37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 317491 |
Time | |
Date | 199510 |
Day | Tue |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : jvl |
State Reference | WI |
Altitude | msl bound lower : 24000 msl bound upper : 33000 |
Environment | |
Flight Conditions | VMC |
Light | Dusk |
Aircraft 1 | |
Controlling Facilities | artcc : zau |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | cruise other descent other |
Route In Use | arrival other arrival star : star enroute other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 240 flight time total : 20000 flight time type : 12000 |
ASRS Report | 317491 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : crossing restriction not met altitude deviation : undershoot non adherence : clearance non adherence other other anomaly other |
Independent Detector | other controllera |
Resolutory Action | none taken : insufficient time |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
I was captain on flight phx-mke on oct/xx/95. We were inbound on an assigned STAR. I heard aircraft in front of me given 30 mi west of janesville restrs, so I built that point in my FMS legs page in anticipation. The point to make that restr passed and center cleared me to cross 20 west of janesville at FL240. My first officer was occupied with ATIS and company in range call. I rogered the restr and set up new point in FMS. I reset MCP (autoplt) for FL240, but mistakenly placed FL240 restr on wrong line in FMS, I placed it on janesville instead of 20 west. Center gave me a frequency change and asked if I was going to make FL240. I confirmed 20 west and changed frequencys. At this point I realized I was 3 mi from restr point and had not started down. I disconnected autoplt and expedited descent as I checked in on new frequency. I was then told to cross veena intersection at 10000 ft 250 KIAS. There was no comment from ATC about altitude or traffic. My mistake was due to a lack of situational awareness and trusting the automated system I had programmed incorrectly. I had not included the first officer in the change of altitude plan as he was preoccupied and the time frame was short. If I had, he could have backed me up and prevented a possible hazardous situation from happening.
Original NASA ASRS Text
Title: ALTDEV ALT UNDERSHOT. ALT XING RESTR NOT MET.
Narrative: I WAS CAPT ON FLT PHX-MKE ON OCT/XX/95. WE WERE INBOUND ON AN ASSIGNED STAR. I HEARD ACFT IN FRONT OF ME GIVEN 30 MI W OF JANESVILLE RESTRS, SO I BUILT THAT POINT IN MY FMS LEGS PAGE IN ANTICIPATION. THE POINT TO MAKE THAT RESTR PASSED AND CTR CLRED ME TO CROSS 20 W OF JANESVILLE AT FL240. MY FO WAS OCCUPIED WITH ATIS AND COMPANY IN RANGE CALL. I ROGERED THE RESTR AND SET UP NEW POINT IN FMS. I RESET MCP (AUTOPLT) FOR FL240, BUT MISTAKENLY PLACED FL240 RESTR ON WRONG LINE IN FMS, I PLACED IT ON JANESVILLE INSTEAD OF 20 W. CTR GAVE ME A FREQ CHANGE AND ASKED IF I WAS GOING TO MAKE FL240. I CONFIRMED 20 W AND CHANGED FREQS. AT THIS POINT I REALIZED I WAS 3 MI FROM RESTR POINT AND HAD NOT STARTED DOWN. I DISCONNECTED AUTOPLT AND EXPEDITED DSCNT AS I CHKED IN ON NEW FREQ. I WAS THEN TOLD TO CROSS VEENA INTXN AT 10000 FT 250 KIAS. THERE WAS NO COMMENT FROM ATC ABOUT ALT OR TFC. MY MISTAKE WAS DUE TO A LACK OF SITUATIONAL AWARENESS AND TRUSTING THE AUTOMATED SYS I HAD PROGRAMMED INCORRECTLY. I HAD NOT INCLUDED THE FO IN THE CHANGE OF ALT PLAN AS HE WAS PREOCCUPIED AND THE TIME FRAME WAS SHORT. IF I HAD, HE COULD HAVE BACKED ME UP AND PREVENTED A POSSIBLE HAZARDOUS SIT FROM HAPPENING.
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.