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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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Attributes | |
ACN | 516020 |
Time | |
Date | 200106 |
Day | Wed |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : sfo.airport |
State Reference | CA |
Altitude | msl single value : 6000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : o90.tracon tower : sfo.tower tower : mke.tower |
Operator | general aviation : corporate |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Operating Under FAR Part | Part 91 |
Flight Phase | descent : approach |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | tower : sfo.tower |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Flight Phase | descent : approach |
Route In Use | approach : visual |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 80 flight time total : 8750 flight time type : 325 |
ASRS Report | 516020 |
Person 2 | |
Affiliation | company : corporate |
Function | flight crew : first officer |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude other anomaly other |
Independent Detector | other controllera |
Resolutory Action | controller : issued alert 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:
I believe this is another example of an occurrence due to fatigue. I was in las vegas, planning to go out the following day. We were there for scheduled maintenance. I got a call at XA00 from company informing me of a trip that evening from las to pdx on to cos. Got to airport early to check status of the plane and to flight plan. I discovered a leg from pdx to sfo had been added. I checked to see if it was within our duty time of 14 hours. It was. I had been awake since XO00. First leg (pdx) went well. Departure from pdx was delayed 50 mins due to late passenger. I had the sic flying this leg. He is typed and has experience in the plane. He is a PIC on other company aircraft. En route we both exhibited some weariness -- yawning, etc. By the time we got to sfo, I was tired, as I had been up better than 18 hours already. We were being vectored for a right base entry to runway 28R for a visual approach. Our assigned altitude was 6000 ft MSL. The next thing I recall was observing the copilot initiating a descent. I had heard the controller but did not clearly hear his comments as if I was in a momentary state of sleep. I snapped to attention and asked the sic if he had been given a descent clearance. He stated that he heard the controller clear us for the visual approach. We had descended around 1000 ft and the controller immediately issued a command to climb back to 6000 ft and to turn to a heading, which I do not recall. Upon questioning the other pilot again, he stated he heard a clearance for a visual descent. I'm not sure for I was in the twilight zone momentarily. The controller sounded as though he was working a lot of traffic for that time of morning, and possibly working more than 1 station. We were turned back and cleared to tower, within a few seconds. Upon calling tower, we were cleared for the visual approach and landing, nothing else was said. I'm not sure how much of a traffic conflict there was, if there was one. I did not see another aircraft, except one on short final to our runway. We landed, unloaded this passenger, fueled, and determined an appropriate method of staying awake. Upon completing the mission, I had been on my feet 23 hours. However, I was within our duty limits. I understand better now the complaints of the air carrier pilots over the issue of rest and duty time. Hope this might help someone else out there flying the fractionals or other related industries.
Original NASA ASRS Text
Title: FO OF A CPR EXECUTIVE JET STARTED DSCNT FROM APCH TRANSITION ALT DUE TO MISTAKENLY TAKING ANOTHER ACFT'S CLRNC.
Narrative: I BELIEVE THIS IS ANOTHER EXAMPLE OF AN OCCURRENCE DUE TO FATIGUE. I WAS IN LAS VEGAS, PLANNING TO GO OUT THE FOLLOWING DAY. WE WERE THERE FOR SCHEDULED MAINT. I GOT A CALL AT XA00 FROM COMPANY INFORMING ME OF A TRIP THAT EVENING FROM LAS TO PDX ON TO COS. GOT TO ARPT EARLY TO CHK STATUS OF THE PLANE AND TO FLT PLAN. I DISCOVERED A LEG FROM PDX TO SFO HAD BEEN ADDED. I CHKED TO SEE IF IT WAS WITHIN OUR DUTY TIME OF 14 HRS. IT WAS. I HAD BEEN AWAKE SINCE XO00. FIRST LEG (PDX) WENT WELL. DEP FROM PDX WAS DELAYED 50 MINS DUE TO LATE PAX. I HAD THE SIC FLYING THIS LEG. HE IS TYPED AND HAS EXPERIENCE IN THE PLANE. HE IS A PIC ON OTHER COMPANY ACFT. ENRTE WE BOTH EXHIBITED SOME WEARINESS -- YAWNING, ETC. BY THE TIME WE GOT TO SFO, I WAS TIRED, AS I HAD BEEN UP BETTER THAN 18 HRS ALREADY. WE WERE BEING VECTORED FOR A R BASE ENTRY TO RWY 28R FOR A VISUAL APCH. OUR ASSIGNED ALT WAS 6000 FT MSL. THE NEXT THING I RECALL WAS OBSERVING THE COPLT INITIATING A DSCNT. I HAD HEARD THE CTLR BUT DID NOT CLRLY HEAR HIS COMMENTS AS IF I WAS IN A MOMENTARY STATE OF SLEEP. I SNAPPED TO ATTN AND ASKED THE SIC IF HE HAD BEEN GIVEN A DSCNT CLRNC. HE STATED THAT HE HEARD THE CTLR CLR US FOR THE VISUAL APCH. WE HAD DSNDED AROUND 1000 FT AND THE CTLR IMMEDIATELY ISSUED A COMMAND TO CLB BACK TO 6000 FT AND TO TURN TO A HDG, WHICH I DO NOT RECALL. UPON QUESTIONING THE OTHER PLT AGAIN, HE STATED HE HEARD A CLRNC FOR A VISUAL DSCNT. I'M NOT SURE FOR I WAS IN THE TWILIGHT ZONE MOMENTARILY. THE CTLR SOUNDED AS THOUGH HE WAS WORKING A LOT OF TFC FOR THAT TIME OF MORNING, AND POSSIBLY WORKING MORE THAN 1 STATION. WE WERE TURNED BACK AND CLRED TO TWR, WITHIN A FEW SECONDS. UPON CALLING TWR, WE WERE CLRED FOR THE VISUAL APCH AND LNDG, NOTHING ELSE WAS SAID. I'M NOT SURE HOW MUCH OF A TFC CONFLICT THERE WAS, IF THERE WAS ONE. I DID NOT SEE ANOTHER ACFT, EXCEPT ONE ON SHORT FINAL TO OUR RWY. WE LANDED, UNLOADED THIS PAX, FUELED, AND DETERMINED AN APPROPRIATE METHOD OF STAYING AWAKE. UPON COMPLETING THE MISSION, I HAD BEEN ON MY FEET 23 HRS. HOWEVER, I WAS WITHIN OUR DUTY LIMITS. I UNDERSTAND BETTER NOW THE COMPLAINTS OF THE ACR PLTS OVER THE ISSUE OF REST AND DUTY TIME. HOPE THIS MIGHT HELP SOMEONE ELSE OUT THERE FLYING THE FRACTIONALS OR OTHER RELATED INDUSTRIES.
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.