37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 486114 |
Time | |
Date | 200009 |
Day | Tue |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : las.airport |
State Reference | NV |
Altitude | msl bound lower : 12000 msl bound upper : 16000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zla.artcc |
Operator | common carrier : charter |
Make Model Name | Learjet 35 |
Operating Under FAR Part | Part 135 |
Flight Phase | descent : intermediate altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : charter |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : commercial pilot : cfi pilot : instrument |
Experience | flight time last 90 days : 60 flight time total : 1625 flight time type : 10 |
ASRS Report | 486114 |
Person 2 | |
Affiliation | company : charter |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance non adherence other other anomaly other other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance controller : issued advisory |
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:
In level flight, at FL290, en route from vancouver to las, the center controller cleared us to descend to what I believed was 12000 ft. I read back 'leaving two-niner-zero for one-two thousand,' to which there was no reply. The PF then descended to 12000 ft. Upon leveling at 12000 ft, I noticed terrain at our altitude. This terrain was approximately 20 mi ahead in the 12 O'clock position. As I was preparing to verify our altitude assignment, the controller asked for verification that we were level at 16000 ft. When I indicated we were at 12000 ft. He asked if we had the terrain in sight, and asked us to climb/maintain 14000 ft. The flight concluded normally. In this case a misunderstanding between ATC and the flight crew caused an error in vertical positioning of the aircraft. Although 4000 ft of error occurred, the system caught the mistake in time to prevent a loss of separation between the aircraft and terrain. Closer monitoring of readbacks by ATC, and closer monitoring of MSA's by the flight crew could prevent this type of problem in the future.
Original NASA ASRS Text
Title: A LEAR 35 FLC DSNDS 4000 FT BELOW THEIR ASSIGNED ALT, APPROX 2000 FT BELOW THE MEA FOR THAT SEGMENT OF THE AIRWAY NW OF LAS, NV.
Narrative: IN LEVEL FLT, AT FL290, ENRTE FROM VANCOUVER TO LAS, THE CTR CTLR CLRED US TO DSND TO WHAT I BELIEVED WAS 12000 FT. I READ BACK 'LEAVING TWO-NINER-ZERO FOR ONE-TWO THOUSAND,' TO WHICH THERE WAS NO REPLY. THE PF THEN DSNDED TO 12000 FT. UPON LEVELING AT 12000 FT, I NOTICED TERRAIN AT OUR ALT. THIS TERRAIN WAS APPROX 20 MI AHEAD IN THE 12 O'CLOCK POS. AS I WAS PREPARING TO VERIFY OUR ALT ASSIGNMENT, THE CTLR ASKED FOR VERIFICATION THAT WE WERE LEVEL AT 16000 FT. WHEN I INDICATED WE WERE AT 12000 FT. HE ASKED IF WE HAD THE TERRAIN IN SIGHT, AND ASKED US TO CLB/MAINTAIN 14000 FT. THE FLT CONCLUDED NORMALLY. IN THIS CASE A MISUNDERSTANDING BTWN ATC AND THE FLC CAUSED AN ERROR IN VERT POSITIONING OF THE ACFT. ALTHOUGH 4000 FT OF ERROR OCCURRED, THE SYS CAUGHT THE MISTAKE IN TIME TO PREVENT A LOSS OF SEPARATION BTWN THE ACFT AND TERRAIN. CLOSER MONITORING OF READBACKS BY ATC, AND CLOSER MONITORING OF MSA'S BY THE FLC COULD PREVENT THIS TYPE OF PROB IN THE FUTURE.
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.