37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 364000 |
Time | |
Date | 199703 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : ott |
State Reference | MD |
Altitude | msl bound lower : 15000 msl bound upper : 17000 |
Environment | |
Flight Conditions | VMC |
Light | Dusk |
Aircraft 1 | |
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 enroute airway : zdc |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 225 flight time total : 12000 flight time type : 5500 |
ASRS Report | 364000 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : crossing restriction not met altitude deviation : undershoot non adherence : clearance non adherence : published procedure |
Independent Detector | other flight crewa |
Resolutory Action | none taken : anomaly accepted none taken : insufficient time |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Received descent clearance to cross jaybo intersection at 15000 ft. I (PNF) read back that clearance. FMC had 15000 ft at hedge intersection, which is 9 DME past jaybo intersection. As I was about to bring the error to the captain's attention, he brought down 15000 ft to the scratch pad. Being dusk, looking into the sun, and the glare making viewing his FMC difficult, I failed to confirm the change. Past jaybo, I checked the descent page and realized the FMC had not been changed and we had missed the restr. My inaction to confirm the proper crossing restr had been executed by the PF was the result of: 1) the PF was competent and not prone to making such a major mistake, therefore, leading me in assuming the correction was made. 2) intense glare making viewing the FMC difficult. 3) seeing the PF bring down 15000 ft to the scratch pad, I was confident he was aware of the error in the FMC. 4) 15000 ft is plainly noted on the arrival as the altitude to expect at jaybo, not hedge. 5) I assumed my readback of the proper restr was heard by the PF, in addition to ATC's instruction.
Original NASA ASRS Text
Title: FLC OF A B737-400 FAILED TO DSND IN A TIMELY MANNER TO MAKE AN ALT XING RESTR. FMC WAS NOT PROGRAMMED WITH NEW DSCNT ALT.
Narrative: RECEIVED DSCNT CLRNC TO CROSS JAYBO INTXN AT 15000 FT. I (PNF) READ BACK THAT CLRNC. FMC HAD 15000 FT AT HEDGE INTXN, WHICH IS 9 DME PAST JAYBO INTXN. AS I WAS ABOUT TO BRING THE ERROR TO THE CAPT'S ATTN, HE BROUGHT DOWN 15000 FT TO THE SCRATCH PAD. BEING DUSK, LOOKING INTO THE SUN, AND THE GLARE MAKING VIEWING HIS FMC DIFFICULT, I FAILED TO CONFIRM THE CHANGE. PAST JAYBO, I CHKED THE DSCNT PAGE AND REALIZED THE FMC HAD NOT BEEN CHANGED AND WE HAD MISSED THE RESTR. MY INACTION TO CONFIRM THE PROPER XING RESTR HAD BEEN EXECUTED BY THE PF WAS THE RESULT OF: 1) THE PF WAS COMPETENT AND NOT PRONE TO MAKING SUCH A MAJOR MISTAKE, THEREFORE, LEADING ME IN ASSUMING THE CORRECTION WAS MADE. 2) INTENSE GLARE MAKING VIEWING THE FMC DIFFICULT. 3) SEEING THE PF BRING DOWN 15000 FT TO THE SCRATCH PAD, I WAS CONFIDENT HE WAS AWARE OF THE ERROR IN THE FMC. 4) 15000 FT IS PLAINLY NOTED ON THE ARR AS THE ALT TO EXPECT AT JAYBO, NOT HEDGE. 5) I ASSUMED MY READBACK OF THE PROPER RESTR WAS HEARD BY THE PF, IN ADDITION TO ATC'S INSTRUCTION.
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.