37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 429147 |
Time | |
Date | 199902 |
Day | Tue |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | navaid : pll.vor |
State Reference | IL |
Altitude | msl bound lower : 6000 msl bound upper : 7000 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : rfd.tracon |
Operator | general aviation : personal |
Make Model Name | PA-23-250 Aztec |
Operating Under FAR Part | Part 91 |
Flight Phase | cruise : level |
Flight Plan | IFR |
Person 1 | |
Affiliation | other |
Function | flight crew : single pilot |
Qualification | pilot : instrument pilot : multi engine pilot : commercial pilot : cfi |
Experience | flight time last 90 days : 110 flight time total : 1100 flight time type : 105 |
ASRS Report | 429147 |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : clearance |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : returned to original clearance |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
I had leveled at 6000 ft MSL and activated the autoplt. I started to prepare for my arrival and was busy looking at charts and approach plates. I was monitoring my heading, and I thought that I was maintaining my scan, but when I looked up one time to check things, I realized that my airspeed was low. I tried to determine my problem (checked throttle, manifold pressure, and tachometer) and I finally realized I had gained 1000 ft and was at 7000 ft MSL. I looked at my autoplt and realized that the altitude hold had turned off. I immediately started a descent and returned to 6000 ft MSL. Looking back, I realize that I was fatigued at takeoff and I should have concentrated more at maintaining a full instrument scan instead of trusting the autoplt. I also put too much faith in the autoplt, and I realize I need to have a better understanding of all aircraft system, as I expected an auditory warning when the autoplt deactivated itself, and that warning never occurred.
Original NASA ASRS Text
Title: PLT OF AN AZTEC 250 HAS AN ALTDEV DUE TO ALT HOLD MALFUNCTIONING AND CLBS 1000 FT ABOVE ASSIGNED ALT.
Narrative: I HAD LEVELED AT 6000 FT MSL AND ACTIVATED THE AUTOPLT. I STARTED TO PREPARE FOR MY ARR AND WAS BUSY LOOKING AT CHARTS AND APCH PLATES. I WAS MONITORING MY HDG, AND I THOUGHT THAT I WAS MAINTAINING MY SCAN, BUT WHEN I LOOKED UP ONE TIME TO CHK THINGS, I REALIZED THAT MY AIRSPD WAS LOW. I TRIED TO DETERMINE MY PROB (CHKED THROTTLE, MANIFOLD PRESSURE, AND TACHOMETER) AND I FINALLY REALIZED I HAD GAINED 1000 FT AND WAS AT 7000 FT MSL. I LOOKED AT MY AUTOPLT AND REALIZED THAT THE ALT HOLD HAD TURNED OFF. I IMMEDIATELY STARTED A DSCNT AND RETURNED TO 6000 FT MSL. LOOKING BACK, I REALIZE THAT I WAS FATIGUED AT TKOF AND I SHOULD HAVE CONCENTRATED MORE AT MAINTAINING A FULL INST SCAN INSTEAD OF TRUSTING THE AUTOPLT. I ALSO PUT TOO MUCH FAITH IN THE AUTOPLT, AND I REALIZE I NEED TO HAVE A BETTER UNDERSTANDING OF ALL ACFT SYS, AS I EXPECTED AN AUDITORY WARNING WHEN THE AUTOPLT DEACTIVATED ITSELF, AND THAT WARNING NEVER OCCURRED.
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.