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|
Attributes | |
ACN | 469106 |
Time | |
Date | 200004 |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : zny.artcc |
State Reference | NY |
Altitude | msl bound lower : 16000 msl bound upper : 20000 |
Environment | |
Flight Conditions | VMC |
Light | Dusk |
Aircraft 1 | |
Controlling Facilities | artcc : zny.artcc |
Operator | common carrier : air carrier |
Make Model Name | Regional Jet CL65, Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | other other vortac |
Flight Phase | descent : approach |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | artcc : zny.artcc |
Operator | common carrier : air carrier |
Make Model Name | Regional Jet CL65, Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | descent : approach |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 240 flight time total : 9000 flight time type : 1000 |
ASRS Report | 469106 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument pilot : multi engine |
Experience | flight time last 90 days : 35 flight time type : 35 |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : published procedure non adherence : far non adherence : clearance other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | controller : issued new clearance flight crew : returned to assigned altitude other |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Flight Crew Human Performance Company Aircraft ATC Human Performance |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
On our 6TH leg, 12 1/2 hours duty, 8TH flight hour, 1 hour ground stop at lga, new first officer (right seat). First officer checked in with ZNY as fhe. About 30 seconds later, center transmits, 'fhe, I need you to start your descent to 16000 ft now,' with some urgency. My first officer was missing calls all day and was obviously tired (I was, too). I hopped on the radio and replied 'you never gave fhe a descent, we're starting down now.' I began a rapid descent towards 16000 ft, ie, flight idle/3000 FPM. This is my company's standard descent profile. At approximately 19500 ft center replied, 'ehe, cleared to 16000 ft, altimeter ....' ehe replied 'roger, descend to 16000 ft.' this was the first indication that ehe was on our frequency. I stopped the descent abruptly and called ATC to clarify that he had given us a descent to 16000 ft. He replied, 'reclred to FL200.' I was already climbing back to FL200. Moments later, ATC apologized, he hadn't realized we had checked in. He then informed us and ehe that both were on the frequency. Factors: a) poor scheduling practices. 1) my company should not schedule 13 hour duty days. We were on our 6TH leg, and 12 1/2 hour day. 2) fhe and ehe should not be coming from same direction at the same time of day back to the hub. (Later on 2 flts were all on approach.) B) ATC did not tell us to expect ehe similar call sign on frequency. C) ATC should not make an urgent call to descend to an aircraft whom he knows has a similar call sign. D) ehe (other aircraft) did not reply to urgent descent call. (He also missed other calls further toward hub.) 3) we were in a busy mode of flight -- 120 mi, 20 mins out from landing. My company does not have ACARS on my fleet. We must monitor 2 frequencys. ATC and company ATIS must be listened to and hand written. Even the aircraft which have ACARS cannot get ATIS because airline's too cheap. We do not have printers for ACARS messages. Quoted xmissions above are paraphrases. I was too tired to remember exact quotes. Flying with a new (just out of soe) first officer is too fatiguing for 6 legs. 99% of the time, nothing goes wrong on this flight it did. ATC may have called ehe not fhe. Flcs can't rewind the tape to find out. When an urgent tone of voice is used to tell fhe to descend and fhe does not have any knowledge of ehe, fhe is going to descend. Fhe and ehe may have blocked each other's xmissions. Blocked xmissions are common and dangerous.
Original NASA ASRS Text
Title: A CL65 FLC LEAVES THEIR LAST ASSIGNED ALT WHEN CLRED BY THE CTR CTLR TO 16000 FT, 'NOW.' 2 SIMILAR SOUNDING CALL SIGNS ON FREQ, CTR ISSUED THE WRONG FLT THE CLRNC. ZNY, NY.
Narrative: ON OUR 6TH LEG, 12 1/2 HRS DUTY, 8TH FLT HR, 1 HR GND STOP AT LGA, NEW FO (R SEAT). FO CHKED IN WITH ZNY AS FHE. ABOUT 30 SECONDS LATER, CTR XMITS, 'FHE, I NEED YOU TO START YOUR DSCNT TO 16000 FT NOW,' WITH SOME URGENCY. MY FO WAS MISSING CALLS ALL DAY AND WAS OBVIOUSLY TIRED (I WAS, TOO). I HOPPED ON THE RADIO AND REPLIED 'YOU NEVER GAVE FHE A DSCNT, WE'RE STARTING DOWN NOW.' I BEGAN A RAPID DSCNT TOWARDS 16000 FT, IE, FLT IDLE/3000 FPM. THIS IS MY COMPANY'S STANDARD DSCNT PROFILE. AT APPROX 19500 FT CTR REPLIED, 'EHE, CLRED TO 16000 FT, ALTIMETER ....' EHE REPLIED 'ROGER, DSND TO 16000 FT.' THIS WAS THE FIRST INDICATION THAT EHE WAS ON OUR FREQ. I STOPPED THE DSCNT ABRUPTLY AND CALLED ATC TO CLARIFY THAT HE HAD GIVEN US A DSCNT TO 16000 FT. HE REPLIED, 'RECLRED TO FL200.' I WAS ALREADY CLBING BACK TO FL200. MOMENTS LATER, ATC APOLOGIZED, HE HADN'T REALIZED WE HAD CHKED IN. HE THEN INFORMED US AND EHE THAT BOTH WERE ON THE FREQ. FACTORS: A) POOR SCHEDULING PRACTICES. 1) MY COMPANY SHOULD NOT SCHEDULE 13 HR DUTY DAYS. WE WERE ON OUR 6TH LEG, AND 12 1/2 HR DAY. 2) FHE AND EHE SHOULD NOT BE COMING FROM SAME DIRECTION AT THE SAME TIME OF DAY BACK TO THE HUB. (LATER ON 2 FLTS WERE ALL ON APCH.) B) ATC DID NOT TELL US TO EXPECT EHE SIMILAR CALL SIGN ON FREQ. C) ATC SHOULD NOT MAKE AN URGENT CALL TO DSND TO AN ACFT WHOM HE KNOWS HAS A SIMILAR CALL SIGN. D) EHE (OTHER ACFT) DID NOT REPLY TO URGENT DSCNT CALL. (HE ALSO MISSED OTHER CALLS FURTHER TOWARD HUB.) 3) WE WERE IN A BUSY MODE OF FLT -- 120 MI, 20 MINS OUT FROM LNDG. MY COMPANY DOES NOT HAVE ACARS ON MY FLEET. WE MUST MONITOR 2 FREQS. ATC AND COMPANY ATIS MUST BE LISTENED TO AND HAND WRITTEN. EVEN THE ACFT WHICH HAVE ACARS CANNOT GET ATIS BECAUSE AIRLINE'S TOO CHEAP. WE DO NOT HAVE PRINTERS FOR ACARS MESSAGES. QUOTED XMISSIONS ABOVE ARE PARAPHRASES. I WAS TOO TIRED TO REMEMBER EXACT QUOTES. FLYING WITH A NEW (JUST OUT OF SOE) FO IS TOO FATIGUING FOR 6 LEGS. 99% OF THE TIME, NOTHING GOES WRONG ON THIS FLT IT DID. ATC MAY HAVE CALLED EHE NOT FHE. FLCS CAN'T REWIND THE TAPE TO FIND OUT. WHEN AN URGENT TONE OF VOICE IS USED TO TELL FHE TO DSND AND FHE DOES NOT HAVE ANY KNOWLEDGE OF EHE, FHE IS GOING TO DSND. FHE AND EHE MAY HAVE BLOCKED EACH OTHER'S XMISSIONS. BLOCKED XMISSIONS ARE COMMON AND DANGEROUS.
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.