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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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B737-500 aircraft with an on board emergency heart attack patient, flight crew set departure altimeter setting at arrival airport and overshot assigned altitude. Controller intervened and they discovered their error.
| Attributes | |
| ACN | 389102 |
| Time | |
| Date | 199712 |
| Day | Sun |
| Local Time Of Day | 1201 To 1800 |
| Place | |
| Locale Reference | airport : lax |
| State Reference | CA |
| Altitude | msl bound lower : 3500 msl bound upper : 4000 |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | tracon : lax tower : adq |
| Operator | common carrier : air carrier |
| Make Model Name | B737-500 |
| Operating Under FAR Part | Part 121 |
| Navigation In Use | Other Other |
| Flight Phase | descent : approach descent other other |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| Experience | flight time last 90 days : 270 flight time total : 7000 flight time type : 1000 |
| ASRS Report | 389102 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : atp pilot : cfi pilot : commercial pilot : instrument |
| Experience | flight time last 90 days : 250 flight time total : 7200 flight time type : 450 |
| ASRS Report | 388896 |
| Events | |
| Anomaly | altitude deviation : overshoot non adherence : clearance other anomaly other |
| Independent Detector | other controllera |
| Resolutory Action | flight crew : declared emergency flight crew : returned to intended course or assigned course other |
| Consequence | Other |
| Supplementary | |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
As an emergency aircraft we were being vectored for a visual approach to runway 25R at lax to expedite landing with a heart attack patient on board. We leveled off at 4000 ft with the departure printed ATIS altimeter setting (sfo) set instead of lax setting. The controller immediately challenged our 'altitude cleared to' and we climbed back to 4000 ft. In the heat of battle one must be careful to pay attention to all the details.
Original NASA ASRS Text
Title: B737-500 ACFT WITH AN ON BOARD EMER HEART ATTACK PATIENT, FLC SET DEP ALTIMETER SETTING AT ARR ARPT AND OVERSHOT ASSIGNED ALT. CTLR INTERVENED AND THEY DISCOVERED THEIR ERROR.
Narrative: AS AN EMER ACFT WE WERE BEING VECTORED FOR A VISUAL APCH TO RWY 25R AT LAX TO EXPEDITE LNDG WITH A HEART ATTACK PATIENT ON BOARD. WE LEVELED OFF AT 4000 FT WITH THE DEP PRINTED ATIS ALTIMETER SETTING (SFO) SET INSTEAD OF LAX SETTING. THE CTLR IMMEDIATELY CHALLENGED OUR 'ALT CLRED TO' AND WE CLBED BACK TO 4000 FT. IN THE HEAT OF BATTLE ONE MUST BE CAREFUL TO PAY ATTN TO ALL THE DETAILS.
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.