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|
Attributes | |
ACN | 485020 |
Time | |
Date | 200009 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : clt.airport |
State Reference | NC |
Altitude | msl bound lower : 8000 msl bound upper : 8500 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : clt.tracon |
Operator | common carrier : air carrier |
Make Model Name | Fokker 100 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | climbout : vacating altitude |
Route In Use | departure : other published ifr departure |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 180 flight time total : 12000 flight time type : 600 |
ASRS Report | 485020 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain |
Qualification | pilot : atp pilot : flight engineer pilot : cfi |
Experience | flight time last 90 days : 240 flight time total : 15000 flight time type : 7000 |
ASRS Report | 484318 |
Events | |
Anomaly | altitude deviation : overshoot altitude deviation : crossing restriction not met non adherence : clearance non adherence : published procedure other anomaly other |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | flight crew : became reoriented flight crew : returned to original clearance none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Problem Areas | Flight Crew Human Performance Company Chart Or Publication ATC Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
On sep/xa/00, clt started using the 'checker RNAV departure.' this replaced the 'hornet 1' departure which had been used by the F100 for yrs. The SID was received by a pre departure clearance and stated to climb to 12000 ft. Unfortunately, the RNAV SID has 4 points with altitude and airspeed restrs prior to reaching 12000 ft. The wrong SID (hornet 1) was loaded. The error was discovered after takeoff. I began manually loading into the FMC the correct SID. I also was reading the SID to the captain. The point 'gladi' has a restr of 8000 ft or below. I misread this restr as above 8000 ft. We exceeded that altitude by 500 ft. Habit patterns and failure to see 'red flags' (climb to 12000 ft on the pre departure clearance when climb to 8000 ft had been used for yrs), as well as the failure to fully read a pre departure clearance, caused us not to be properly prepared. Supplemental information from acn 484318: as we took the runway for departure, we asked tower to 'verify 12000 ft,' which he did. At that time we realized something was 'different.' after takeoff, first officer hurriedly entered the new departure but I hand flew the departure. Routing went fine, but gladi was to be crossed 'at or below 8000 ft and not less than 230 KTS.' I was approximately 500 ft high at gladi. I should have caught the departure change on pre departure clearance. I was too much of a creature of habit! When tower confirmed different altitude than normal, I should have taxied off the runway and ensured the correct departure was in the FMC. Should have coupled the autoplt for the departure -- it knew the procedure!
Original NASA ASRS Text
Title: AN FK100 FLC OVERSHOOTS THE DESIGNATED ALT AT GLADI OF THE CHECKER RNAV DEP PROC WHEN STARTING OFF WITH THE WRONG SID IN THEIR FMS, 12 MI N OF CLT, NC.
Narrative: ON SEP/XA/00, CLT STARTED USING THE 'CHECKER RNAV DEP.' THIS REPLACED THE 'HORNET 1' DEP WHICH HAD BEEN USED BY THE F100 FOR YRS. THE SID WAS RECEIVED BY A PDC AND STATED TO CLB TO 12000 FT. UNFORTUNATELY, THE RNAV SID HAS 4 POINTS WITH ALT AND AIRSPD RESTRS PRIOR TO REACHING 12000 FT. THE WRONG SID (HORNET 1) WAS LOADED. THE ERROR WAS DISCOVERED AFTER TKOF. I BEGAN MANUALLY LOADING INTO THE FMC THE CORRECT SID. I ALSO WAS READING THE SID TO THE CAPT. THE POINT 'GLADI' HAS A RESTR OF 8000 FT OR BELOW. I MISREAD THIS RESTR AS ABOVE 8000 FT. WE EXCEEDED THAT ALT BY 500 FT. HABIT PATTERNS AND FAILURE TO SEE 'RED FLAGS' (CLB TO 12000 FT ON THE PDC WHEN CLB TO 8000 FT HAD BEEN USED FOR YRS), AS WELL AS THE FAILURE TO FULLY READ A PDC, CAUSED US NOT TO BE PROPERLY PREPARED. SUPPLEMENTAL INFO FROM ACN 484318: AS WE TOOK THE RWY FOR DEP, WE ASKED TWR TO 'VERIFY 12000 FT,' WHICH HE DID. AT THAT TIME WE REALIZED SOMETHING WAS 'DIFFERENT.' AFTER TKOF, FO HURRIEDLY ENTERED THE NEW DEP BUT I HAND FLEW THE DEP. ROUTING WENT FINE, BUT GLADI WAS TO BE CROSSED 'AT OR BELOW 8000 FT AND NOT LESS THAN 230 KTS.' I WAS APPROX 500 FT HIGH AT GLADI. I SHOULD HAVE CAUGHT THE DEP CHANGE ON PDC. I WAS TOO MUCH OF A CREATURE OF HABIT! WHEN TWR CONFIRMED DIFFERENT ALT THAN NORMAL, I SHOULD HAVE TAXIED OFF THE RWY AND ENSURED THE CORRECT DEP WAS IN THE FMC. SHOULD HAVE COUPLED THE AUTOPLT FOR THE DEP -- IT KNEW THE PROC!
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.