37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 331140 |
Time | |
Date | 199603 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : vuz |
State Reference | AL |
Altitude | msl bound lower : 25000 msl bound upper : 25400 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : ztl |
Operator | general aviation : corporate |
Make Model Name | Falcon 50 |
Operating Under FAR Part | Part 91 |
Navigation In Use | Other Other |
Flight Phase | climbout : intermediate altitude cruise other |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 70 flight time total : 4800 flight time type : 70 |
ASRS Report | 331140 |
Person 2 | |
Affiliation | Other |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : overshoot non adherence : clearance |
Independent Detector | aircraft equipment other aircraft equipment : unspecified 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:
En route from vuz to sav, GA, by way of macon VOR, aircraft was level FL230 and given clearance to climb to FL250, FL250 to be final altitude. Autoplt was on operating in navigation mode. I initiated a climb of about 1300 FPM and selected the vertical speed mode. Out of FL240 I called out 1000 ft to go and first officer acknowledged. I continued to maintain the climb until the autoplt communicator indicated at capture at FL250 approximately 100 ft below the assigned altitude. At that point I began looking outside the aircraft. It was a beautiful day and I was enjoying the view. Apparently so was my first officer. Approximately 15-20 seconds later the altitude alerter went off. The annunciator indicated a capture of the preset altitude, the aircraft was still climbing at 1300 FPM. The alerter went off at 300 ft above the assigned altitude. I disengaged the autoplt and began a recovery, but we had climbed 400 ft above the assigned altitude. I immediately began a descent back to FL250. I had TCASII on, and it showed no aircraft within 20 mi of our position. Center never questioned the altitude. The flight continued without incident. The situation occurred because I failed to monitor the leveloff completely. I have never had an autoplt malfunction in this aircraft and trusted it. Once I saw the capture lights on the annunciator, I felt confident we would level off and diverted my attention outside the aircraft. The first officer called altitude as soon as the alerter went off. We as crew members must remember that anything man- made can fail or malfunction at any time. We must always monitor every aspect of the flight.
Original NASA ASRS Text
Title: JUST AS ACFT WAS ABOUT TO LEVEL OFF ON AUTOPLT, BOTH FLC BECAME DISTRACTED LOOKING OUT OF ACFT AND DIDN'T NOTICE THE ALTDEV UNTIL THE ALERT SOUNDED. RPTR CAPT RETURNED ACFT TO ASSIGNED ALT.
Narrative: ENRTE FROM VUZ TO SAV, GA, BY WAY OF MACON VOR, ACFT WAS LEVEL FL230 AND GIVEN CLRNC TO CLB TO FL250, FL250 TO BE FINAL ALT. AUTOPLT WAS ON OPERATING IN NAV MODE. I INITIATED A CLB OF ABOUT 1300 FPM AND SELECTED THE VERT SPD MODE. OUT OF FL240 I CALLED OUT 1000 FT TO GO AND FO ACKNOWLEDGED. I CONTINUED TO MAINTAIN THE CLB UNTIL THE AUTOPLT COMMUNICATOR INDICATED AT CAPTURE AT FL250 APPROX 100 FT BELOW THE ASSIGNED ALT. AT THAT POINT I BEGAN LOOKING OUTSIDE THE ACFT. IT WAS A BEAUTIFUL DAY AND I WAS ENJOYING THE VIEW. APPARENTLY SO WAS MY FO. APPROX 15-20 SECONDS LATER THE ALT ALERTER WENT OFF. THE ANNUNCIATOR INDICATED A CAPTURE OF THE PRESET ALT, THE ACFT WAS STILL CLBING AT 1300 FPM. THE ALERTER WENT OFF AT 300 FT ABOVE THE ASSIGNED ALT. I DISENGAGED THE AUTOPLT AND BEGAN A RECOVERY, BUT WE HAD CLBED 400 FT ABOVE THE ASSIGNED ALT. I IMMEDIATELY BEGAN A DSCNT BACK TO FL250. I HAD TCASII ON, AND IT SHOWED NO ACFT WITHIN 20 MI OF OUR POS. CTR NEVER QUESTIONED THE ALT. THE FLT CONTINUED WITHOUT INCIDENT. THE SIT OCCURRED BECAUSE I FAILED TO MONITOR THE LEVELOFF COMPLETELY. I HAVE NEVER HAD AN AUTOPLT MALFUNCTION IN THIS ACFT AND TRUSTED IT. ONCE I SAW THE CAPTURE LIGHTS ON THE ANNUNCIATOR, I FELT CONFIDENT WE WOULD LEVEL OFF AND DIVERTED MY ATTN OUTSIDE THE ACFT. THE FO CALLED ALT AS SOON AS THE ALERTER WENT OFF. WE AS CREW MEMBERS MUST REMEMBER THAT ANYTHING MAN- MADE CAN FAIL OR MALFUNCTION AT ANY TIME. WE MUST ALWAYS MONITOR EVERY ASPECT OF THE FLT.
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.