37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 323340 |
Time | |
Date | 199512 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : sea |
State Reference | WA |
Altitude | msl bound lower : 33000 msl bound upper : 33600 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zse tower : sna |
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 : j90 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | other other : other pilot : flight engineer pilot : commercial pilot : atp |
Experience | flight time last 90 days : 180 flight time total : 8300 flight time type : 2200 |
ASRS Report | 323340 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
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:
Passing 17000 ft MSL, qnh of 28.77, PF called '29.92.' PNF set his altimeter to 29.92, but PF did not. Approaching assigned altitude of FL330, PNF said 'you're going to overshoot FL330.' then he noticed my altimeter was still set to 28.77. We actually climbed to 33600 ft before returning to FL330. Visual sits, when they arise, can cause deviation and loss of PNF/PF xchk and back-up. Our SOP calls for a warning call 1000 ft prior to assigned altitude and in this case neither pilot made the call. PNF did voice concern about 400 ft prior to FL330 on his altimeter. Confusion delay resulted in overshoot.
Original NASA ASRS Text
Title: CAPT OF AN MLG OVERSHOT CRUISE ALT DUE TO FORGETTING TO RESET HIS ALTIMETER PASSING FL180.
Narrative: PASSING 17000 FT MSL, QNH OF 28.77, PF CALLED '29.92.' PNF SET HIS ALTIMETER TO 29.92, BUT PF DID NOT. APCHING ASSIGNED ALT OF FL330, PNF SAID 'YOU'RE GOING TO OVERSHOOT FL330.' THEN HE NOTICED MY ALTIMETER WAS STILL SET TO 28.77. WE ACTUALLY CLBED TO 33600 FT BEFORE RETURNING TO FL330. VISUAL SITS, WHEN THEY ARISE, CAN CAUSE DEV AND LOSS OF PNF/PF XCHK AND BACK-UP. OUR SOP CALLS FOR A WARNING CALL 1000 FT PRIOR TO ASSIGNED ALT AND IN THIS CASE NEITHER PLT MADE THE CALL. PNF DID VOICE CONCERN ABOUT 400 FT PRIOR TO FL330 ON HIS ALTIMETER. CONFUSION DELAY RESULTED IN OVERSHOOT.
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.