37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 388770 |
Time | |
Date | 199712 |
Day | Wed |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : lrp |
State Reference | PA |
Altitude | msl bound lower : 12000 msl bound upper : 13000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zny |
Operator | common carrier : air carrier |
Make Model Name | DC-9 30 |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise other descent other |
Route In Use | enroute airway : zny enroute other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : cfi pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 10000 flight time type : 1000 |
ASRS Report | 388770 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Events | |
Anomaly | altitude deviation : undershoot altitude deviation : crossing restriction not met non adherence : clearance other anomaly other |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance flight crew : exited adverse environment other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
ZNY told us to cross 5 mi west of lrp VOR at 12000 ft. As is company procedure the first officer set the altitude alerter. However, he set 13000 ft, not 12000 ft as it should have been. The first officer was flying the aircraft as we leveled at 13000 ft. When we were at the 5 DME fix, ZNY asked if we were level at 12000 ft. I stated no. The controller gave us a turn to avoid traffic and told us to descend to 12000 ft. We did so immediately, arriving at 12000 ft at approximately 2 DME. When talking afterwards with the first officer about what had happened, he said that I had read back 13000 ft (not 12000 ft) when we received the clearance. I can't honestly remember what I said. This problem could have been averted many times: 1) first officer hearing the 12000 ft clearance initially and not relying on what I said on the readback. 2) more care taken on my part -- if I did actually say 13000 ft and not 12000 ft. 3) when the first officer set 13000 ft in the altitude window I should have caught it. 4) when we leveled at 13000 ft, I should have caught it. 5) if I did read 13000 ft, none of us (captain, first officer, controller) caught it.
Original NASA ASRS Text
Title: A DC9-30 FLC LEVELS OFF 1000 FT TOO HIGH FOR THEIR XING RESTR. THE FO PF HAD SET HIS OWN ALT ALERT BASED UPON WHAT HE THOUGHT THE CAPT HAD READ BACK TO ATC. ZNY CTLR CORRECTS THE SIT.
Narrative: ZNY TOLD US TO CROSS 5 MI W OF LRP VOR AT 12000 FT. AS IS COMPANY PROC THE FO SET THE ALT ALERTER. HOWEVER, HE SET 13000 FT, NOT 12000 FT AS IT SHOULD HAVE BEEN. THE FO WAS FLYING THE ACFT AS WE LEVELED AT 13000 FT. WHEN WE WERE AT THE 5 DME FIX, ZNY ASKED IF WE WERE LEVEL AT 12000 FT. I STATED NO. THE CTLR GAVE US A TURN TO AVOID TFC AND TOLD US TO DSND TO 12000 FT. WE DID SO IMMEDIATELY, ARRIVING AT 12000 FT AT APPROX 2 DME. WHEN TALKING AFTERWARDS WITH THE FO ABOUT WHAT HAD HAPPENED, HE SAID THAT I HAD READ BACK 13000 FT (NOT 12000 FT) WHEN WE RECEIVED THE CLRNC. I CAN'T HONESTLY REMEMBER WHAT I SAID. THIS PROB COULD HAVE BEEN AVERTED MANY TIMES: 1) FO HEARING THE 12000 FT CLRNC INITIALLY AND NOT RELYING ON WHAT I SAID ON THE READBACK. 2) MORE CARE TAKEN ON MY PART -- IF I DID ACTUALLY SAY 13000 FT AND NOT 12000 FT. 3) WHEN THE FO SET 13000 FT IN THE ALT WINDOW I SHOULD HAVE CAUGHT IT. 4) WHEN WE LEVELED AT 13000 FT, I SHOULD HAVE CAUGHT IT. 5) IF I DID READ 13000 FT, NONE OF US (CAPT, FO, CTLR) CAUGHT IT.
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.