNED ALT OF 10000 FT MSL. I HAD MADE APPROPRIATE CALLOUTS ON APCH TO ALT. IT APPEARS THAT THE VERT SPD COMMAND WHEEL ON AUTOPLT DID NOT FALL INTO DETENT OR WAS NUDGED OUT TO ALLOW A SLOW RATE CLB. WHILE ATTENDING TO OTHER ESSENTIAL DUTIES, I VERBALLY NOTED ALT AT 10200 FT AND CLBING. CORRECTIVE MEASURES WERE STARTED, HOWEVER, 10400 FT WAS TOP OF CLB. A TCASII TA SHORTLY FOLLOWED BY ATC INQUIRY OCCURRED. SUPPLEMENTAL INFO FROM ACN 316640: I NORMALLY USE HDG SELECT MODE BUT HDG SELECT ON THIS ACFT CAUSED ACFT TO FLY 'WING DOWN.' AS ACFT WAS LEVELING AT 10000 FT ATC REQUESTED A TURN TO 170 DEGS AND ADVISED OF TFC AT 1-2 O'CLOCK. THE VERT SPD WHEEL WAS ROTATED TO THE DETENT AND THE CREW LOOKED FOR THE TFC. ACFT CONTINUED TO CLB UNTIL THE ON BOARD ALT ALERT ACTIVATED. PF SHOULD VERIFY THAT THE DETENT IS ENGAGED AND THAT THE ACFT ACTUALLY LEVELS OFF BEFORE SHIFTING ATTN OUTSIDE OF COCKPIT. USE OF TURN KNOB AND THOUGHTS ABOUT 10000 FT ANNOUNCEMENT COULD ALSO HAVE BEEN A FACTOR.
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.