37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 504320 |
Time | |
Date | 200103 |
Day | Wed |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : cle.airport |
State Reference | OH |
Altitude | msl bound lower : 9600 msl bound upper : 10000 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : cle.tracon |
Operator | common carrier : air carrier |
Make Model Name | Beech 1900 |
Operating Under FAR Part | Part 135 |
Navigation In Use | ils localizer & glide slope : 23l |
Flight Phase | descent : vacating altitude |
Route In Use | approach : straight in approach : instrument precision |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : commercial pilot : cfi pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 2000 flight time type : 3000 |
ASRS Report | 504320 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : clearance other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : alt alerter other flight crewa |
Resolutory Action | flight crew : became reoriented flight crew : returned to assigned altitude |
Supplementary | |
Problem Areas | Aircraft ATC Human Performance Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
While on approach to runway 23L ILS at 11000 ft, controller advised 'descend to 10000 ft.' we normally receive descent to 9000 ft. Captain was flying and continued past 10000 ft to 9600 ft. First officer noted altitude alerter tone and noted altitude deviation. Advised captain altitude should be 10000 ft and confirmed with ATC -- captain thought was 9000 ft. Immediately returned to 10000 ft. Contributing factors: normally receive descent to 9000 ft on approach. Altitude alerter sometimes disregarded when only 1000 ft change encoded as always goes off.
Original NASA ASRS Text
Title: A BE1900 PIC DSNDS 400 FT BELOW HIS ASSIGNED ALT ON THE LOC FOR RWY 23L AT CLE, OH.
Narrative: WHILE ON APCH TO RWY 23L ILS AT 11000 FT, CTLR ADVISED 'DSND TO 10000 FT.' WE NORMALLY RECEIVE DSCNT TO 9000 FT. CAPT WAS FLYING AND CONTINUED PAST 10000 FT TO 9600 FT. FO NOTED ALT ALERTER TONE AND NOTED ALTDEV. ADVISED CAPT ALT SHOULD BE 10000 FT AND CONFIRMED WITH ATC -- CAPT THOUGHT WAS 9000 FT. IMMEDIATELY RETURNED TO 10000 FT. CONTRIBUTING FACTORS: NORMALLY RECEIVE DSCNT TO 9000 FT ON APCH. ALT ALERTER SOMETIMES DISREGARDED WHEN ONLY 1000 FT CHANGE ENCODED AS ALWAYS GOES OFF.
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.