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|
Attributes | |
ACN | 452169 |
Time | |
Date | 199910 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
State Reference | FO |
Altitude | msl bound lower : 3000 msl bound upper : 3700 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : egkk.tracon tower : sjc.tower |
Operator | common carrier : air carrier |
Make Model Name | B767-200 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure sid : southampton 2 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : commercial pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 17000 flight time type : 6000 |
ASRS Report | 452169 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 180 flight time total : 19000 flight time type : 2300 |
ASRS Report | 451725 |
Events | |
Anomaly | altitude deviation : crossing restriction not met altitude deviation : excursion from assigned altitude non adherence : published procedure non adherence : clearance non adherence : company policies |
Independent Detector | atc equipment other atc equipment : mode c other controllera other flight crewa |
Resolutory Action | controller : issued advisory controller : issued new clearance |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Flight Crew Human Performance Environmental Factor |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Aircraft (B767-200ER) departing lgw (london gatwick) on the southampton 2P (sam 2P) SID, runway 8R at AB39Z oct/xa/99. 4000 ft selected in MCP window during preflight at the gate and FMC legs. Page properly depicting crossing altitude restrs for all SID waypoints. LNAV was selected at 400 ft AGL and VNAV at 1000 ft AGL. Flaps 1 degree and flaps up selected at 3000 ft at approximately the end of the upwind leg (the beginning of the left turn). In the turn at 3000 ft, the PF (captain) selected flight level change in order to keep the speed at minimum clean airspeed and to stay in the published boundary of the turn, and as part of the low altitude leveloff procedure. Above 3500 ft the PNF (first officer) questioned altitude noting that 3000 ft MSL at waypoint 'D43 det' was a 'hard' altitude, not 'at or above' as it would be on the wbound SID. At the same time the departure controller called and reclred us to 4000 ft, then questioned the altitude we were transitioning. The PNF (first officer) confirmed the 4000 ft clearance (noting MCP altitude set to 4000 ft) and asked the controller to repeat the question. The question was understood when repeated and first officer responded that the aircraft was passing through 3700 ft, in reality more than 10 mi prior to reaching the det 43 mi fix. No further commentary regarding this was received from the departure controller except a frequency change a few moments later. No TA/RA observed from TCASII and no preventive action was issued to us or other aircraft as far as we know. Supplemental information from acn 451839: I was the third pilot sitting jump seat (international relief officer). I did not notice that captain had switched from VNAV to flight level change until first officer mentioned altitude deviation noted above.
Original NASA ASRS Text
Title: A B767-200ER LEAVES ITS HARD SID ALT, 3000 FT, FOR THE NEXT WAYPOINT'S HARD ALT, 4000 FT, 10 MI TOO SOON, E OF THAT FIX. EGKK, FO.
Narrative: ACFT (B767-200ER) DEPARTING LGW (LONDON GATWICK) ON THE SOUTHAMPTON 2P (SAM 2P) SID, RWY 8R AT AB39Z OCT/XA/99. 4000 FT SELECTED IN MCP WINDOW DURING PREFLT AT THE GATE AND FMC LEGS. PAGE PROPERLY DEPICTING XING ALT RESTRS FOR ALL SID WAYPOINTS. LNAV WAS SELECTED AT 400 FT AGL AND VNAV AT 1000 FT AGL. FLAPS 1 DEG AND FLAPS UP SELECTED AT 3000 FT AT APPROX THE END OF THE UPWIND LEG (THE BEGINNING OF THE L TURN). IN THE TURN AT 3000 FT, THE PF (CAPT) SELECTED FLT LEVEL CHANGE IN ORDER TO KEEP THE SPD AT MINIMUM CLEAN AIRSPD AND TO STAY IN THE PUBLISHED BOUNDARY OF THE TURN, AND AS PART OF THE LOW ALT LEVELOFF PROC. ABOVE 3500 FT THE PNF (FO) QUESTIONED ALT NOTING THAT 3000 FT MSL AT WAYPOINT 'D43 DET' WAS A 'HARD' ALT, NOT 'AT OR ABOVE' AS IT WOULD BE ON THE WBOUND SID. AT THE SAME TIME THE DEP CTLR CALLED AND RECLRED US TO 4000 FT, THEN QUESTIONED THE ALT WE WERE TRANSITIONING. THE PNF (FO) CONFIRMED THE 4000 FT CLRNC (NOTING MCP ALT SET TO 4000 FT) AND ASKED THE CTLR TO REPEAT THE QUESTION. THE QUESTION WAS UNDERSTOOD WHEN REPEATED AND FO RESPONDED THAT THE ACFT WAS PASSING THROUGH 3700 FT, IN REALITY MORE THAN 10 MI PRIOR TO REACHING THE DET 43 MI FIX. NO FURTHER COMMENTARY REGARDING THIS WAS RECEIVED FROM THE DEP CTLR EXCEPT A FREQ CHANGE A FEW MOMENTS LATER. NO TA/RA OBSERVED FROM TCASII AND NO PREVENTIVE ACTION WAS ISSUED TO US OR OTHER ACFT AS FAR AS WE KNOW. SUPPLEMENTAL INFO FROM ACN 451839: I WAS THE THIRD PLT SITTING JUMP SEAT (INTL RELIEF OFFICER). I DID NOT NOTICE THAT CAPT HAD SWITCHED FROM VNAV TO FLT LEVEL CHANGE UNTIL FO MENTIONED ALTDEV NOTED ABOVE.
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.