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|
Attributes | |
ACN | 503860 |
Time | |
Date | 200103 |
Day | Fri |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | navaid : ywt.vor |
State Reference | ON |
Altitude | msl bound lower : 11000 msl bound upper : 13000 |
Environment | |
Flight Conditions | Mixed |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : czyz.artcc |
Operator | common carrier : air carrier |
Make Model Name | B737-200 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other vortac |
Flight Phase | descent : vacating altitude |
Route In Use | arrival star : n/s |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 8200 flight time type : 1768 |
ASRS Report | 503860 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : commercial |
Events | |
Anomaly | aircraft equipment problem : critical altitude deviation : excursion from assigned altitude altitude deviation : overshoot non adherence : company policies non adherence : far non adherence : published procedure non adherence : clearance other anomaly other |
Independent Detector | other controllera other flight crewa other flight crewb |
Resolutory Action | controller : issued new clearance none taken : detected after the fact |
Supplementary | |
Problem Areas | Flight Crew Human Performance Weather Aircraft |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We were en route from ord to yyz at FL290. We received clearance to 11000 ft via the profile descent runway 23/24L. This clearance required us to cross ywt VOR between 17000 ft and 13000 ft. The first officer was very new to the airline with about 4 months experience. He had been a pilot in the navy for the previous 14 yrs. He had flown into toronto before. He was the PF. He gave a very thorough brief on his descent plan including his intention to cross ywt between 17000 ft and 13000 ft. Prior to descent, an irregular fuel situation developed. Fuel began quickly xferring from the #2 main tank back into the center tank. This is an irregular and potentially hazardous situation for the B737 and demanded my immediate attention. I left the copilot in charge of the aircraft route and flying, as well as the ATC radio responsibilities. I left the frequency to call our maintenance personnel on another radio. The copilot let me know he was starting his descent. We again had another brief discussion about the ywt crossing and he seemed to completely understand the maneuver. During my running of the irregular checklist, I noticed the aircraft descending below 13000 ft prior to waterloo VOR. I instructed the first officer to return to 1300 ft for the crossing restr at ywt. When I asked him why he descended below 13000 ft, he said he thought that all crossing restrs were not applicable because we were originally cleared to 11000 ft. I found that strange because we were cleared to 11000 ft via the profile descent when he did his brief. He is an excellent pilot and I attribute this to a limited experience base with civilian environments and especially a high load airport like yyz. The factors that caused this that were also contributing were my diverted attention to a fuel problem and also on airport with rapidly deteriorating WX. We discussed this with the toronto controller and he indicated it caused no problems.
Original NASA ASRS Text
Title: B737-200 CREW DSNDED BELOW PUBLISHED STAR ALT ARRIVING AT CZYZ.
Narrative: WE WERE ENRTE FROM ORD TO YYZ AT FL290. WE RECEIVED CLRNC TO 11000 FT VIA THE PROFILE DSCNT RWY 23/24L. THIS CLRNC REQUIRED US TO CROSS YWT VOR BTWN 17000 FT AND 13000 FT. THE FO WAS VERY NEW TO THE AIRLINE WITH ABOUT 4 MONTHS EXPERIENCE. HE HAD BEEN A PLT IN THE NAVY FOR THE PREVIOUS 14 YRS. HE HAD FLOWN INTO TORONTO BEFORE. HE WAS THE PF. HE GAVE A VERY THOROUGH BRIEF ON HIS DSCNT PLAN INCLUDING HIS INTENTION TO CROSS YWT BTWN 17000 FT AND 13000 FT. PRIOR TO DSCNT, AN IRREGULAR FUEL SIT DEVELOPED. FUEL BEGAN QUICKLY XFERRING FROM THE #2 MAIN TANK BACK INTO THE CTR TANK. THIS IS AN IRREGULAR AND POTENTIALLY HAZARDOUS SIT FOR THE B737 AND DEMANDED MY IMMEDIATE ATTN. I LEFT THE COPLT IN CHARGE OF THE ACFT RTE AND FLYING, AS WELL AS THE ATC RADIO RESPONSIBILITIES. I LEFT THE FREQ TO CALL OUR MAINT PERSONNEL ON ANOTHER RADIO. THE COPLT LET ME KNOW HE WAS STARTING HIS DSCNT. WE AGAIN HAD ANOTHER BRIEF DISCUSSION ABOUT THE YWT XING AND HE SEEMED TO COMPLETELY UNDERSTAND THE MANEUVER. DURING MY RUNNING OF THE IRREGULAR CHKLIST, I NOTICED THE ACFT DSNDING BELOW 13000 FT PRIOR TO WATERLOO VOR. I INSTRUCTED THE FO TO RETURN TO 1300 FT FOR THE XING RESTR AT YWT. WHEN I ASKED HIM WHY HE DSNDED BELOW 13000 FT, HE SAID HE THOUGHT THAT ALL XING RESTRS WERE NOT APPLICABLE BECAUSE WE WERE ORIGINALLY CLRED TO 11000 FT. I FOUND THAT STRANGE BECAUSE WE WERE CLRED TO 11000 FT VIA THE PROFILE DSCNT WHEN HE DID HIS BRIEF. HE IS AN EXCELLENT PLT AND I ATTRIBUTE THIS TO A LIMITED EXPERIENCE BASE WITH CIVILIAN ENVIRONMENTS AND ESPECIALLY A HIGH LOAD ARPT LIKE YYZ. THE FACTORS THAT CAUSED THIS THAT WERE ALSO CONTRIBUTING WERE MY DIVERTED ATTN TO A FUEL PROB AND ALSO ON ARPT WITH RAPIDLY DETERIORATING WX. WE DISCUSSED THIS WITH THE TORONTO CTLR AND HE INDICATED IT CAUSED NO PROBS.
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.