37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 365130 |
Time | |
Date | 199704 |
Day | Tue |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : lax |
State Reference | CA |
Altitude | msl bound lower : 11700 msl bound upper : 12000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : lax |
Operator | common carrier : air carrier |
Make Model Name | B767-200 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | descent other |
Route In Use | arrival other arrival star : star enroute airway : lax |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 194 flight time total : 8940 flight time type : 198 |
ASRS Report | 365130 |
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 : overshoot non adherence : published procedure non adherence : clearance |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : returned to intended course or assigned course |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Flight was on board a B767-200 and was cleared to descend via the civit arrival to lax. The captain was PF. I was busy with company duties, eg, calling company operations for gate assignment, alerting the cabin crew to prepare for arrival. Originally, the captain was descending using VNAV and it had been performing satisfactory. I recall being given an airspeed assignment of '300 KTS or greater.' I noticed that his airspeed bug dropped to 250 KTS (due to VNAV preparing to descend below 10000 ft or possibly being programmed to cross bremr at 250 KTS and greater than or equal to 12000 ft. When pausing between tasks, I noticed we were 8 NM from bremr and were descending through approximately 13300 ft. I noticed that the captain was trying to override the speed reduction by selecting 300 KTS on the MCP. I assumed that he was using VNAV speed intervention. Therefore, I assumed that the autoplt was going to level off at 12000 ft to make the crossing at bremr at or above 12000 ft (D40 lax). After my incorrect assumption, I advised the captain that we were going through 12000 ft -- a rechk of the SID confirmed the requirement. We were 4 mi from bremr and descending through 11700 ft! The captain and I were both perplexed as to why the autoplt did not level off at 12000 ft. It turns out that the autoplt was doing exactly as it was told to do. The captain had selected flight level change, 10000 ft was the selected altitude -- the lowest altitude on the arrival. The captain was fixating on his airspeed, I was distraction by miscellaneous duties and failed to xchk the autoflt mode in use.
Original NASA ASRS Text
Title: FLC OF A B767-200 OVERSHOT DSCNT XING ALT DURING A STAR ARR DUE TO THE CAPT SELECTING THE WRONG FMC MODE CTL.
Narrative: FLT WAS ON BOARD A B767-200 AND WAS CLRED TO DSND VIA THE CIVIT ARR TO LAX. THE CAPT WAS PF. I WAS BUSY WITH COMPANY DUTIES, EG, CALLING COMPANY OPS FOR GATE ASSIGNMENT, ALERTING THE CABIN CREW TO PREPARE FOR ARR. ORIGINALLY, THE CAPT WAS DSNDING USING VNAV AND IT HAD BEEN PERFORMING SATISFACTORY. I RECALL BEING GIVEN AN AIRSPD ASSIGNMENT OF '300 KTS OR GREATER.' I NOTICED THAT HIS AIRSPD BUG DROPPED TO 250 KTS (DUE TO VNAV PREPARING TO DSND BELOW 10000 FT OR POSSIBLY BEING PROGRAMMED TO CROSS BREMR AT 250 KTS AND GREATER THAN OR EQUAL TO 12000 FT. WHEN PAUSING BTWN TASKS, I NOTICED WE WERE 8 NM FROM BREMR AND WERE DSNDING THROUGH APPROX 13300 FT. I NOTICED THAT THE CAPT WAS TRYING TO OVERRIDE THE SPD REDUCTION BY SELECTING 300 KTS ON THE MCP. I ASSUMED THAT HE WAS USING VNAV SPD INTERVENTION. THEREFORE, I ASSUMED THAT THE AUTOPLT WAS GOING TO LEVEL OFF AT 12000 FT TO MAKE THE XING AT BREMR AT OR ABOVE 12000 FT (D40 LAX). AFTER MY INCORRECT ASSUMPTION, I ADVISED THE CAPT THAT WE WERE GOING THROUGH 12000 FT -- A RECHK OF THE SID CONFIRMED THE REQUIREMENT. WE WERE 4 MI FROM BREMR AND DSNDING THROUGH 11700 FT! THE CAPT AND I WERE BOTH PERPLEXED AS TO WHY THE AUTOPLT DID NOT LEVEL OFF AT 12000 FT. IT TURNS OUT THAT THE AUTOPLT WAS DOING EXACTLY AS IT WAS TOLD TO DO. THE CAPT HAD SELECTED FLT LEVEL CHANGE, 10000 FT WAS THE SELECTED ALT -- THE LOWEST ALT ON THE ARR. THE CAPT WAS FIXATING ON HIS AIRSPD, I WAS DISTR BY MISC DUTIES AND FAILED TO XCHK THE AUTOFLT MODE IN USE.
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.