37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 324970 |
Time | |
Date | 199601 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : gqe |
State Reference | AB |
Altitude | msl bound lower : 23600 msl bound upper : 24000 |
Aircraft 1 | |
Controlling Facilities | artcc : zme |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Flight Phase | descent 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 : 60 flight time total : 10000 flight time type : 2500 |
ASRS Report | 324970 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance |
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:
The clearance was to descend to FL240. It was the first officer's leg and he was leveling at FL240, which I visually confirmed. I reached forward to set my speed bugs for landing and looked back to see the aircraft descending through FL236. I called the altitude deviation out as I took control of the aircraft returning the aircraft to FL240 by manually flying. I received clearance to 10000 ft and gave control of the aircraft back to the first officer. Although the first officer said he had the autoplt engaged, I do not recall disconnecting the autoplt when I took control. I believe that he forgot to engage the autoplt due to fatigue. He was awake in that his eyes were open but he was not responsive mentally in several other instances such as starting dscnts and turning to new headings. It was like his body was there but his mind had shut down, mixing night and day flying with corresponding interrupted circadian rhythms takes a heavy toll in terms of fatigue.
Original NASA ASRS Text
Title: WDB CARGO FLT HAS ALTDEV ON DSCNT.
Narrative: THE CLRNC WAS TO DSND TO FL240. IT WAS THE FO'S LEG AND HE WAS LEVELING AT FL240, WHICH I VISUALLY CONFIRMED. I REACHED FORWARD TO SET MY SPD BUGS FOR LNDG AND LOOKED BACK TO SEE THE ACFT DSNDING THROUGH FL236. I CALLED THE ALTDEV OUT AS I TOOK CTL OF THE ACFT RETURNING THE ACFT TO FL240 BY MANUALLY FLYING. I RECEIVED CLRNC TO 10000 FT AND GAVE CTL OF THE ACFT BACK TO THE FO. ALTHOUGH THE FO SAID HE HAD THE AUTOPLT ENGAGED, I DO NOT RECALL DISCONNECTING THE AUTOPLT WHEN I TOOK CTL. I BELIEVE THAT HE FORGOT TO ENGAGE THE AUTOPLT DUE TO FATIGUE. HE WAS AWAKE IN THAT HIS EYES WERE OPEN BUT HE WAS NOT RESPONSIVE MENTALLY IN SEVERAL OTHER INSTANCES SUCH AS STARTING DSCNTS AND TURNING TO NEW HDGS. IT WAS LIKE HIS BODY WAS THERE BUT HIS MIND HAD SHUT DOWN, MIXING NIGHT AND DAY FLYING WITH CORRESPONDING INTERRUPTED CIRCADIAN RHYTHMS TAKES A HVY TOLL IN TERMS OF FATIGUE.
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.