37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 412670 |
Time | |
Date | 199808 |
Day | Sat |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : rmg airport : atl |
State Reference | GA |
Altitude | msl bound lower : 12000 msl bound upper : 13000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : ztl tracon : atl |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | descent other |
Route In Use | arrival other arrival star : star enroute : direct enroute airway : ztl |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 240 flight time total : 18500 flight time type : 12000 |
ASRS Report | 412670 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 10500 flight time type : 1000 |
ASRS Report | 411964 |
Events | |
Anomaly | altitude deviation : crossing restriction not met altitude deviation : undershoot non adherence : clearance non adherence other other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | controller : issued new clearance none taken : anomaly accepted none taken : unable |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We were flying the rome 2 arrival procedure to atl. Received a clearance to cross erlin at 13000 ft. Later were given a clearance direct to dalas (11 mi beyond erlin). This clearance did not allow us to cross erlin so we were given 12 mi west of dalas at 13000 ft. So we could make this restr, I was trying to program a fix for the restr when I noticed the first officer had dialed 12000 ft instead of 13000 ft. We went to 12500 ft then back to 13000 ft. My first officer remembers the restr to be 12000 ft. I remember 13000 ft. The controllers were very busy, we were very busy as well. Couldn't get a word in to confirm the altitude. We were then xferred to approach and received a new clearance to 10000 ft. We didn't say anything, the controllers didn't say anything. They were probably too busy to notice. This is a classic example of automation- distraction developing into a possible busted altitude. I do indeed believe automated cockpit, at least navigation, is great. Because we had an automatic-cockpit, the controller knew this and gave us direct, which shortened our route a little but put our ability to make the restr in doubt. We were building the new fix to check if we were going to make the restr when confusion developed and things went 'south' from there. Supplemental information from acn 411964: our FMC was programmed to laterally navigation the rome 2 arrival profile as well as the vertical profile to comply with the erlin restr of 13000 ft at 250 KTS as dictated on the plate for a planned landing to the east. At 40 NM from the rmg VOR, we were cleared direct to dalas intersection and instructed to cross 10 NM west of dalas at 12000 ft. At the time of this clearance, we were level at FL240. As my captain began to reprogram our FMC, I entered 12000 ft in the altitude window of our MCP and before I started my descent, I requested that the PNF/captain visually confirm my altitude entry. To my recollection, he confirmed the 12000 ft entry. While my captain was busy with the FMC, I began a rapid vertical speed controled descent to cross 10 mi west of dalas at 12000 ft. ATC further complicated our situation by issuing a speed reduction to 250 KTS. After assessing our situation, I determined we could meet this restr, provided the speed brake was deployed and an immediate 3000-4000 FPM descent rate was initiated. Passing through 13000 ft and 14 NM west of dalas intersection, my captain suddenly took control of the aircraft and leveled off at 13000 ft, as opposed to our assigned altitude of 12000 ft. Due to the fact that it was VMC, and my situational awareness confirmed that no other aircraft were in our vicinity, I elected not to override my captain's actions. Contributing factors: both pilots relatively inexperienced in atl airspace, heavy navigation and communication workload, captain's confusion between past and current clearance, PNF distraction by last min automation workload, end result being an assigned altitude disagreement between the PF and PNF.
Original NASA ASRS Text
Title: A DSNDING B737-300 FAILS TO CROSS THE DALAS INTXN AT THE REQUIRED ALT OF 12000 FT. CAPT THOUGHT IT WAS A 13000 FT ALT ASSIGNMENT, THE FO PF THOUGHT 12000 FT.
Narrative: WE WERE FLYING THE ROME 2 ARR PROC TO ATL. RECEIVED A CLRNC TO CROSS ERLIN AT 13000 FT. LATER WERE GIVEN A CLRNC DIRECT TO DALAS (11 MI BEYOND ERLIN). THIS CLRNC DID NOT ALLOW US TO CROSS ERLIN SO WE WERE GIVEN 12 MI W OF DALAS AT 13000 FT. SO WE COULD MAKE THIS RESTR, I WAS TRYING TO PROGRAM A FIX FOR THE RESTR WHEN I NOTICED THE FO HAD DIALED 12000 FT INSTEAD OF 13000 FT. WE WENT TO 12500 FT THEN BACK TO 13000 FT. MY FO REMEMBERS THE RESTR TO BE 12000 FT. I REMEMBER 13000 FT. THE CTLRS WERE VERY BUSY, WE WERE VERY BUSY AS WELL. COULDN'T GET A WORD IN TO CONFIRM THE ALT. WE WERE THEN XFERRED TO APCH AND RECEIVED A NEW CLRNC TO 10000 FT. WE DIDN'T SAY ANYTHING, THE CTLRS DIDN'T SAY ANYTHING. THEY WERE PROBABLY TOO BUSY TO NOTICE. THIS IS A CLASSIC EXAMPLE OF AUTOMATION- DISTR DEVELOPING INTO A POSSIBLE BUSTED ALT. I DO INDEED BELIEVE AUTOMATED COCKPIT, AT LEAST NAV, IS GREAT. BECAUSE WE HAD AN AUTO-COCKPIT, THE CTLR KNEW THIS AND GAVE US DIRECT, WHICH SHORTENED OUR RTE A LITTLE BUT PUT OUR ABILITY TO MAKE THE RESTR IN DOUBT. WE WERE BUILDING THE NEW FIX TO CHK IF WE WERE GOING TO MAKE THE RESTR WHEN CONFUSION DEVELOPED AND THINGS WENT 'SOUTH' FROM THERE. SUPPLEMENTAL INFO FROM ACN 411964: OUR FMC WAS PROGRAMMED TO LATERALLY NAV THE ROME 2 ARR PROFILE AS WELL AS THE VERT PROFILE TO COMPLY WITH THE ERLIN RESTR OF 13000 FT AT 250 KTS AS DICTATED ON THE PLATE FOR A PLANNED LNDG TO THE E. AT 40 NM FROM THE RMG VOR, WE WERE CLRED DIRECT TO DALAS INTXN AND INSTRUCTED TO CROSS 10 NM W OF DALAS AT 12000 FT. AT THE TIME OF THIS CLRNC, WE WERE LEVEL AT FL240. AS MY CAPT BEGAN TO REPROGRAM OUR FMC, I ENTERED 12000 FT IN THE ALT WINDOW OF OUR MCP AND BEFORE I STARTED MY DSCNT, I REQUESTED THAT THE PNF/CAPT VISUALLY CONFIRM MY ALT ENTRY. TO MY RECOLLECTION, HE CONFIRMED THE 12000 FT ENTRY. WHILE MY CAPT WAS BUSY WITH THE FMC, I BEGAN A RAPID VERT SPD CTLED DSCNT TO CROSS 10 MI W OF DALAS AT 12000 FT. ATC FURTHER COMPLICATED OUR SIT BY ISSUING A SPD REDUCTION TO 250 KTS. AFTER ASSESSING OUR SIT, I DETERMINED WE COULD MEET THIS RESTR, PROVIDED THE SPD BRAKE WAS DEPLOYED AND AN IMMEDIATE 3000-4000 FPM DSCNT RATE WAS INITIATED. PASSING THROUGH 13000 FT AND 14 NM W OF DALAS INTXN, MY CAPT SUDDENLY TOOK CTL OF THE ACFT AND LEVELED OFF AT 13000 FT, AS OPPOSED TO OUR ASSIGNED ALT OF 12000 FT. DUE TO THE FACT THAT IT WAS VMC, AND MY SITUATIONAL AWARENESS CONFIRMED THAT NO OTHER ACFT WERE IN OUR VICINITY, I ELECTED NOT TO OVERRIDE MY CAPT'S ACTIONS. CONTRIBUTING FACTORS: BOTH PLTS RELATIVELY INEXPERIENCED IN ATL AIRSPACE, HVY NAV AND COM WORKLOAD, CAPT'S CONFUSION BTWN PAST AND CURRENT CLRNC, PNF DISTR BY LAST MIN AUTOMATION WORKLOAD, END RESULT BEING AN ASSIGNED ALT DISAGREEMENT BTWN THE PF AND PNF.
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.