37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 447480 |
Time | |
Date | 199908 |
Day | Sun |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : phl.airport |
State Reference | PA |
Altitude | msl bound lower : 4000 msl bound upper : 5000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : phl.tracon |
Operator | common carrier : air carrier |
Make Model Name | Beech 1900 |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure sid : philly 6 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : instrument pilot : commercial pilot : atp pilot : multi engine |
Experience | flight time last 90 days : 230 flight time total : 4200 flight time type : 3800 |
ASRS Report | 447480 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : commercial pilot : instrument |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance |
Independent Detector | other controllera |
Resolutory Action | controller : provided flight assist controller : issued new clearance controller : issued advisory flight crew : returned to assigned altitude |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We had a clearance for the philly 6 departure from phl which has a published standard altitude of 5000 ft. Clearance issued us the SID with an amended altitude of 4000 ft for our short flight to rdg. On departure we accidentally climbed to 5000 ft and departure caught us, taking us back down to 4000 ft. How did this happen? 1) the storm window on my side of the cockpit was slow to seal as we pressurized. I was distracted by the noise and trying to take care of that. 2) the first officer (who was the PF) was brand new with about 100 hours total in the airplane and had never before flown in the northeast. I've caught all his previous mistakes so far, but my company pairs crews together for an entire month. This is the 10TH day I've flown with him and the increased workload is taking a toll. 3) the passenger had been brought to the plane unexpectedly early, causing us to feel rushed during our preflight duties. This resulted in the wrong altitude being set in the altitude alerter. We do this departure all the time to 5000 ft so the misset alerter didn't stand out as being wrong to me.
Original NASA ASRS Text
Title: CREW SETS ALT ALERTER INCORRECTLY AND OVERSHOOTS ALT ASSIGNED.
Narrative: WE HAD A CLRNC FOR THE PHILLY 6 DEP FROM PHL WHICH HAS A PUBLISHED STANDARD ALT OF 5000 FT. CLRNC ISSUED US THE SID WITH AN AMENDED ALT OF 4000 FT FOR OUR SHORT FLT TO RDG. ON DEP WE ACCIDENTALLY CLBED TO 5000 FT AND DEP CAUGHT US, TAKING US BACK DOWN TO 4000 FT. HOW DID THIS HAPPEN? 1) THE STORM WINDOW ON MY SIDE OF THE COCKPIT WAS SLOW TO SEAL AS WE PRESSURIZED. I WAS DISTRACTED BY THE NOISE AND TRYING TO TAKE CARE OF THAT. 2) THE FO (WHO WAS THE PF) WAS BRAND NEW WITH ABOUT 100 HRS TOTAL IN THE AIRPLANE AND HAD NEVER BEFORE FLOWN IN THE NE. I'VE CAUGHT ALL HIS PREVIOUS MISTAKES SO FAR, BUT MY COMPANY PAIRS CREWS TOGETHER FOR AN ENTIRE MONTH. THIS IS THE 10TH DAY I'VE FLOWN WITH HIM AND THE INCREASED WORKLOAD IS TAKING A TOLL. 3) THE PAX HAD BEEN BROUGHT TO THE PLANE UNEXPECTEDLY EARLY, CAUSING US TO FEEL RUSHED DURING OUR PREFLT DUTIES. THIS RESULTED IN THE WRONG ALT BEING SET IN THE ALT ALERTER. WE DO THIS DEP ALL THE TIME TO 5000 FT SO THE MISSET ALERTER DIDN'T STAND OUT AS BEING WRONG TO ME.
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.