37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 325890 |
Time | |
Date | 199601 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : msl |
State Reference | AL |
Altitude | msl bound lower : 20000 msl bound upper : 20600 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zme tower : phf |
Operator | general aviation : corporate |
Make Model Name | Super King Air 200 HDC |
Operating Under FAR Part | Part 91 |
Flight Phase | climbout : intermediate altitude |
Flight Plan | IFR |
Aircraft 2 | |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Operating Under FAR Part | other : unknown |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : captain oversight : pic |
Qualification | pilot : commercial pilot : cfi pilot : instrument |
Experience | flight time last 90 days : 150 flight time total : 6500 flight time type : 650 |
ASRS Report | 325890 |
Person 2 | |
Affiliation | Other |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : overshoot conflict : airborne less severe non adherence : clearance other anomaly other |
Independent Detector | other controllera |
Resolutory Action | aircraft : equipment problem dissipated flight crew : returned to intended course or assigned course other |
Consequence | faa : investigated |
Miss Distance | horizontal : 9000 vertical : 500 |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
I departed MSL in a BE2H on a corporate flight to pdk. I was flying with a copilot and (2) passenger in back. After takeoff at around 6000 ft, ZME cleared me to FL210. At around 17000- 18000 ft, I noticed the right wing boot was inflated and the pneumatic pressure was on the red line. (The airplane had been parked outside overnight in very cold temperature, and apparently the valves in the pneumatic system had ice problems. This problem corrected itself within a few mins.) at about this time one of the passenger had a question and I removed my headset to answer them. While my headset was removed, center changed our assigned altitude to FL200 for crossing traffic. The copilot acknowledged the altitude and changed the altitude in the altitude pre- select window. At this time my headset went back on. I didn't hear the altitude change, and didn't see the new setting in the window. The copilot thought I was aware of the altitude change and we went back to discussing the problem with the wing boot. At 20600 ft, ZME instructed me to descend back to FL200 immediately. I acknowledged and did so as rapidly as possible. At that point I discovered the assigned altitude was FL200, not FL210. I was in VMC conditions at the time and saw the crossing traffic ahead and above us. I estimate between 1 and 2 mi. Center asked our assigned altitude and the copilot acknowledged FL200. We were given a phone number at ZME to call later. I talked with center personnel upon landing. I explained what happened as best I could. He informed me that the incident would have to be turned over to flight standards office in bhm because the oedp alarm had went off on their radar computer. Callback conversation with reporter revealed the following information: reporter has received telephone questioning from the FAA. He told them that the greatest contributor to the incident was a flight crew communications breakdown, but that the deice system problem got the ball rolling.
Original NASA ASRS Text
Title: DURING CLBOUT THE FLC OF A BE2H OVERSHOT THEIR ASSIGNED ALT WHEN THEY BECAME DISTRACTED BY THE INFLATION OF A DEICE BOOT AND A PAX QUESTION. DURING THE PF'S CONVERSATION WITH THE PAX, A CLRNC FOR A LOWER ALT HAD BEEN COPIED BY THE COPLT, BUT WAS NOT CONVEYED TO THE PF.
Narrative: I DEPARTED MSL IN A BE2H ON A CORPORATE FLT TO PDK. I WAS FLYING WITH A COPLT AND (2) PAX IN BACK. AFTER TKOF AT AROUND 6000 FT, ZME CLRED ME TO FL210. AT AROUND 17000- 18000 FT, I NOTICED THE R WING BOOT WAS INFLATED AND THE PNEUMATIC PRESSURE WAS ON THE RED LINE. (THE AIRPLANE HAD BEEN PARKED OUTSIDE OVERNIGHT IN VERY COLD TEMP, AND APPARENTLY THE VALVES IN THE PNEUMATIC SYS HAD ICE PROBS. THIS PROB CORRECTED ITSELF WITHIN A FEW MINS.) AT ABOUT THIS TIME ONE OF THE PAX HAD A QUESTION AND I REMOVED MY HEADSET TO ANSWER THEM. WHILE MY HEADSET WAS REMOVED, CTR CHANGED OUR ASSIGNED ALT TO FL200 FOR XING TFC. THE COPLT ACKNOWLEDGED THE ALT AND CHANGED THE ALT IN THE ALT PRE- SELECT WINDOW. AT THIS TIME MY HEADSET WENT BACK ON. I DIDN'T HEAR THE ALT CHANGE, AND DIDN'T SEE THE NEW SETTING IN THE WINDOW. THE COPLT THOUGHT I WAS AWARE OF THE ALT CHANGE AND WE WENT BACK TO DISCUSSING THE PROB WITH THE WING BOOT. AT 20600 FT, ZME INSTRUCTED ME TO DSND BACK TO FL200 IMMEDIATELY. I ACKNOWLEDGED AND DID SO AS RAPIDLY AS POSSIBLE. AT THAT POINT I DISCOVERED THE ASSIGNED ALT WAS FL200, NOT FL210. I WAS IN VMC CONDITIONS AT THE TIME AND SAW THE XING TFC AHEAD AND ABOVE US. I ESTIMATE BTWN 1 AND 2 MI. CTR ASKED OUR ASSIGNED ALT AND THE COPLT ACKNOWLEDGED FL200. WE WERE GIVEN A PHONE NUMBER AT ZME TO CALL LATER. I TALKED WITH CTR PERSONNEL UPON LNDG. I EXPLAINED WHAT HAPPENED AS BEST I COULD. HE INFORMED ME THAT THE INCIDENT WOULD HAVE TO BE TURNED OVER TO FLT STANDARDS OFFICE IN BHM BECAUSE THE OEDP ALARM HAD WENT OFF ON THEIR RADAR COMPUTER. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: RPTR HAS RECEIVED TELEPHONE QUESTIONING FROM THE FAA. HE TOLD THEM THAT THE GREATEST CONTRIBUTOR TO THE INCIDENT WAS A FLC COMS BREAKDOWN, BUT THAT THE DEICE SYS PROB GOT THE BALL ROLLING.
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.