37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 361010 |
Time | |
Date | 199702 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : pye |
State Reference | CA |
Altitude | msl bound lower : 14700 msl bound upper : 16200 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : oak tower : mem |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | descent other |
Route In Use | arrival other arrival star : star enroute other |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | Xingu EMB-121 All Series |
Operating Under FAR Part | Part 135 |
Navigation In Use | Other |
Flight Phase | cruise other |
Route In Use | enroute other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : flight engineer pilot : atp pilot : commercial |
Experience | flight time last 90 days : 150 flight time total : 7000 flight time type : 3000 |
ASRS Report | 361010 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : overshoot conflict : airborne less severe non adherence : required legal separation non adherence : far non adherence : clearance other anomaly other |
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 flight crew : took evasive action |
Consequence | Other |
Miss Distance | horizontal : 21000 vertical : 1300 |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Pilot Deviation Operational Error |
Narrative:
The deviation occurred at the end of the total scenario that lasted approximately 20-30 seconds. First, I was in an idle descent, LNAV, level change and autoplt on to an altitude of 15000 ft MSL. As I was descending through approximately 16000-16300 ft MSL, I had a 'traffic, traffic,' TCASII and I then went to a vertical speed of about 1000-1500 FPM to keep from getting an RA but at about 15300 ft MSL I received a 'climb, climb, climb,' TCASII RA. I then disconnected the autoplt and followed the TCASII RA to approximately 15800-16200 ft when TCASII said 'monitor vertical speed.' I then stopped my ascent and started back down to 15000 ft MSL assigned because I was at approximately 15800-16200 ft. Second, the RA was complied with adherence to SOP and completed when TCASII said 'clear of conflict.' I was now descending through approximately 16200 ft to 15000 ft with the autoplt off. As I am approaching 15000 ft for the second time, the TCASII says 'traffic, traffic,' again with the same target to my right which is north of my position. Because it was VMC, I felt a big desire to acquire the traffic visually and I did see the brasilia aircraft. I then stated to the captain 'I have the aircraft in sight, no factor.' this all happened at once and I was visually fixated on the aircraft for a moment of time and descended through my altitude. As we caught our own deviation, I immediately went back to 15000 ft. In closing, this event took approximately 20-30 seconds from beginning to end. The human factors workload tasking was very high and intense with another aircraft in the area. Acquiring the aircraft visually was a relief and an important task at the particular moment in time. The situation was too dynamic and short to come up with a quick solution to this situation.
Original NASA ASRS Text
Title: B737-300 DSCNT TO OCCUPIED ALT. TCASII RA SENDS HIM INTO EVASIVE ACTION CLB DSCNT. ALT OVERSHOOT IN DSCNT.
Narrative: THE DEV OCCURRED AT THE END OF THE TOTAL SCENARIO THAT LASTED APPROX 20-30 SECONDS. FIRST, I WAS IN AN IDLE DSCNT, LNAV, LEVEL CHANGE AND AUTOPLT ON TO AN ALT OF 15000 FT MSL. AS I WAS DSNDING THROUGH APPROX 16000-16300 FT MSL, I HAD A 'TFC, TFC,' TCASII AND I THEN WENT TO A VERT SPD OF ABOUT 1000-1500 FPM TO KEEP FROM GETTING AN RA BUT AT ABOUT 15300 FT MSL I RECEIVED A 'CLB, CLB, CLB,' TCASII RA. I THEN DISCONNECTED THE AUTOPLT AND FOLLOWED THE TCASII RA TO APPROX 15800-16200 FT WHEN TCASII SAID 'MONITOR VERT SPD.' I THEN STOPPED MY ASCENT AND STARTED BACK DOWN TO 15000 FT MSL ASSIGNED BECAUSE I WAS AT APPROX 15800-16200 FT. SECOND, THE RA WAS COMPLIED WITH ADHERENCE TO SOP AND COMPLETED WHEN TCASII SAID 'CLR OF CONFLICT.' I WAS NOW DSNDING THROUGH APPROX 16200 FT TO 15000 FT WITH THE AUTOPLT OFF. AS I AM APCHING 15000 FT FOR THE SECOND TIME, THE TCASII SAYS 'TFC, TFC,' AGAIN WITH THE SAME TARGET TO MY R WHICH IS N OF MY POS. BECAUSE IT WAS VMC, I FELT A BIG DESIRE TO ACQUIRE THE TFC VISUALLY AND I DID SEE THE BRASILIA ACFT. I THEN STATED TO THE CAPT 'I HAVE THE ACFT IN SIGHT, NO FACTOR.' THIS ALL HAPPENED AT ONCE AND I WAS VISUALLY FIXATED ON THE ACFT FOR A MOMENT OF TIME AND DSNDED THROUGH MY ALT. AS WE CAUGHT OUR OWN DEV, I IMMEDIATELY WENT BACK TO 15000 FT. IN CLOSING, THIS EVENT TOOK APPROX 20-30 SECONDS FROM BEGINNING TO END. THE HUMAN FACTORS WORKLOAD TASKING WAS VERY HIGH AND INTENSE WITH ANOTHER ACFT IN THE AREA. ACQUIRING THE ACFT VISUALLY WAS A RELIEF AND AN IMPORTANT TASK AT THE PARTICULAR MOMENT IN TIME. THE SIT WAS TOO DYNAMIC AND SHORT TO COME UP WITH A QUICK SOLUTION TO THIS SIT.
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.