37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 361020 |
Time | |
Date | 199702 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : sat |
State Reference | TX |
Altitude | msl bound lower : 2300 msl bound upper : 3000 |
Environment | |
Flight Conditions | Marginal |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : sat tower : den |
Operator | common carrier : air carrier |
Make Model Name | B737-200 |
Operating Under FAR Part | Part 121 |
Flight Phase | descent : approach |
Route In Use | arrival other enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 15500 flight time type : 4200 |
ASRS Report | 361020 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 6600 flight time type : 3000 |
ASRS Report | 361426 |
Events | |
Anomaly | altitude deviation : crossing restriction not met altitude deviation : overshoot non adherence : published procedure non adherence : clearance other anomaly other |
Independent Detector | other controllera |
Resolutory Action | flight crew : returned to intended course or assigned course flight crew : became reoriented other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Last leg of the day, captain flying, aircraft had been 'cleared for ILS, runway 12R, 3000 ft until established.' captain neglected to select 'altitude hold' at 3000 ft (autoplt was engaged). At 2400 ft MSL, approach advised crew that they were too low and directed a climb back to 3000 ft MSL. Climb was initiated and ILS GS intercepted at 2650 ft MSL. The crew members obviously allowed themselves to be distracted. A little more attention to the work at hand at the end of the day would have prevented this occurrence.
Original NASA ASRS Text
Title: B737-200 ALTDEV ALT OVERSHOOT EXCURSION DURING RADAR VECTOR FOR AN IAP ILS APCH TO SAT.
Narrative: LAST LEG OF THE DAY, CAPT FLYING, ACFT HAD BEEN 'CLRED FOR ILS, RWY 12R, 3000 FT UNTIL ESTABLISHED.' CAPT NEGLECTED TO SELECT 'ALT HOLD' AT 3000 FT (AUTOPLT WAS ENGAGED). AT 2400 FT MSL, APCH ADVISED CREW THAT THEY WERE TOO LOW AND DIRECTED A CLB BACK TO 3000 FT MSL. CLB WAS INITIATED AND ILS GS INTERCEPTED AT 2650 FT MSL. THE CREW MEMBERS OBVIOUSLY ALLOWED THEMSELVES TO BE DISTRACTED. A LITTLE MORE ATTN TO THE WORK AT HAND AT THE END OF THE DAY WOULD HAVE PREVENTED THIS OCCURRENCE.
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.