37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 509861 |
Time | |
Date | 200104 |
Day | Thu |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : day.airport |
State Reference | OH |
Altitude | msl bound lower : 11600 msl bound upper : 12500 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : day.tracon |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : vacating altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : multi engine pilot : instrument pilot : commercial pilot : atp |
Experience | flight time last 90 days : 100 flight time total : 10000 flight time type : 5000 |
ASRS Report | 509861 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : returned to assigned altitude flight crew : became reoriented |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Micro sleep. My assigned leveloff altitude was 12000 ft. At 12500 ft, I set my power to 1.15 EPR 60% N1 to establish a 1000 FPM rate of descent to level off at 12000 ft. The proper altitude callout was made by the copilot out of 13000 ft for 12000 ft. I responded 'roger!' night flying is a constant effort to overcome fatigue. I was thinking of my leveloff when the next action was realizing that I was at 11600 ft and corrected back to 12000 ft immediately. This has never happened to me in 36 yrs of flying. I was aware, but not relating for a moment of micro sleep. Both crew members must be fully at attention during descent with more attention to the last 2000 ft of descent. As a measure to correct this problem, a leveloff call should be required, ie, 'level 12000 ft.' 'roger.'
Original NASA ASRS Text
Title: AN MLG CREW OVERSHOT ASSIGNED LEVELOFF ALT.
Narrative: MICRO SLEEP. MY ASSIGNED LEVELOFF ALT WAS 12000 FT. AT 12500 FT, I SET MY PWR TO 1.15 EPR 60% N1 TO ESTABLISH A 1000 FPM RATE OF DSCNT TO LEVEL OFF AT 12000 FT. THE PROPER ALT CALLOUT WAS MADE BY THE COPLT OUT OF 13000 FT FOR 12000 FT. I RESPONDED 'ROGER!' NIGHT FLYING IS A CONSTANT EFFORT TO OVERCOME FATIGUE. I WAS THINKING OF MY LEVELOFF WHEN THE NEXT ACTION WAS REALIZING THAT I WAS AT 11600 FT AND CORRECTED BACK TO 12000 FT IMMEDIATELY. THIS HAS NEVER HAPPENED TO ME IN 36 YRS OF FLYING. I WAS AWARE, BUT NOT RELATING FOR A MOMENT OF MICRO SLEEP. BOTH CREW MEMBERS MUST BE FULLY AT ATTN DURING DSCNT WITH MORE ATTN TO THE LAST 2000 FT OF DSCNT. AS A MEASURE TO CORRECT THIS PROB, A LEVELOFF CALL SHOULD BE REQUIRED, IE, 'LEVEL 12000 FT.' 'ROGER.'
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.