37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 450210 |
Time | |
Date | 199909 |
Day | Mon |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : dfw.airport |
Altitude | msl bound lower : 10000 msl bound upper : 10400 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : d10.tracon |
Operator | common carrier : air carrier |
Make Model Name | B737-500 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | climbout : vacating altitude |
Route In Use | enroute : direct |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | tracon : d10.tracon |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : intermediate altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : cfi pilot : atp |
Experience | flight time last 90 days : 240 flight time total : 14000 flight time type : 12000 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 8800 flight time type : 1500 |
ASRS Report | 449472 |
Events | |
Anomaly | altitude deviation : overshoot conflict : airborne less severe non adherence : far non adherence : clearance |
Independent Detector | atc equipment : conflict alert aircraft equipment : altitude alert other controllera other flight crewa other flight crewb |
Resolutory Action | controller : issued alert 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:
First officer was flying, captain monitoring. First officer was hand flying to an assigned altitude of 10000 ft while maneuvering to intercept the departure radial. At approximately 8000 ft, I had looked down to ACARS to copy down a departure time. At approximately 9000 ft, traffic was called out to us at 11 O'clock leveling at 11000 ft. We were still climbing briskly as I looked out to acquire the traffic. When I couldn't see it, I tried to locate it on TCASII. When I looked up again, we were climbing past 10200 ft. By the time I pointed this out to the first officer and he began a pushover, we had topped out at 10400 ft. The controller also saw our overshoot and called out our altitude. The closest approach to the overhead traffic according to TCASII was 700 ft vertical, 2 - 2 1/2 NM horizontal. However, there were definite lessons to be relearned here. : 1) as the monitoring pilot, I should have my full attention monitoring, not doing any non essential work until definitely out of the local departure area. I may have been a little more aware of the impending situation. 2) for the PF, the best technique is to put the aircraft on autoplt when traffic is called out close by. That will free you up to more closely monitor the situation and to prevent the mistake he made. When I asked him what happened, he said he had simply forgotten to level at 10000 ft. Even though the altitude reminder was set for 10000 ft, in his mind he was headed for 17000 ft!
Original NASA ASRS Text
Title: ALTDEV B737-500 NEAR DFW.
Narrative: FO WAS FLYING, CAPT MONITORING. FO WAS HAND FLYING TO AN ASSIGNED ALT OF 10000 FT WHILE MANEUVERING TO INTERCEPT THE DEP RADIAL. AT APPROX 8000 FT, I HAD LOOKED DOWN TO ACARS TO COPY DOWN A DEP TIME. AT APPROX 9000 FT, TFC WAS CALLED OUT TO US AT 11 O'CLOCK LEVELING AT 11000 FT. WE WERE STILL CLBING BRISKLY AS I LOOKED OUT TO ACQUIRE THE TFC. WHEN I COULDN'T SEE IT, I TRIED TO LOCATE IT ON TCASII. WHEN I LOOKED UP AGAIN, WE WERE CLBING PAST 10200 FT. BY THE TIME I POINTED THIS OUT TO THE FO AND HE BEGAN A PUSHOVER, WE HAD TOPPED OUT AT 10400 FT. THE CTLR ALSO SAW OUR OVERSHOOT AND CALLED OUT OUR ALT. THE CLOSEST APCH TO THE OVERHEAD TFC ACCORDING TO TCASII WAS 700 FT VERT, 2 - 2 1/2 NM HORIZ. HOWEVER, THERE WERE DEFINITE LESSONS TO BE RELEARNED HERE. : 1) AS THE MONITORING PLT, I SHOULD HAVE MY FULL ATTN MONITORING, NOT DOING ANY NON ESSENTIAL WORK UNTIL DEFINITELY OUT OF THE LCL DEP AREA. I MAY HAVE BEEN A LITTLE MORE AWARE OF THE IMPENDING SIT. 2) FOR THE PF, THE BEST TECHNIQUE IS TO PUT THE ACFT ON AUTOPLT WHEN TFC IS CALLED OUT CLOSE BY. THAT WILL FREE YOU UP TO MORE CLOSELY MONITOR THE SIT AND TO PREVENT THE MISTAKE HE MADE. WHEN I ASKED HIM WHAT HAPPENED, HE SAID HE HAD SIMPLY FORGOTTEN TO LEVEL AT 10000 FT. EVEN THOUGH THE ALT REMINDER WAS SET FOR 10000 FT, IN HIS MIND HE WAS HEADED FOR 17000 FT!
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.