37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 354916 |
Time | |
Date | 199612 |
Day | Fri |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : atl |
State Reference | GA |
Altitude | msl bound lower : 12000 msl bound upper : 13000 |
Environment | |
Flight Conditions | VMC |
Light | Dusk |
Aircraft 1 | |
Controlling Facilities | tracon : atl |
Operator | common carrier : air carrier |
Make Model Name | MD-88 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other |
Flight Phase | descent other |
Route In Use | arrival other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 240 flight time total : 8000 flight time type : 1500 |
ASRS Report | 354916 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 225 flight time total : 11000 flight time type : 7000 |
ASRS Report | 354780 |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : crossing restriction not met altitude deviation : overshoot non adherence : clearance |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
During descent, the autoplt was engaged, the altitude for crossing at womac intersection was set at 13000 ft. We set this altitude at approximately FL190 in the descent. I set the 13000 ft altitude when we were cleared for the crossing restr at womac, and it was verified verbally by the captain. We were given a further speed reduction during the descent to 210 KTS. At some time during the descent, the altitude in the digital led display changed to 12000 ft, which occurs occasionally on the MD88 in various digital led displays on the autoflt panel. The autoplt continued descent and leveled at 12000 ft. Approach control queried us as to our altitude, and we reported level at 12000 ft, realizing that the altitude was supposed to have been 13000 ft. Approach then had us continue our descent. No conflict was noted. Human factors: the crew had been rerouted following a 4-HR delay at a previous station and was approaching nearly 12 hours on duty. Both pilots commute from western time zones and had reported for duty very early, however, crew coordination was very good. Possible cause was overreliance on the autoflt system which should have been monitored more carefully during a busy arrival. I have personally experienced several occasions on this aircraft where values set in the led windows have changed by 1 or more numbers, which requires increased vigilance by the crew. I, as the PF, should have monitored the leveloff more carefully rather than relying on the autoplt.
Original NASA ASRS Text
Title: AN MD88 FLC WAS ISSUED A 13000 FT XING RESTR AT WOMAC INTXN WHILE INBOUND TO ATL. THE ACFT LEVELED OFF AT 12000 FT INSTEAD AND WAS DETECTED BY THE CTLR. BOTH CREW MEMBERS CLAIM THAT THE CORRECT ALT WAS SET IN THE FLT GUIDANCE WINDOWS, BUT ROLLED OVER TO 12000 FT DURING THE DSCNT. THEY MAINTAIN THAT THIS HAS BEEN A PROB IN THIS TYPE OF ACFT.
Narrative: DURING DSCNT, THE AUTOPLT WAS ENGAGED, THE ALT FOR XING AT WOMAC INTXN WAS SET AT 13000 FT. WE SET THIS ALT AT APPROX FL190 IN THE DSCNT. I SET THE 13000 FT ALT WHEN WE WERE CLRED FOR THE XING RESTR AT WOMAC, AND IT WAS VERIFIED VERBALLY BY THE CAPT. WE WERE GIVEN A FURTHER SPD REDUCTION DURING THE DSCNT TO 210 KTS. AT SOME TIME DURING THE DSCNT, THE ALT IN THE DIGITAL LED DISPLAY CHANGED TO 12000 FT, WHICH OCCURS OCCASIONALLY ON THE MD88 IN VARIOUS DIGITAL LED DISPLAYS ON THE AUTOFLT PANEL. THE AUTOPLT CONTINUED DSCNT AND LEVELED AT 12000 FT. APCH CTL QUERIED US AS TO OUR ALT, AND WE RPTED LEVEL AT 12000 FT, REALIZING THAT THE ALT WAS SUPPOSED TO HAVE BEEN 13000 FT. APCH THEN HAD US CONTINUE OUR DSCNT. NO CONFLICT WAS NOTED. HUMAN FACTORS: THE CREW HAD BEEN REROUTED FOLLOWING A 4-HR DELAY AT A PREVIOUS STATION AND WAS APCHING NEARLY 12 HRS ON DUTY. BOTH PLTS COMMUTE FROM WESTERN TIME ZONES AND HAD RPTED FOR DUTY VERY EARLY, HOWEVER, CREW COORD WAS VERY GOOD. POSSIBLE CAUSE WAS OVERRELIANCE ON THE AUTOFLT SYS WHICH SHOULD HAVE BEEN MONITORED MORE CAREFULLY DURING A BUSY ARR. I HAVE PERSONALLY EXPERIENCED SEVERAL OCCASIONS ON THIS ACFT WHERE VALUES SET IN THE LED WINDOWS HAVE CHANGED BY 1 OR MORE NUMBERS, WHICH REQUIRES INCREASED VIGILANCE BY THE CREW. I, AS THE PF, SHOULD HAVE MONITORED THE LEVELOFF MORE CAREFULLY RATHER THAN RELYING ON THE AUTOPLT.
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.