37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 318333 |
Time | |
Date | 199509 |
Day | Fri |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : fll |
State Reference | FL |
Altitude | msl bound lower : 3000 msl bound upper : 4700 |
Environment | |
Flight Conditions | Mixed |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : mia |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure 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 : 200 flight time total : 11000 flight time type : 3500 |
ASRS Report | 318333 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance other anomaly other |
Independent Detector | 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:
Crew involved in missing build-ups in area on climb out from fll and missed assigned altitude of 3000 ft and continued climb to approximately 4700 ft. Crew member (flight engineer) glanced up and noticed altitude reminder set at 3000 ft at which time immediate descent to 3000 ft was made. Contributing factor was fatigue of crew from 2 previous days of maximum crew duty day, and not enough sleep and rest. Due to time of the day there appeared to be no conflict with any other aircraft. ATC did not call up or question altitude. I believe the most significant factor was fatigue. FARS should be tightened to force carriers to allow more sleep and rest to include some travel factor to and from hotels.
Original NASA ASRS Text
Title: FLC OF AN LGT OVERSHOT CLB ALT.
Narrative: CREW INVOLVED IN MISSING BUILD-UPS IN AREA ON CLBOUT FROM FLL AND MISSED ASSIGNED ALT OF 3000 FT AND CONTINUED CLB TO APPROX 4700 FT. CREW MEMBER (FE) GLANCED UP AND NOTICED ALT REMINDER SET AT 3000 FT AT WHICH TIME IMMEDIATE DSCNT TO 3000 FT WAS MADE. CONTRIBUTING FACTOR WAS FATIGUE OF CREW FROM 2 PREVIOUS DAYS OF MAX CREW DUTY DAY, AND NOT ENOUGH SLEEP AND REST. DUE TO TIME OF THE DAY THERE APPEARED TO BE NO CONFLICT WITH ANY OTHER ACFT. ATC DID NOT CALL UP OR QUESTION ALT. I BELIEVE THE MOST SIGNIFICANT FACTOR WAS FATIGUE. FARS SHOULD BE TIGHTENED TO FORCE CARRIERS TO ALLOW MORE SLEEP AND REST TO INCLUDE SOME TRAVEL FACTOR TO AND FROM HOTELS.
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.