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|
Attributes | |
ACN | 399607 |
Time | |
Date | 199804 |
Day | Wed |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : drk |
State Reference | AZ |
Altitude | msl bound lower : 33000 msl bound upper : 33700 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zla |
Operator | common carrier : air carrier |
Make Model Name | MD-80 Series (DC-9-80) Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | cruise other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 220 flight time total : 11000 flight time type : 5200 |
ASRS Report | 399607 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain |
Qualification | pilot : atp |
Experience | flight time last 90 days : 240 flight time total : 17000 flight time type : 12000 |
ASRS Report | 399910 |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : clearance non adherence : far |
Independent Detector | aircraft equipment other aircraft equipment : unspecified 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:
Captain just finished an engine health check (autoplt in basic altitude hold mode) and had reengaged the automated pms altitude hold mode at FL330. Soon thereafter, I noticed aircraft was climbing through FL334 and alerted the captain. Using basic autoplt, he stopped the climb by FL337 and descended promptly after totally disconnecting the autoplt. I also noticed that the digital altitude window readout read FL340. As the pms was in the cruise mode, an inadvertent changing of the digital altitude level would not normally cause any change in altitude, a climb or descent mode must first be engaged. Likewise, an inadvertent activation of the vertical speed wheel (basic autoplt) would not cause the digital altitude window to read FL340. Therefore two separate inadvertent acts would have been necessary to achieve this effect without a malfunction of the pms. Therefore it is my belief that a momentary pms malfunction caused the digital discrepancy and resulted in the short duration altitude deviation described.
Original NASA ASRS Text
Title: AUTOFLT SYSTEM ALT SET CHANGED FROM FL330 TO FL340 BY ITSELF. FO NOTICED DEVIATION AT FL334. EXCURSION CORRECTED BY FL337 USING MANUAL CTL.
Narrative: CAPT JUST FINISHED AN ENGINE HEALTH CHECK (AUTOPLT IN BASIC ALT HOLD MODE) AND HAD REENGAGED THE AUTOMATED PMS ALT HOLD MODE AT FL330. SOON THEREAFTER, I NOTICED ACFT WAS CLBING THROUGH FL334 AND ALERTED THE CAPT. USING BASIC AUTOPLT, HE STOPPED THE CLB BY FL337 AND DSNDED PROMPTLY AFTER TOTALLY DISCONNECTING THE AUTOPLT. I ALSO NOTICED THAT THE DIGITAL ALT WINDOW READOUT READ FL340. AS THE PMS WAS IN THE CRUISE MODE, AN INADVERTENT CHANGING OF THE DIGITAL ALT LEVEL WOULD NOT NORMALLY CAUSE ANY CHANGE IN ALT, A CLB OR DSCNT MODE MUST FIRST BE ENGAGED. LIKEWISE, AN INADVERTENT ACTIVATION OF THE VERTICAL SPEED WHEEL (BASIC AUTOPLT) WOULD NOT CAUSE THE DIGITAL ALT WINDOW TO READ FL340. THEREFORE TWO SEPARATE INADVERTENT ACTS WOULD HAVE BEEN NECESSARY TO ACHIEVE THIS EFFECT WITHOUT A MALFUNCTION OF THE PMS. THEREFORE IT IS MY BELIEF THAT A MOMENTARY PMS MALFUNCTION CAUSED THE DIGITAL DISCREPANCY AND RESULTED IN THE SHORT DURATION ALT DEV DESCRIBED.
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.