37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 367903 |
Time | |
Date | 199705 |
Day | Mon |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : cle |
State Reference | OH |
Altitude | msl bound lower : 8500 msl bound upper : 9000 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : cle |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | cruise other cruise other |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : cfi pilot : commercial pilot : flight engineer |
Experience | flight time last 90 days : 240 flight time total : 6000 flight time type : 3600 |
ASRS Report | 367903 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | controller : radar |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : far other anomaly other other spatial deviation |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : returned to intended course or assigned course flight crew : became reoriented |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Level at 9000 ft over cleveland airport. Controller issued several turns to us for vectors, some being 210-270 degrees of turn. Controller issued instruction to turn 'right heading 020 degrees.' captain was flying aircraft on autoplt. He initiated turn to the left (he thought controller had said 320 degrees). I told him ATC wanted right turn to 020 degrees. He then disconnected autoplt and initiated right turn. He overbanked (to approximately 45 degrees) and started descending. I said, 'watch your altitude!' he quickly realized what was happening and arrested the descent at 8500 ft and climbed back up to 9000 ft, and rolled out of the bank on proper heading of 020 degrees. At the moment I realized he was losing altitude I turned the transponder off, and then turned it back once at 9000 ft. The controller never said anything about the altitude deviation, and the rest of the flight was uneventful. Contributing factors: the constant heading changes by ATC brought some frustration which caused the captain to switch off autoplt and then possible lack of attention to 'scan.' (we should have kept autoplt on.) as I reflected on my action (ie, turning off transponder), I'm not sure that was a good idea, mainly because it also renders TCASII inoperative, as well as altitude encoding.
Original NASA ASRS Text
Title: CAPT OF AN MLG TURNED THE WRONG WAY WHEN GIVEN A HEADING CHANGE BY ATC AND THEN SUBSEQUENTLY LOST ALT WHEN HE ROLLED BACK INTO A STEEP BANK TURN IN THE OPPOSITE DIRECTION. IN THE MEANTIME THE FO TURNED OFF THE XPONDER MOMENTARILY WHEN HE NOTICED THE CAPT HAD LOST 500 FT ALT.
Narrative: LEVEL AT 9000 FT OVER CLEVELAND ARPT. CTLR ISSUED SEVERAL TURNS TO US FOR VECTORS, SOME BEING 210-270 DEGS OF TURN. CTLR ISSUED INSTRUCTION TO TURN 'R HDG 020 DEGS.' CAPT WAS FLYING ACFT ON AUTOPLT. HE INITIATED TURN TO THE L (HE THOUGHT CTLR HAD SAID 320 DEGS). I TOLD HIM ATC WANTED R TURN TO 020 DEGS. HE THEN DISCONNECTED AUTOPLT AND INITIATED R TURN. HE OVERBANKED (TO APPROX 45 DEGS) AND STARTED DSNDING. I SAID, 'WATCH YOUR ALT!' HE QUICKLY REALIZED WHAT WAS HAPPENING AND ARRESTED THE DSCNT AT 8500 FT AND CLBED BACK UP TO 9000 FT, AND ROLLED OUT OF THE BANK ON PROPER HDG OF 020 DEGS. AT THE MOMENT I REALIZED HE WAS LOSING ALT I TURNED THE XPONDER OFF, AND THEN TURNED IT BACK ONCE AT 9000 FT. THE CTLR NEVER SAID ANYTHING ABOUT THE ALTDEV, AND THE REST OF THE FLT WAS UNEVENTFUL. CONTRIBUTING FACTORS: THE CONSTANT HEADING CHANGES BY ATC BROUGHT SOME FRUSTRATION WHICH CAUSED THE CAPT TO SWITCH OFF AUTOPLT AND THEN POSSIBLE LACK OF ATTN TO 'SCAN.' (WE SHOULD HAVE KEPT AUTOPLT ON.) AS I REFLECTED ON MY ACTION (IE, TURNING OFF XPONDER), I'M NOT SURE THAT WAS A GOOD IDEA, MAINLY BECAUSE IT ALSO RENDERS TCASII INOP, AS WELL AS ALT ENCODING.
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.