37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 473468 |
Time | |
Date | 200005 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
State Reference | ON |
Altitude | msl bound lower : 11000 msl bound upper : 13000 |
Environment | |
Flight Conditions | Mixed |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B727 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | descent : vacating altitude |
Route In Use | arrival star : ns |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 180 flight time total : 11000 flight time type : 8000 |
ASRS Report | 473468 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : commercial |
Events | |
Anomaly | altitude deviation : overshoot non adherence : company policies non adherence : published procedure non adherence : clearance other anomaly other |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | none taken : anomaly accepted |
Consequence | faa : assigned or threatened penalties |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Cruising into toronto, we were level at FL290. We were cleared to 11000 ft and told to follow the profile descent for runways 23 and 24L. The descent profile calls for us to cross waterloo between 17000 ft and 13000 ft and to then cross guelf at 11000 ft. The first officer and I discussed the need to cross waterloo at one of the lower altitudes in the 4000 ft block in order to be able to reach guelf at 11000 ft and 250 KTS. Shortly thereafter, the first officer started his descent. I had set 11000 ft into the altitude alert. During the descent we both forgot about the restr at waterloo and as we were leveling at 11000 ft, 15 DME prior to waterloo, I realized our mistake. No traffic was noted on the TCASII. I asked the controller if there was a problem with our descent. His response was 'no problem, you just got down a little early.' I asked if that would be a problem and he just said 'no.' factors affecting our mistake: 1) my previous trip was a 4-DAY trip that turned into a long 5-DAY trip. My short time off at home didn't allow me time to fully recover. I was tired before I started this trip. 2) the first officer was just returning from 25 days off. 3) we had a 3+ hour situation in chicago. 4) I should have set 13000 ft in the altitude alert until we crossed ywt.
Original NASA ASRS Text
Title: B727 CREW HAD ALT OVERSHOOT DSNDING IN CZYZ CLASS E.
Narrative: CRUISING INTO TORONTO, WE WERE LEVEL AT FL290. WE WERE CLRED TO 11000 FT AND TOLD TO FOLLOW THE PROFILE DSCNT FOR RWYS 23 AND 24L. THE DSCNT PROFILE CALLS FOR US TO CROSS WATERLOO BTWN 17000 FT AND 13000 FT AND TO THEN CROSS GUELF AT 11000 FT. THE FO AND I DISCUSSED THE NEED TO CROSS WATERLOO AT ONE OF THE LOWER ALTS IN THE 4000 FT BLOCK IN ORDER TO BE ABLE TO REACH GUELF AT 11000 FT AND 250 KTS. SHORTLY THEREAFTER, THE FO STARTED HIS DSCNT. I HAD SET 11000 FT INTO THE ALT ALERT. DURING THE DSCNT WE BOTH FORGOT ABOUT THE RESTR AT WATERLOO AND AS WE WERE LEVELING AT 11000 FT, 15 DME PRIOR TO WATERLOO, I REALIZED OUR MISTAKE. NO TFC WAS NOTED ON THE TCASII. I ASKED THE CTLR IF THERE WAS A PROB WITH OUR DSCNT. HIS RESPONSE WAS 'NO PROB, YOU JUST GOT DOWN A LITTLE EARLY.' I ASKED IF THAT WOULD BE A PROB AND HE JUST SAID 'NO.' FACTORS AFFECTING OUR MISTAKE: 1) MY PREVIOUS TRIP WAS A 4-DAY TRIP THAT TURNED INTO A LONG 5-DAY TRIP. MY SHORT TIME OFF AT HOME DIDN'T ALLOW ME TIME TO FULLY RECOVER. I WAS TIRED BEFORE I STARTED THIS TRIP. 2) THE FO WAS JUST RETURNING FROM 25 DAYS OFF. 3) WE HAD A 3+ HR SIT IN CHICAGO. 4) I SHOULD HAVE SET 13000 FT IN THE ALT ALERT UNTIL WE CROSSED YWT.
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.