37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 342800 |
Time | |
Date | 199607 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : bgm |
State Reference | NY |
Altitude | msl bound lower : 8500 msl bound upper : 9000 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : bgm |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 135 |
Flight Phase | descent other |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : cfi pilot : atp pilot : instrument |
Experience | flight time last 90 days : 200 flight time total : 2700 flight time type : 420 |
ASRS Report | 342800 |
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 flight crewa |
Resolutory Action | flight crew : returned to intended course or assigned course other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
It was our first leg of the second day of an overnight in buffalo. The flight departed buffalo at XA45 am local for bgm. At about XB12 we received a clearance to descend at 'our discretion' from 15000 ft to 9000 ft. I began our descent about 45 DME west of bgm VOR. Soon we were handed off to bgm approach. We acquired ATIS and began to brief for the approach. ILS runway 16 bgm. We received a vector from bgm approach of 100 degrees. Suddenly I heard the altitude alert go off and the captain state 'check altitude 9000 ft.' captain then began to pull on the yoke and add power because we were descending through 9000 ft. We bottomed out at 8500 ft and climbed back up immediately. Bgm approach called 'maintain 9000 ft.' we were already climbing through 8700 ft when we heard that call. The rest of the approach went as normal as planned. I believe the reason this altitude excursion occurred is because I completely forgot about this altitude restr of 9000 ft. It was early, I was tired, we were high and coming down fast. Bgm approach has a habit along with ZNY to leave us at a high initial altitude for a long time, therefore my mindset was we have to hurry to make it to the ILS initial altitude. By the time I realized I had forgotten to stop descending at 9000 ft we were already at 8800 ft. It took 300 ft more to recover from the 1500-2000 FPM descent. The whole event occurred in less than 10 seconds. I take complete responsibility for losing momentary situational awareness.
Original NASA ASRS Text
Title: DSNDING FROM 15000 FT TO 9000 FT, BRIEFING FOR THE APCH, DSNDED TO 8500 FT.
Narrative: IT WAS OUR FIRST LEG OF THE SECOND DAY OF AN OVERNIGHT IN BUFFALO. THE FLT DEPARTED BUFFALO AT XA45 AM LCL FOR BGM. AT ABOUT XB12 WE RECEIVED A CLRNC TO DSND AT 'OUR DISCRETION' FROM 15000 FT TO 9000 FT. I BEGAN OUR DSCNT ABOUT 45 DME W OF BGM VOR. SOON WE WERE HANDED OFF TO BGM APCH. WE ACQUIRED ATIS AND BEGAN TO BRIEF FOR THE APCH. ILS RWY 16 BGM. WE RECEIVED A VECTOR FROM BGM APCH OF 100 DEGS. SUDDENLY I HEARD THE ALT ALERT GO OFF AND THE CAPT STATE 'CHK ALT 9000 FT.' CAPT THEN BEGAN TO PULL ON THE YOKE AND ADD PWR BECAUSE WE WERE DSNDING THROUGH 9000 FT. WE BOTTOMED OUT AT 8500 FT AND CLBED BACK UP IMMEDIATELY. BGM APCH CALLED 'MAINTAIN 9000 FT.' WE WERE ALREADY CLBING THROUGH 8700 FT WHEN WE HEARD THAT CALL. THE REST OF THE APCH WENT AS NORMAL AS PLANNED. I BELIEVE THE REASON THIS ALT EXCURSION OCCURRED IS BECAUSE I COMPLETELY FORGOT ABOUT THIS ALT RESTR OF 9000 FT. IT WAS EARLY, I WAS TIRED, WE WERE HIGH AND COMING DOWN FAST. BGM APCH HAS A HABIT ALONG WITH ZNY TO LEAVE US AT A HIGH INITIAL ALT FOR A LONG TIME, THEREFORE MY MINDSET WAS WE HAVE TO HURRY TO MAKE IT TO THE ILS INITIAL ALT. BY THE TIME I REALIZED I HAD FORGOTTEN TO STOP DSNDING AT 9000 FT WE WERE ALREADY AT 8800 FT. IT TOOK 300 FT MORE TO RECOVER FROM THE 1500-2000 FPM DSCNT. THE WHOLE EVENT OCCURRED IN LESS THAN 10 SECONDS. I TAKE COMPLETE RESPONSIBILITY FOR LOSING MOMENTARY SITUATIONAL AWARENESS.
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.