37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 511809 |
Time | |
Date | 200105 |
Day | Sun |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : mia.tracon |
State Reference | FL |
Altitude | msl bound lower : 16000 msl bound upper : 16500 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : mia.tracon artcc : zny.artcc |
Operator | common carrier : air carrier |
Make Model Name | DC-8 61 |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : intermediate altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : instrument pilot : flight engineer pilot : atp pilot : commercial pilot : multi engine |
Experience | flight time last 90 days : 60 flight time total : 13000 flight time type : 1400 |
ASRS Report | 511809 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : overshoot non adherence : clearance non adherence : published procedure other spatial deviation |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | flight crew : overrode automation flight crew : overcame equipment problem |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Departed fll international. Was given a heading to intercept the fll 9 departure, thndr transition, 16000 ft. Captain was flying and called course alive. As the course indicator moved toward the center, I began to turn and intercept while climbing. I glanced over at the first officer's course indicator and his was not moving. I brought it to his attention. We now did not know which instrument was correct. Both vors were tuned to the same frequency. I asked the first officer to confirm our position with departure, but instead he asked them if the VOR was working. I then said, 'I need to know our position to determine which instrument is correct to keep from getting too far off course during the departure phase.' he went back on the radio just as the 1000 ft altitude warning went off, so he didn't hear or see it. I was distraction also for the same reasons. The so called out altitude. We were at 16500 ft when I pushed the aircraft over and back to 16000 ft -- our assigned altitude. The cause of this was the same as so many others. We allowed ourselves to be distraction by a problem and were not flying the aircraft. I've been involved in numerous abnormal and emergency sits and never allowed this to happen before, but all it takes is one time. Another lesson learned!
Original NASA ASRS Text
Title: DC8 FLC OVERSHOOT ASSIGNED ALT WHILE TROUBLESHOOTING NAV PROCESSING EQUIP.
Narrative: DEPARTED FLL INTL. WAS GIVEN A HDG TO INTERCEPT THE FLL 9 DEP, THNDR TRANSITION, 16000 FT. CAPT WAS FLYING AND CALLED COURSE ALIVE. AS THE COURSE INDICATOR MOVED TOWARD THE CENTER, I BEGAN TO TURN AND INTERCEPT WHILE CLBING. I GLANCED OVER AT THE FO'S COURSE INDICATOR AND HIS WAS NOT MOVING. I BROUGHT IT TO HIS ATTN. WE NOW DID NOT KNOW WHICH INST WAS CORRECT. BOTH VORS WERE TUNED TO THE SAME FREQ. I ASKED THE FO TO CONFIRM OUR POS WITH DEP, BUT INSTEAD HE ASKED THEM IF THE VOR WAS WORKING. I THEN SAID, 'I NEED TO KNOW OUR POS TO DETERMINE WHICH INST IS CORRECT TO KEEP FROM GETTING TOO FAR OFF COURSE DURING THE DEP PHASE.' HE WENT BACK ON THE RADIO JUST AS THE 1000 FT ALT WARNING WENT OFF, SO HE DIDN'T HEAR OR SEE IT. I WAS DISTR ALSO FOR THE SAME REASONS. THE SO CALLED OUT ALT. WE WERE AT 16500 FT WHEN I PUSHED THE ACFT OVER AND BACK TO 16000 FT -- OUR ASSIGNED ALT. THE CAUSE OF THIS WAS THE SAME AS SO MANY OTHERS. WE ALLOWED OURSELVES TO BE DISTR BY A PROB AND WERE NOT FLYING THE ACFT. I'VE BEEN INVOLVED IN NUMEROUS ABNORMAL AND EMER SITS AND NEVER ALLOWED THIS TO HAPPEN BEFORE, BUT ALL IT TAKES IS ONE TIME. ANOTHER LESSON LEARNED!
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.