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|
Attributes | |
ACN | 448031 |
Time | |
Date | 199908 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | navaid : flo.vortac |
State Reference | SC |
Altitude | msl bound lower : 24000 msl bound upper : 29000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zjx.artcc |
Operator | common carrier : air carrier |
Make Model Name | B737-400 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other other vortac |
Flight Phase | descent : intermediate altitude descent : vacating altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 20000 flight time type : 5000 |
ASRS Report | 448031 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument pilot : multi engine |
Events | |
Anomaly | altitude deviation : undershoot non adherence : company policies non adherence : published procedure non adherence : far non adherence : clearance |
Independent Detector | other controllera |
Resolutory Action | controller : issued alert flight crew : returned to assigned altitude none taken : insufficient time |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We were given a clearance to descend from FL290 to FL240 30 NM south of flo VOR. The first officer, who was the PF, entered the descent fix into the FMC. I monitored carefully as he entered the information because it can be confusing to place an altitude at a fix that is not initially on the FMC route and must therefore be built on the FMC route page. Also, because some of our company aircraft have different software data updates, performing certain functions, eg, creating fixes, requires different methods (a definite shortfall). The first officer built the altitude crossing restr 30 NM north of flo instead of 30 NM south and I did not recognize the mistake. Center noticed we had not started a descent and alerted us. We realized our error and began an immediate descent, but failed to make FL240 at the assigned point. No conflict with other aircraft occurred and the center controller did not express concern. Apparently the altitude restr has more to do with airspace jurisdiction than traffic. This situation emphasizes that as helpful as automation can be, a pilot must always be wary. An over reliance on computers without a little bit of skepticism can lead to complacency.
Original NASA ASRS Text
Title: B737 CREW HAD ALT UNDERSHOOT.
Narrative: WE WERE GIVEN A CLRNC TO DSND FROM FL290 TO FL240 30 NM S OF FLO VOR. THE FO, WHO WAS THE PF, ENTERED THE DSCNT FIX INTO THE FMC. I MONITORED CAREFULLY AS HE ENTERED THE INFO BECAUSE IT CAN BE CONFUSING TO PLACE AN ALT AT A FIX THAT IS NOT INITIALLY ON THE FMC RTE AND MUST THEREFORE BE BUILT ON THE FMC RTE PAGE. ALSO, BECAUSE SOME OF OUR COMPANY ACFT HAVE DIFFERENT SOFTWARE DATA UPDATES, PERFORMING CERTAIN FUNCTIONS, EG, CREATING FIXES, REQUIRES DIFFERENT METHODS (A DEFINITE SHORTFALL). THE FO BUILT THE ALT XING RESTR 30 NM N OF FLO INSTEAD OF 30 NM S AND I DID NOT RECOGNIZE THE MISTAKE. CTR NOTICED WE HAD NOT STARTED A DSCNT AND ALERTED US. WE REALIZED OUR ERROR AND BEGAN AN IMMEDIATE DSCNT, BUT FAILED TO MAKE FL240 AT THE ASSIGNED POINT. NO CONFLICT WITH OTHER ACFT OCCURRED AND THE CTR CTLR DID NOT EXPRESS CONCERN. APPARENTLY THE ALT RESTR HAS MORE TO DO WITH AIRSPACE JURISDICTION THAN TFC. THIS SIT EMPHASIZES THAT AS HELPFUL AS AUTOMATION CAN BE, A PLT MUST ALWAYS BE WARY. AN OVER RELIANCE ON COMPUTERS WITHOUT A LITTLE BIT OF SKEPTICISM CAN LEAD TO COMPLACENCY.
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.