37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 390470 |
Time | |
Date | 199801 |
Day | Sun |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : lyd |
State Reference | FO |
Altitude | msl bound lower : 8000 msl bound upper : 8450 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : egtt |
Operator | common carrier : air carrier |
Make Model Name | MD-11 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure other departure sid : sid |
Flight Plan | IFR |
Aircraft 2 | |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Operating Under FAR Part | other : unknown |
Flight Phase | cruise 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 : 138 flight time total : 11000 flight time type : 3512 |
ASRS Report | 390470 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : flight engineer pilot : atp pilot : commercial |
Experience | flight time last 90 days : 50 flight time total : 10000 flight time type : 1000 |
ASRS Report | 390196 |
Events | |
Anomaly | altitude deviation : overshoot conflict : airborne less severe non adherence : published procedure non adherence : required legal separation non adherence : far non adherence : clearance |
Independent Detector | other controllera |
Resolutory Action | flight crew : returned to assigned altitude other |
Consequence | Other |
Miss Distance | horizontal : 12000 vertical : 500 |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
During SID climb, clearance to FL080 was received and properly read back. Captain was flying and selected 8000 ft on altitude alerter. FMS problem by first officer clearing hard coded 5000 ft restr diverted crew's attention. Qne 101.3 millibars was not set in altimeters for correct leveloff. Autoplt leveled at 8000 ft qnh with 987 millibars set. Result was about 450 ft above FL080 clearance. Converging traffic was observed by crew at 10 O'clock going to 9 O'clock at very close to aircraft altitude. London control called traffic and descend to FL080 immediately. Captain started descent and qne altimeter error was discovered. Estimated miss was greater than 500 ft and other aircraft was well behind reporting aircraft. EFIS aircraft should show flight level altitude in different format than qnh (MSL). International variations in transition level do not allow habit patterns to help altimeter changes.
Original NASA ASRS Text
Title: AN ACR MD11 FREIGHTER FLC CLBED ABOVE THEIR ASSIGNED ALT WHEN THEY LEFT THE ALTIMETER SET FOR QNH WHEN THEY CLBED ABOVE THE TRANSITION ALT.
Narrative: DURING SID CLB, CLRNC TO FL080 WAS RECEIVED AND PROPERLY READ BACK. CAPT WAS FLYING AND SELECTED 8000 FT ON ALT ALERTER. FMS PROB BY FO CLRING HARD CODED 5000 FT RESTR DIVERTED CREW'S ATTN. QNE 101.3 MILLIBARS WAS NOT SET IN ALTIMETERS FOR CORRECT LEVELOFF. AUTOPLT LEVELED AT 8000 FT QNH WITH 987 MILLIBARS SET. RESULT WAS ABOUT 450 FT ABOVE FL080 CLRNC. CONVERGING TFC WAS OBSERVED BY CREW AT 10 O'CLOCK GOING TO 9 O'CLOCK AT VERY CLOSE TO ACFT ALT. LONDON CTL CALLED TFC AND DSND TO FL080 IMMEDIATELY. CAPT STARTED DSCNT AND QNE ALTIMETER ERROR WAS DISCOVERED. ESTIMATED MISS WAS GREATER THAN 500 FT AND OTHER ACFT WAS WELL BEHIND RPTING ACFT. EFIS ACFT SHOULD SHOW FLT LEVEL ALT IN DIFFERENT FORMAT THAN QNH (MSL). INTL VARIATIONS IN TRANSITION LEVEL DO NOT ALLOW HABIT PATTERNS TO HELP ALTIMETER CHANGES.
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.