37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 455710 |
Time | |
Date | 199911 |
Day | Tue |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | navaid : olm.vortac |
State Reference | WA |
Altitude | msl bound lower : 16700 msl bound upper : 17000 |
Environment | |
Flight Conditions | IMC |
Weather Elements | Ice Rain |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zkc.artcc |
Operator | common carrier : air carrier |
Make Model Name | MD-80 Series (DC-9-80) Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | other vortac |
Flight Phase | descent : vacating altitude descent : approach |
Route In Use | arrival star : olm 2 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : multi engine pilot : instrument pilot : flight engineer pilot : commercial pilot : atp |
Experience | flight time last 90 days : 230 flight time total : 15000 flight time type : 9000 |
ASRS Report | 455710 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 247 flight time total : 8350 flight time type : 3030 |
ASRS Report | 456029 |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude cabin event other inflight encounter : weather non adherence : clearance non adherence : published procedure non adherence : company policies other anomaly other |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | controller : issued new clearance flight crew : returned to assigned altitude flight crew : became reoriented |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Company Passenger Human Performance ATC Human Performance Weather Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
On descent into seatac airport, we had been cleared to descend via the olm 2 arrival. Because of heavy traffic into seattle, we were given delay vectors and told to maintain 17000 ft instead of descending via the olm 2 arrival. Due to our flight being late into seattle, there were several passenger service requests that were being dealt with by the PNF. Approach control gave the PF a clearance to proceed 'direct to olm VOR, resume the olm 2 arrival.' the PF thought that meant to descend via the olm 2 arrival and set the altitude alerter to 16000 ft and started down out of 17000 ft, while the PNF was looking at something else while doing the passenger service requests. The PNF looked up and saw they were descending out of 16700 ft and that 16000 ft was set in the altitude alerter and said to the PF that they were not cleared out of 17000 ft but only the olm 2 arrival for routing. PF started a climb back to 17000 ft and PNF said he would get confirmation as there was some confusion on the PF side. ATC confirmed that they were not cleared to descend out of 17000 ft but that now they could descend via the olm 2 arrival. What really caused the problem was the confusion in the clearance that ATC issued that one pilot understood but the other pilot didn't. A contributing factor was one pilot being heads down dealing with the passenger service requests and not totally watching the procedures being flown. To correct problems like this, when an aircraft is descending via an arrival, then told to stop for vectors or whatever, then cleared via the arrival, the altitude to maintain should be restated or the descend via clearance should be restated, whichever is appropriate. Also, maybe the sterile cockpit procedures for turbojets should be raised from 10000 ft to FL180 to avoid these problems and keep both pilots totally heads up below FL180.
Original NASA ASRS Text
Title: AN MD80 FLC PREMATURELY LEAVES THEIR ASSIGNED ALT ON THE OLM 2 ARR WHEN THE FO, PF, MISUNDERSTANDS THE PARAMETERS OF THE CLRNC TERM FOR RESUMING THE ARR PROC INTO SEA, WA.
Narrative: ON DSCNT INTO SEATAC ARPT, WE HAD BEEN CLRED TO DSND VIA THE OLM 2 ARR. BECAUSE OF HVY TFC INTO SEATTLE, WE WERE GIVEN DELAY VECTORS AND TOLD TO MAINTAIN 17000 FT INSTEAD OF DSNDING VIA THE OLM 2 ARR. DUE TO OUR FLT BEING LATE INTO SEATTLE, THERE WERE SEVERAL PAX SVC REQUESTS THAT WERE BEING DEALT WITH BY THE PNF. APCH CTL GAVE THE PF A CLRNC TO PROCEED 'DIRECT TO OLM VOR, RESUME THE OLM 2 ARR.' THE PF THOUGHT THAT MEANT TO DSND VIA THE OLM 2 ARR AND SET THE ALT ALERTER TO 16000 FT AND STARTED DOWN OUT OF 17000 FT, WHILE THE PNF WAS LOOKING AT SOMETHING ELSE WHILE DOING THE PAX SVC REQUESTS. THE PNF LOOKED UP AND SAW THEY WERE DSNDING OUT OF 16700 FT AND THAT 16000 FT WAS SET IN THE ALT ALERTER AND SAID TO THE PF THAT THEY WERE NOT CLRED OUT OF 17000 FT BUT ONLY THE OLM 2 ARR FOR ROUTING. PF STARTED A CLB BACK TO 17000 FT AND PNF SAID HE WOULD GET CONFIRMATION AS THERE WAS SOME CONFUSION ON THE PF SIDE. ATC CONFIRMED THAT THEY WERE NOT CLRED TO DSND OUT OF 17000 FT BUT THAT NOW THEY COULD DSND VIA THE OLM 2 ARR. WHAT REALLY CAUSED THE PROB WAS THE CONFUSION IN THE CLRNC THAT ATC ISSUED THAT ONE PLT UNDERSTOOD BUT THE OTHER PLT DIDN'T. A CONTRIBUTING FACTOR WAS ONE PLT BEING HEADS DOWN DEALING WITH THE PAX SVC REQUESTS AND NOT TOTALLY WATCHING THE PROCS BEING FLOWN. TO CORRECT PROBS LIKE THIS, WHEN AN ACFT IS DSNDING VIA AN ARR, THEN TOLD TO STOP FOR VECTORS OR WHATEVER, THEN CLRED VIA THE ARR, THE ALT TO MAINTAIN SHOULD BE RESTATED OR THE DSND VIA CLRNC SHOULD BE RESTATED, WHICHEVER IS APPROPRIATE. ALSO, MAYBE THE STERILE COCKPIT PROCS FOR TURBOJETS SHOULD BE RAISED FROM 10000 FT TO FL180 TO AVOID THESE PROBS AND KEEP BOTH PLTS TOTALLY HEADS UP BELOW FL180.
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.