37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 334580 |
Time | |
Date | 199604 |
Day | Sat |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : iah |
State Reference | TX |
Altitude | msl bound lower : 4000 msl bound upper : 5000 |
Environment | |
Flight Conditions | Mixed |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : iah |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | climbout : initial climbout : takeoff |
Route In Use | departure sid : sid |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 180 flight time total : 5000 flight time type : 2800 |
ASRS Report | 334580 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance |
Independent Detector | other controllera |
Resolutory Action | other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Aircraft set up for capturing departure (SID) altitude of 4000 ft at the gate prior to push back. Somehow, between time it was set to 4000 ft at gate and prior to takeoff, the altitude window was either changed to 5000 ft by being bumped, or it did it by itself. On departure (takeoff) briefing I remember saying 'runway heading to 5000 ft (etc).' I believe I said 5000 ft because that's what I looked at in the 'altitude set' window and it was already showing 5000 ft at that time. Neither captain nor I caught the fact it should have been 4000 ft. On climb out, when we checked in with departure, the captain (PNF) called 'passing 3000 ft for 5000 ft.' departure controller did not acknowledge, was busy talking to other aircraft. We quickly leveled at 5000 ft shortly thereafter. Somewhere along in here, a 'supervisor' (or other controller) came up on the frequency and asked what we were doing at 5000 ft or where we'd gotten that altitude clearance or assignment. Moments later, both captain and I realized the altitude capture window had been accidentally or inadvertently set to 5000 ft by mistake. Last leg of a long (5 leg) day. Not as sharp as we normally are, and probably had some 'get homeitis' contributing to our not catching it during the takeoff briefing.
Original NASA ASRS Text
Title: FLC OF AN MLG OVERSHOT THEIR ASSIGNED ALT DURING THE INITIAL DEP CLB. THE RPTR STATES THAT THE INCORRECTLY SET ALT WAS MISSED DURING THE TKOF CREW BRIEFING. WHEN THE ACFT WAS LEVEL AT AN ALT 1000 FT HIGHER THAN ASSIGNED, THE CTLR INTERVENED.
Narrative: ACFT SET UP FOR CAPTURING DEP (SID) ALT OF 4000 FT AT THE GATE PRIOR TO PUSH BACK. SOMEHOW, BTWN TIME IT WAS SET TO 4000 FT AT GATE AND PRIOR TO TKOF, THE ALT WINDOW WAS EITHER CHANGED TO 5000 FT BY BEING BUMPED, OR IT DID IT BY ITSELF. ON DEP (TKOF) BRIEFING I REMEMBER SAYING 'RWY HDG TO 5000 FT (ETC).' I BELIEVE I SAID 5000 FT BECAUSE THAT'S WHAT I LOOKED AT IN THE 'ALT SET' WINDOW AND IT WAS ALREADY SHOWING 5000 FT AT THAT TIME. NEITHER CAPT NOR I CAUGHT THE FACT IT SHOULD HAVE BEEN 4000 FT. ON CLBOUT, WHEN WE CHKED IN WITH DEP, THE CAPT (PNF) CALLED 'PASSING 3000 FT FOR 5000 FT.' DEP CTLR DID NOT ACKNOWLEDGE, WAS BUSY TALKING TO OTHER ACFT. WE QUICKLY LEVELED AT 5000 FT SHORTLY THEREAFTER. SOMEWHERE ALONG IN HERE, A 'SUPVR' (OR OTHER CTLR) CAME UP ON THE FREQ AND ASKED WHAT WE WERE DOING AT 5000 FT OR WHERE WE'D GOTTEN THAT ALT CLRNC OR ASSIGNMENT. MOMENTS LATER, BOTH CAPT AND I REALIZED THE ALT CAPTURE WINDOW HAD BEEN ACCIDENTALLY OR INADVERTENTLY SET TO 5000 FT BY MISTAKE. LAST LEG OF A LONG (5 LEG) DAY. NOT AS SHARP AS WE NORMALLY ARE, AND PROBABLY HAD SOME 'GET HOMEITIS' CONTRIBUTING TO OUR NOT CATCHING IT DURING THE TKOF BRIEFING.
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.