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|
Attributes | |
ACN | 353857 |
Time | |
Date | 199611 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : orw |
State Reference | CT |
Altitude | msl bound lower : 24000 msl bound upper : 28000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zbw |
Operator | common carrier : air carrier |
Make Model Name | B737-400 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | descent other |
Route In Use | arrival star : star |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp pilot : flight engineer pilot : cfi |
Experience | flight time last 90 days : 100 flight time total : 9000 flight time type : 1000 |
ASRS Report | 353857 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : crossing restriction not met non adherence : clearance |
Independent Detector | other flight crewa |
Resolutory Action | none taken : anomaly accepted |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
At FL330 south of the norwich arrival to bos, we were 'cleared direct to raalf intersection with pilot's discretion to maintain FL280 and expect 40 NM south of raalf at FL240.' altitude window was reset to FL280, then the fmcs was programmed to the new crossing restr. Shortly after this, the clearance was given to 'cross 40 NM south of raalf and maintain FL240.' the fmcs would not program. I tried to program the fmcs, but with the 100 KTS of tailwind I passed the crossing point before making the crossing altitude. This was due to several factors: 1) not starting descent to FL280 as soon as the new altitude was received. 2) excessive tailwinds during descent. 3) failure of the fmcs to accept programming (the leg from bos-clt the fmcs failed to properly program for the captain during descent). 4) failure to maintain orientation to the crossing fixes. 5) captain had left the cockpit a few mins earlier to go to the restroom. Had there been 2 crew members observing the situation it probably would not have occurred.
Original NASA ASRS Text
Title: B737-400 FAILS TO MAKE ALT XING RESTR OF FL240 40 MI S OF RAALF.
Narrative: AT FL330 S OF THE NORWICH ARR TO BOS, WE WERE 'CLRED DIRECT TO RAALF INTXN WITH PLT'S DISCRETION TO MAINTAIN FL280 AND EXPECT 40 NM S OF RAALF AT FL240.' ALT WINDOW WAS RESET TO FL280, THEN THE FMCS WAS PROGRAMMED TO THE NEW XING RESTR. SHORTLY AFTER THIS, THE CLRNC WAS GIVEN TO 'CROSS 40 NM S OF RAALF AND MAINTAIN FL240.' THE FMCS WOULD NOT PROGRAM. I TRIED TO PROGRAM THE FMCS, BUT WITH THE 100 KTS OF TAILWIND I PASSED THE XING POINT BEFORE MAKING THE XING ALT. THIS WAS DUE TO SEVERAL FACTORS: 1) NOT STARTING DSCNT TO FL280 AS SOON AS THE NEW ALT WAS RECEIVED. 2) EXCESSIVE TAILWINDS DURING DSCNT. 3) FAILURE OF THE FMCS TO ACCEPT PROGRAMMING (THE LEG FROM BOS-CLT THE FMCS FAILED TO PROPERLY PROGRAM FOR THE CAPT DURING DSCNT). 4) FAILURE TO MAINTAIN ORIENTATION TO THE XING FIXES. 5) CAPT HAD LEFT THE COCKPIT A FEW MINS EARLIER TO GO TO THE RESTROOM. HAD THERE BEEN 2 CREW MEMBERS OBSERVING THE SIT IT PROBABLY WOULD NOT HAVE OCCURRED.
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.