37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 359641 |
Time | |
Date | 199701 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : sjc |
State Reference | CA |
Altitude | msl bound lower : 5000 msl bound upper : 5300 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : sjc |
Operator | common carrier : air carrier |
Make Model Name | B737-400 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure other departure sid : sid |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 250 flight time total : 5700 flight time type : 1100 |
ASRS Report | 359641 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 240 flight time total : 18600 flight time type : 2300 |
ASRS Report | 359490 |
Events | |
Anomaly | altitude deviation : overshoot non adherence : published procedure non adherence : clearance |
Independent Detector | aircraft equipment other aircraft equipment : unspecified other flight crewa |
Resolutory Action | flight crew : became reoriented flight crew : returned to intended course or assigned course |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We departed runway 30L at sjc. Our clearance was via the sjc 8 departure, which calls for a right turn to 110 degrees to join the oak R-121. The departure requires the turn to commence at sjc 1.8 DME to stay within 4.0 DME and a level off at 5000 ft. We were navigating using FMS. Workload was high for both pilots, and the FMS did not appear to be intercepting the course. Neither pilot noticed the altitude passing 5000 ft. At 5300 ft, the altitude alerter sounded and immediately departure control cleared us to 6000 ft. No mention of the deviation was made by ATC. The major cause of this deviation was when both pilots were distracted by a minor FMS problem during a busy departure. The PF should have ignored the FMS and switched to raw data navigation.
Original NASA ASRS Text
Title: AN ACR B737-400 CREW ADMITS TO AN ALTDEV ALT OVERSHOT ON CLBOUT.
Narrative: WE DEPARTED RWY 30L AT SJC. OUR CLRNC WAS VIA THE SJC 8 DEP, WHICH CALLS FOR A R TURN TO 110 DEGS TO JOIN THE OAK R-121. THE DEP REQUIRES THE TURN TO COMMENCE AT SJC 1.8 DME TO STAY WITHIN 4.0 DME AND A LEVEL OFF AT 5000 FT. WE WERE NAVING USING FMS. WORKLOAD WAS HIGH FOR BOTH PLTS, AND THE FMS DID NOT APPEAR TO BE INTERCEPTING THE COURSE. NEITHER PLT NOTICED THE ALT PASSING 5000 FT. AT 5300 FT, THE ALT ALERTER SOUNDED AND IMMEDIATELY DEP CTL CLRED US TO 6000 FT. NO MENTION OF THE DEV WAS MADE BY ATC. THE MAJOR CAUSE OF THIS DEV WAS WHEN BOTH PLTS WERE DISTRACTED BY A MINOR FMS PROB DURING A BUSY DEP. THE PF SHOULD HAVE IGNORED THE FMS AND SWITCHED TO RAW DATA NAV.
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.