37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 416730 |
Time | |
Date | 199810 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : saf airport : saf |
State Reference | NM |
Altitude | msl bound lower : 12300 msl bound upper : 13000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zab |
Operator | general aviation : corporate |
Make Model Name | Super King Air 200/Huron |
Operating Under FAR Part | Part 91 |
Flight Phase | descent other |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : single pilot |
Qualification | pilot : atp pilot : cfi pilot : flight engineer |
Experience | flight time last 90 days : 93 flight time total : 11599 flight time type : 6500 |
ASRS Report | 416730 |
Person 2 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : radar |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance |
Independent Detector | other flight crewa |
Resolutory Action | none taken : unable |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
ZAB cleared me to 13000 ft. Set alerter and continued descent. In the meantime, I was given traffic to follow into saf. Kept looking for traffic and inquiring about its position. When ZAB cleared me for further descent to 12000 ft, I looked at altimeter to report passing altitude only to realize I had passed 13000 ft without leveling. Immediately confess my mistake and level at 12000 ft. In the midst of all the communication and looking for traffic I had missed hearing altitude alert at 14000 ft and 12750 ft! In addition, I had failed to arm altitude select on autoplt. Since we are a single pilot operation, it is normal to use the autoplt to its fullest capabilities. This is especially true in terminal areas. Even with active noise canceling headset I missed the alerter tone. Sperry/honeywell has elected to use a high frequency beep instead of a more distinctive tone and we will investigate changing that. Does loss of hearing in higher frequency range over time have any effect? Who knows. This is a heads up call to aviate then communicate. We will install egpws and TCASII within 6 months.
Original NASA ASRS Text
Title: SINGLE PLT IN A BE20 IS DSNDING TO 13000 FT AND THEN GIVEN DSCNT TO 12000 FT. PLT ACKNOWLEDGED CLRNC AND REALIZES THAT HE HAD ALREADY DSNDED THROUGH 13000 FT. PLT LEVELED AT 12000 FT AND CONFESSES HIS MISTAKE.
Narrative: ZAB CLRED ME TO 13000 FT. SET ALERTER AND CONTINUED DSCNT. IN THE MEANTIME, I WAS GIVEN TFC TO FOLLOW INTO SAF. KEPT LOOKING FOR TFC AND INQUIRING ABOUT ITS POS. WHEN ZAB CLRED ME FOR FURTHER DSCNT TO 12000 FT, I LOOKED AT ALTIMETER TO RPT PASSING ALT ONLY TO REALIZE I HAD PASSED 13000 FT WITHOUT LEVELING. IMMEDIATELY CONFESS MY MISTAKE AND LEVEL AT 12000 FT. IN THE MIDST OF ALL THE COM AND LOOKING FOR TFC I HAD MISSED HEARING ALT ALERT AT 14000 FT AND 12750 FT! IN ADDITION, I HAD FAILED TO ARM ALT SELECT ON AUTOPLT. SINCE WE ARE A SINGLE PLT OP, IT IS NORMAL TO USE THE AUTOPLT TO ITS FULLEST CAPABILITIES. THIS IS ESPECIALLY TRUE IN TERMINAL AREAS. EVEN WITH ACTIVE NOISE CANCELING HEADSET I MISSED THE ALERTER TONE. SPERRY/HONEYWELL HAS ELECTED TO USE A HIGH FREQ BEEP INSTEAD OF A MORE DISTINCTIVE TONE AND WE WILL INVESTIGATE CHANGING THAT. DOES LOSS OF HEARING IN HIGHER FREQ RANGE OVER TIME HAVE ANY EFFECT? WHO KNOWS. THIS IS A HEADS UP CALL TO AVIATE THEN COMMUNICATE. WE WILL INSTALL EGPWS AND TCASII WITHIN 6 MONTHS.
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.