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|
Attributes | |
ACN | 490360 |
Time | |
Date | 200010 |
Day | Tue |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | navaid : mht.vor |
State Reference | NH |
Altitude | msl bound lower : 10000 msl bound upper : 10600 |
Environment | |
Flight Conditions | IMC |
Weather Elements | Ice |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zbw.artcc |
Operator | common carrier : air carrier |
Make Model Name | B737-700 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | climbout : intermediate altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 16000 flight time type : 6500 |
ASRS Report | 490360 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : commercial pilot : multi engine |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : overshoot non adherence : clearance non adherence : published procedure |
Independent Detector | aircraft equipment other aircraft equipment : caution lights other flight crewa |
Resolutory Action | controller : issued new clearance flight crew : overcame equipment problem flight crew : returned to assigned altitude |
Consequence | Other |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
On climb out of mht with the first officer flying the aircraft, we were cleared to 10000 ft. At approximately 8500 ft we broke out of icing conditions at which time the first officer reached up to secure engine anti-ice. In doing so he mistakenly turned the 'B' system hydraulic pump switches off causing the autoplt to kick off. As captain, I was in the process of switching radio frequency to contact center. I noticed the autoplt disengage along with other associated caution lights related to the 'B' hydraulic system. I immediately noted the 'B' hydraulic system pump switched off. I restored the hydraulic system and noted the aircraft climbing through 10000 ft. I called altitude and the first officer leveled the aircraft at 10600 ft correcting back to 10000 ft. I checked in with center and was cleared to FL230. The controller did not comment, or seem to notice this deviation. Remainder of the flight was non-eventful. To prevent this from happening again, I will brief prior to flight that engine anti-ice on or off will be verbally called out thereby calling attention to the event. Also after this event the first officer and I had a long discussion on flying the aircraft first and letting the PNF troubleshoot the malfunction. I don't think this mistake will happen to either of us again. Off note: the location and switch size of both the 'B' hydraulic pump switches and engine anti-ice switches are in the same area on the overhead panel.
Original NASA ASRS Text
Title: ALTDEV.
Narrative: ON CLBOUT OF MHT WITH THE FO FLYING THE ACFT, WE WERE CLRED TO 10000 FT. AT APPROX 8500 FT WE BROKE OUT OF ICING CONDITIONS AT WHICH TIME THE FO REACHED UP TO SECURE ENG ANTI-ICE. IN DOING SO HE MISTAKENLY TURNED THE 'B' SYS HYD PUMP SWITCHES OFF CAUSING THE AUTOPLT TO KICK OFF. AS CAPT, I WAS IN THE PROCESS OF SWITCHING RADIO FREQ TO CONTACT CTR. I NOTICED THE AUTOPLT DISENGAGE ALONG WITH OTHER ASSOCIATED CAUTION LIGHTS RELATED TO THE 'B' HYD SYS. I IMMEDIATELY NOTED THE 'B' HYD SYS PUMP SWITCHED OFF. I RESTORED THE HYD SYS AND NOTED THE ACFT CLBING THROUGH 10000 FT. I CALLED ALT AND THE FO LEVELED THE ACFT AT 10600 FT CORRECTING BACK TO 10000 FT. I CHKED IN WITH CTR AND WAS CLRED TO FL230. THE CTLR DID NOT COMMENT, OR SEEM TO NOTICE THIS DEV. REMAINDER OF THE FLT WAS NON-EVENTFUL. TO PREVENT THIS FROM HAPPENING AGAIN, I WILL BRIEF PRIOR TO FLT THAT ENG ANTI-ICE ON OR OFF WILL BE VERBALLY CALLED OUT THEREBY CALLING ATTN TO THE EVENT. ALSO AFTER THIS EVENT THE FO AND I HAD A LONG DISCUSSION ON FLYING THE ACFT FIRST AND LETTING THE PNF TROUBLESHOOT THE MALFUNCTION. I DON'T THINK THIS MISTAKE WILL HAPPEN TO EITHER OF US AGAIN. OFF NOTE: THE LOCATION AND SWITCH SIZE OF BOTH THE 'B' HYD PUMP SWITCHES AND ENG ANTI-ICE SWITCHES ARE IN THE SAME AREA ON THE OVERHEAD PANEL.
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.