37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 407760 |
Time | |
Date | 199807 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : sju |
State Reference | PR |
Altitude | msl bound lower : 8000 msl bound upper : 8500 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : sju |
Operator | common carrier : air carrier |
Make Model Name | ATR 42 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other |
Flight Phase | climbout : intermediate altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 107 flight time total : 1563 flight time type : 83 |
ASRS Report | 407760 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : overshoot non adherence : published procedure non adherence : clearance |
Independent Detector | 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:
We were climbing to our final altitude of 8000 ft. I was flying by hand (autoplt off) but following the flight director bars. Using the flight director bars helps maintain tighter airwork tolerances, but hand flying increases reliance on your copilot to manage the flight director. Passing 6500 ft in the climb, we were given 'pilot's discretion to 6000 ft.' I asked the captain if we were still cleared to 8000 ft. He said yes and directed me to continue the climb. He set 6000 ft in the flight director and I confirmed it as our next altitude. Unfortunately, neither of us immediately realized that we had a climb without a target altitude. The flight director would not capture altitude (8000 ft) since we reset it to an altitude we had already passed. The captain, as PNF, directed his attention to some administrative company communications, while I concentrated on the flight director bars. At 8500 ft, we both realized the error and I began a descent back to 8000 ft (which I overshot to 7900 ft). Recommendation: 1) for PNF, focus on monitoring tasks during transitions. Company calls can wait. 2) for PF, don't be a slave to the flight director. One must drive the bars just as when using the autoplt to ensure they are commanding what you want. Matching the 'pipper' to the bars is secondary. Small deviations from perfect airwork are preferable to flying the wrong altitude, heading or airspeed perfectly.
Original NASA ASRS Text
Title: MISUSE OF AN ALT ALERTER CONTRIBUTES TO AN ALTDEV ON DEP CLB IN AN ATR42 NEAR SJU, PR.
Narrative: WE WERE CLBING TO OUR FINAL ALT OF 8000 FT. I WAS FLYING BY HAND (AUTOPLT OFF) BUT FOLLOWING THE FLT DIRECTOR BARS. USING THE FLT DIRECTOR BARS HELPS MAINTAIN TIGHTER AIRWORK TOLERANCES, BUT HAND FLYING INCREASES RELIANCE ON YOUR COPLT TO MANAGE THE FLT DIRECTOR. PASSING 6500 FT IN THE CLB, WE WERE GIVEN 'PLT'S DISCRETION TO 6000 FT.' I ASKED THE CAPT IF WE WERE STILL CLRED TO 8000 FT. HE SAID YES AND DIRECTED ME TO CONTINUE THE CLB. HE SET 6000 FT IN THE FLT DIRECTOR AND I CONFIRMED IT AS OUR NEXT ALT. UNFORTUNATELY, NEITHER OF US IMMEDIATELY REALIZED THAT WE HAD A CLB WITHOUT A TARGET ALT. THE FLT DIRECTOR WOULD NOT CAPTURE ALT (8000 FT) SINCE WE RESET IT TO AN ALT WE HAD ALREADY PASSED. THE CAPT, AS PNF, DIRECTED HIS ATTN TO SOME ADMINISTRATIVE COMPANY COMS, WHILE I CONCENTRATED ON THE FLT DIRECTOR BARS. AT 8500 FT, WE BOTH REALIZED THE ERROR AND I BEGAN A DSCNT BACK TO 8000 FT (WHICH I OVERSHOT TO 7900 FT). RECOMMENDATION: 1) FOR PNF, FOCUS ON MONITORING TASKS DURING TRANSITIONS. COMPANY CALLS CAN WAIT. 2) FOR PF, DON'T BE A SLAVE TO THE FLT DIRECTOR. ONE MUST DRIVE THE BARS JUST AS WHEN USING THE AUTOPLT TO ENSURE THEY ARE COMMANDING WHAT YOU WANT. MATCHING THE 'PIPPER' TO THE BARS IS SECONDARY. SMALL DEVS FROM PERFECT AIRWORK ARE PREFERABLE TO FLYING THE WRONG ALT, HDG OR AIRSPD PERFECTLY.
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.