37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 483490 |
Time | |
Date | 200008 |
Day | Sat |
Local Time Of Day | 0601 To 1200 |
Place | |
State Reference | TX |
Altitude | msl bound lower : 23000 msl bound upper : 24000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zhu.artcc |
Operator | common carrier : air carrier |
Make Model Name | DC-9 40 |
Operating Under FAR Part | Part 121 |
Route In Use | enroute : 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 : 120 flight time total : 18600 flight time type : 6000 |
ASRS Report | 483490 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 94 flight time total : 4200 flight time type : 1800 |
ASRS Report | 483496 |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : clearance other anomaly other |
Independent Detector | other controllerb |
Resolutory Action | controller : issued advisory controller : issued new clearance |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Flight Crew Human Performance ATC Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
After descent from FL330 to FL240, the controller issued a clearance for the arrival. I read back, 'descend to 150 and intercept the 300 degree radial to cwk' and asked him to repeat the intercept heading. He said that was heading 150 degrees (in hindsight he was correcting my interpretation of the '150'). I thought the heading was in conjunction with flight level 15000 ft. We turned to heading 150 degrees and left FL240 for 15000 ft. Out of approximately FL230 the controller asked 'what altitude are you descending to?' I said '15000 ft.' he replied 'that was heading 150 degrees' and that we had clarified that in the readback. He then issued a descent clearance to continue the descent to flight level 13000 ft. No further discussion. The problem was in communication and the readbacks. We had been flying all night also, and this was the end of our trip. So fatigue was also a factor on our part. Supplemental information from acn 483496: at this time, I was listening to the new ATIS, as it had just changed and the field had gone IMC. The captain (PNF) switched to ZHU and we were directed to a 150 degree heading and, we believed, a further descent clearance to 15000 ft. The captain read back the heading and altitude clearance and we proceeded as directed.
Original NASA ASRS Text
Title: ALT OVERSHOOT AS THE RESULT OF MISUNDERSTANDING OF CLRNC AND READBACK CORRECTION.
Narrative: AFTER DSCNT FROM FL330 TO FL240, THE CTLR ISSUED A CLRNC FOR THE ARR. I READ BACK, 'DSND TO 150 AND INTERCEPT THE 300 DEG RADIAL TO CWK' AND ASKED HIM TO REPEAT THE INTERCEPT HDG. HE SAID THAT WAS HDG 150 DEGS (IN HINDSIGHT HE WAS CORRECTING MY INTERP OF THE '150'). I THOUGHT THE HDG WAS IN CONJUNCTION WITH FLT LEVEL 15000 FT. WE TURNED TO HDG 150 DEGS AND LEFT FL240 FOR 15000 FT. OUT OF APPROX FL230 THE CTLR ASKED 'WHAT ALT ARE YOU DSNDING TO?' I SAID '15000 FT.' HE REPLIED 'THAT WAS HDG 150 DEGS' AND THAT WE HAD CLARIFIED THAT IN THE READBACK. HE THEN ISSUED A DSCNT CLRNC TO CONTINUE THE DSCNT TO FLT LEVEL 13000 FT. NO FURTHER DISCUSSION. THE PROB WAS IN COM AND THE READBACKS. WE HAD BEEN FLYING ALL NIGHT ALSO, AND THIS WAS THE END OF OUR TRIP. SO FATIGUE WAS ALSO A FACTOR ON OUR PART. SUPPLEMENTAL INFO FROM ACN 483496: AT THIS TIME, I WAS LISTENING TO THE NEW ATIS, AS IT HAD JUST CHANGED AND THE FIELD HAD GONE IMC. THE CAPT (PNF) SWITCHED TO ZHU AND WE WERE DIRECTED TO A 150 DEG HDG AND, WE BELIEVED, A FURTHER DSCNT CLRNC TO 15000 FT. THE CAPT READ BACK THE HDG AND ALT CLRNC AND WE PROCEEDED AS DIRECTED.
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.