37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 340049 |
Time | |
Date | 199606 |
Day | Fri |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : mia |
State Reference | FL |
Altitude | msl bound lower : 5400 msl bound upper : 10000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : mia |
Operator | common carrier : air carrier |
Make Model Name | B727 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | descent other |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | B757-200 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | descent other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : second officer |
Qualification | pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 10 flight time total : 6500 flight time type : 0 |
ASRS Report | 340049 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : flight engineer pilot : instrument pilot : commercial pilot : atp |
Experience | flight time last 90 days : 110 flight time total : 7300 |
ASRS Report | 339690 |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : excursion from assigned altitude altitude deviation : overshoot conflict : airborne less severe non adherence : required legal separation non adherence : clearance |
Independent Detector | other controllera other other : unspecified |
Resolutory Action | none taken : anomaly accepted |
Consequence | faa : reviewed incident with flight crew |
Miss Distance | horizontal : 800 vertical : 18000 |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error |
Narrative:
We were told to descend to what we thought was 4000 ft. The captain read back 4000 ft and set that altitude in the altitude alerter. Descending through 5400 ft, the controller told us he had given us 10000 ft and to climb to 8000 ft through 5700 ft. The controller told us to level off at 6000 ft and make an immediate left turn. We then had visual contact with a B757 that passed above us. I believe fatigue played some part. My radio's volume was also very low because it was very loud to the pilots if turned up at all, so I may have missed what the controller had said and therefore was unable to back up the pilots properly. Supplemental information from acn 339690: a B757 took evasive action by diving. All 3 crew men were extremely fatigued, and had flown all night. We had a malfunctioning autoplt. Radio panel was inadequate! Supplemental information from acn 340014: we all forgot spdbrake and had difficulty climbing from 5800 ft to 6000 ft. We called mia tower on phone later. Supervisor said we were assigned 10000 ft, read back 4000 ft, and controller did not catch erroneous readback. Captain and first officer cannot understand how 'one-zero thousand ft' or even '10000 ft' can sound like '4000 ft.' so did not hear ATC xmissions. Airplane has non standard audio panel that does not permit sufficient latitude in individual headset volume adjustments. Had he been able to hear, he might have been able to correct pilots' misunderstanding or confirm '4000 ft.'
Original NASA ASRS Text
Title: AN ACR B727 HAD LTSS WITH AN ACR B757 APCHING MIA. ALL 3 CREW MEMBERS INSIST THAT THEY WERE GIVEN 4000 FT VICE THE 10000 FT THAT APCH SAID THAT THEY WERE GIVEN. READBACK HEARBACK.
Narrative: WE WERE TOLD TO DSND TO WHAT WE THOUGHT WAS 4000 FT. THE CAPT READ BACK 4000 FT AND SET THAT ALT IN THE ALT ALERTER. DSNDING THROUGH 5400 FT, THE CTLR TOLD US HE HAD GIVEN US 10000 FT AND TO CLB TO 8000 FT THROUGH 5700 FT. THE CTLR TOLD US TO LEVEL OFF AT 6000 FT AND MAKE AN IMMEDIATE L TURN. WE THEN HAD VISUAL CONTACT WITH A B757 THAT PASSED ABOVE US. I BELIEVE FATIGUE PLAYED SOME PART. MY RADIO'S VOLUME WAS ALSO VERY LOW BECAUSE IT WAS VERY LOUD TO THE PLTS IF TURNED UP AT ALL, SO I MAY HAVE MISSED WHAT THE CTLR HAD SAID AND THEREFORE WAS UNABLE TO BACK UP THE PLTS PROPERLY. SUPPLEMENTAL INFO FROM ACN 339690: A B757 TOOK EVASIVE ACTION BY DIVING. ALL 3 CREW MEN WERE EXTREMELY FATIGUED, AND HAD FLOWN ALL NIGHT. WE HAD A MALFUNCTIONING AUTOPLT. RADIO PANEL WAS INADEQUATE! SUPPLEMENTAL INFO FROM ACN 340014: WE ALL FORGOT SPDBRAKE AND HAD DIFFICULTY CLBING FROM 5800 FT TO 6000 FT. WE CALLED MIA TWR ON PHONE LATER. SUPVR SAID WE WERE ASSIGNED 10000 FT, READ BACK 4000 FT, AND CTLR DID NOT CATCH ERRONEOUS READBACK. CAPT AND FO CANNOT UNDERSTAND HOW 'ONE-ZERO THOUSAND FT' OR EVEN '10000 FT' CAN SOUND LIKE '4000 FT.' SO DID NOT HEAR ATC XMISSIONS. AIRPLANE HAS NON STANDARD AUDIO PANEL THAT DOES NOT PERMIT SUFFICIENT LATITUDE IN INDIVIDUAL HEADSET VOLUME ADJUSTMENTS. HAD HE BEEN ABLE TO HEAR, HE MIGHT HAVE BEEN ABLE TO CORRECT PLTS' MISUNDERSTANDING OR CONFIRM '4000 FT.'
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.