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|
Attributes | |
ACN | 457610 |
Time | |
Date | 199912 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
State Reference | VA |
Altitude | msl single value : 9300 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Regional Jet CL65, Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | descent : approach |
Route In Use | arrival : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 190 flight time total : 13000 flight time type : 1800 |
ASRS Report | 457610 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : commercial pilot : instrument |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : excursion from assigned altitude non adherence : clearance non adherence : far other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : altimeter other flight crewa |
Resolutory Action | controller : issued alert flight crew : became reoriented 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:
I was performing PNF duties, the first officer was flying using the autoplt. I was off the ATC frequency making in-range call to company and arrival cabin announcement. While I was doing so, the first officer received clearance to cross robrt intersection at 10000 ft. He had been issued an altimeter setting of 30.38 but had instead selected 31.38. When I finished with previous mentioned duties I rejoined the first officer on the ATC frequency. He advised me of all clrncs and changes while I was off ATC frequency (crossing restr and new altimeter setting). I set the captain's altimeter and verbally confirmed this with the first officer, as per our position procedures. It is not required in our operations procedures that I inspect the value the first officer sets in his altimeter. However, as a matter of routing I do so. This time I did not and he set the wrong value. Our company requires a 3000 FPM descent rate when complying with a crossing restr. As we approached 10000 ft, I noted a lack of any indication that the autoplt intended to level at the required altitude. I also noted a large difference in the altitude reading between the 2 main altimeters. I told the first officer to stop the descent and level the aircraft. Because of the high rate of descent and the momentary confusion of conflicting information coupled with a momentary delay in complying with my order, the aircraft reached 9300 ft indicated on the correct altimeter. At this time dulles approach asked us about our current altitude. I responded by requesting the correct altimeter setting and advising the controller that we were quickly returning to 10000 ft. (There was doubt in my mind at this point as to the correct setting.) after the flight, the first officer and I discussed this incident and determined that he had heard the correct setting, read it back correctly, but had nonetheless dialed it in incorrectly. We were operating in the early morning hours completing a continuous duty overnight trip. Leaving us both with inadequate rest. I think that is the reason for the first officer's mental lapse, as I have flown with him before and know him to be both a good and competent pilot. I know my own lack of diligence was also directly related to my lack of adequate rest.
Original NASA ASRS Text
Title: CL65 ALTDEV FROM MISSET ALTIMETER TIMES TWO NEAR IAD.
Narrative: I WAS PERFORMING PNF DUTIES, THE FO WAS FLYING USING THE AUTOPLT. I WAS OFF THE ATC FREQ MAKING IN-RANGE CALL TO COMPANY AND ARR CABIN ANNOUNCEMENT. WHILE I WAS DOING SO, THE FO RECEIVED CLRNC TO CROSS ROBRT INTXN AT 10000 FT. HE HAD BEEN ISSUED AN ALTIMETER SETTING OF 30.38 BUT HAD INSTEAD SELECTED 31.38. WHEN I FINISHED WITH PREVIOUS MENTIONED DUTIES I REJOINED THE FO ON THE ATC FREQ. HE ADVISED ME OF ALL CLRNCS AND CHANGES WHILE I WAS OFF ATC FREQ (XING RESTR AND NEW ALTIMETER SETTING). I SET THE CAPT'S ALTIMETER AND VERBALLY CONFIRMED THIS WITH THE FO, AS PER OUR POS PROCS. IT IS NOT REQUIRED IN OUR OPS PROCS THAT I INSPECT THE VALUE THE FO SETS IN HIS ALTIMETER. HOWEVER, AS A MATTER OF ROUTING I DO SO. THIS TIME I DID NOT AND HE SET THE WRONG VALUE. OUR COMPANY REQUIRES A 3000 FPM DSCNT RATE WHEN COMPLYING WITH A XING RESTR. AS WE APCHED 10000 FT, I NOTED A LACK OF ANY INDICATION THAT THE AUTOPLT INTENDED TO LEVEL AT THE REQUIRED ALT. I ALSO NOTED A LARGE DIFFERENCE IN THE ALT READING BTWN THE 2 MAIN ALTIMETERS. I TOLD THE FO TO STOP THE DSCNT AND LEVEL THE ACFT. BECAUSE OF THE HIGH RATE OF DSCNT AND THE MOMENTARY CONFUSION OF CONFLICTING INFO COUPLED WITH A MOMENTARY DELAY IN COMPLYING WITH MY ORDER, THE ACFT REACHED 9300 FT INDICATED ON THE CORRECT ALTIMETER. AT THIS TIME DULLES APCH ASKED US ABOUT OUR CURRENT ALT. I RESPONDED BY REQUESTING THE CORRECT ALTIMETER SETTING AND ADVISING THE CTLR THAT WE WERE QUICKLY RETURNING TO 10000 FT. (THERE WAS DOUBT IN MY MIND AT THIS POINT AS TO THE CORRECT SETTING.) AFTER THE FLT, THE FO AND I DISCUSSED THIS INCIDENT AND DETERMINED THAT HE HAD HEARD THE CORRECT SETTING, READ IT BACK CORRECTLY, BUT HAD NONETHELESS DIALED IT IN INCORRECTLY. WE WERE OPERATING IN THE EARLY MORNING HRS COMPLETING A CONTINUOUS DUTY OVERNIGHT TRIP. LEAVING US BOTH WITH INADEQUATE REST. I THINK THAT IS THE REASON FOR THE FO'S MENTAL LAPSE, AS I HAVE FLOWN WITH HIM BEFORE AND KNOW HIM TO BE BOTH A GOOD AND COMPETENT PLT. I KNOW MY OWN LACK OF DILIGENCE WAS ALSO DIRECTLY RELATED TO MY LACK OF ADEQUATE REST.
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.