37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 411760 |
Time | |
Date | 199808 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : zau |
State Reference | IL |
Altitude | msl bound lower : 28000 msl bound upper : 29200 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zau |
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 |
Flight Phase | climbout : intermediate altitude |
Route In Use | enroute airway : zau |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : flight engineer pilot : atp pilot : commercial |
ASRS Report | 411760 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance non adherence : published procedure |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : returned to intended course or assigned course flight crew : became reoriented |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
I was PNF on aug/tue/98, which was in process of leveling off at FL290 1000 ft above FL280 assigned. Controling agency ZAU reclred flight to FL280 while climbing to FL230 on mke-stl leg. The cause of the overshoot, I believe, was a cockpit preoccupation with the captain's problem trimming the aircraft plus a possible movement of the altitude window digit from 28000 ft to 29000 ft after the altitude was set. To my knowledge I set and armed 28000 ft and pointed to the window to double check and then to the yellow 'altitude' readout on the MD80 flight management annunciator window. During the climb the captain asked me several questions about the aircraft trim and in my response I mentioned that I usually just trim with aileron and worry about rudder trim adjustments after leveloff. He continued to explore the trim problem until I felt the aircraft lurch forward in pitch and I saw 29200 ft on my altimeter. If 29000 ft was missing in window it should've leveled off at 29000 ft so I believe somehow altitude setting slipped 1 digit and disarmed the altitude without PF or PNF (me) seeing it. Recommend: 1) check with manufacturer to see if altitude window can 'autonomously' slip 1 digit and disarm after it has been set and armed? 2) pilots be encouraged not to discuss any non essential subjects while altimeter is moving, especially during the initial climb out when activity slows down.
Original NASA ASRS Text
Title: A CLBING MD80 OVERSHOT ITS ASSIGNED ALT OF FL280 BY 1200 FT WHEN THE ALT ALERTER WINDOW WAS SET TO FL290 VERSUS FL280.
Narrative: I WAS PNF ON AUG/TUE/98, WHICH WAS IN PROCESS OF LEVELING OFF AT FL290 1000 FT ABOVE FL280 ASSIGNED. CTLING AGENCY ZAU RECLRED FLT TO FL280 WHILE CLBING TO FL230 ON MKE-STL LEG. THE CAUSE OF THE OVERSHOOT, I BELIEVE, WAS A COCKPIT PREOCCUPATION WITH THE CAPT'S PROB TRIMMING THE ACFT PLUS A POSSIBLE MOVEMENT OF THE ALT WINDOW DIGIT FROM 28000 FT TO 29000 FT AFTER THE ALT WAS SET. TO MY KNOWLEDGE I SET AND ARMED 28000 FT AND POINTED TO THE WINDOW TO DOUBLE CHK AND THEN TO THE YELLOW 'ALT' READOUT ON THE MD80 FLT MGMNT ANNUNCIATOR WINDOW. DURING THE CLB THE CAPT ASKED ME SEVERAL QUESTIONS ABOUT THE ACFT TRIM AND IN MY RESPONSE I MENTIONED THAT I USUALLY JUST TRIM WITH AILERON AND WORRY ABOUT RUDDER TRIM ADJUSTMENTS AFTER LEVELOFF. HE CONTINUED TO EXPLORE THE TRIM PROB UNTIL I FELT THE ACFT LURCH FORWARD IN PITCH AND I SAW 29200 FT ON MY ALTIMETER. IF 29000 FT WAS MISSING IN WINDOW IT SHOULD'VE LEVELED OFF AT 29000 FT SO I BELIEVE SOMEHOW ALT SETTING SLIPPED 1 DIGIT AND DISARMED THE ALT WITHOUT PF OR PNF (ME) SEEING IT. RECOMMEND: 1) CHK WITH MANUFACTURER TO SEE IF ALT WINDOW CAN 'AUTONOMOUSLY' SLIP 1 DIGIT AND DISARM AFTER IT HAS BEEN SET AND ARMED? 2) PLTS BE ENCOURAGED NOT TO DISCUSS ANY NON ESSENTIAL SUBJECTS WHILE ALTIMETER IS MOVING, ESPECIALLY DURING THE INITIAL CLBOUT WHEN ACTIVITY SLOWS DOWN.
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.