37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 521270 |
Time | |
Date | 200108 |
Day | Wed |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : teb.airport |
State Reference | NJ |
Altitude | msl bound lower : 3000 msl bound upper : 4000 |
Environment | |
Flight Conditions | VMC |
Light | Dusk |
Aircraft 1 | |
Operator | general aviation : corporate |
Make Model Name | Citation V |
Flight Phase | descent : intermediate altitude |
Route In Use | arrival : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : commercial pilot : atp pilot : cfi |
Person 2 | |
Experience | flight time last 90 days : 104 flight time total : 5613 flight time type : 319 |
ASRS Report | 521270 |
Events | |
Anomaly | altitude deviation : overshoot inflight encounter other non adherence : clearance non adherence : company policies non adherence : published procedure other anomaly other |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Environmental Factor Flight Crew Human Performance Company |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
The incident occurred on a flight from east hampton, ny (hto) to teterboro, nj (teb), as we were descending from 4000 ft to 3000 ft MSL while being vectored to the airport at teb. We had developed some pilot fatigue induced confusion as to what altitude we were assigned during our descent into teb. As we were conducting our descent and approach checklists, and receiving ATIS we were given instruction to descend from 4000 ft to 3000 ft. Neither one of us set the altitude pre-select, thinking that the other one had done so. A few moments later we noticed that we were passing approximately 2800 ft and were confused as to why the autoplt had not captured the altitude. We then looked at the altitude pre-select and noticed that it was showing 4000 ft. At that moment I began a climb back to 4000 ft (not sure what altitude to be at). As we were leveling off at 4000 ft ATC called and asked us what altitude we were at. We said 4000 ft. He then said that we should be at 3000 ft. We immediately started a descent back down to 3000 ft, and continued the flight without any further incident. This duty day started early am putting us on duty for just over 13 hours at the time of the incident. Our first day on duty started early am on aug/mon/01, with 9 hours 20 mins on duty that day. Second day started at early am aug/tue/01, with 14 hours 30 mins on duty. Third day started early am also on aug/wed/01 with 14 hours 20 mins on duty. At this point in the week we were both feeling the effects of fatigue. Better rest and duty regulations are the only way to fix this problem.
Original NASA ASRS Text
Title: ALT UNDERSHOT AND CONFUSED FLT CREW OF A C560 ON FREQ WITH N90 ON A VECTORED APCH TO TEB, NJ.
Narrative: THE INCIDENT OCCURRED ON A FLT FROM E HAMPTON, NY (HTO) TO TETERBORO, NJ (TEB), AS WE WERE DSNDING FROM 4000 FT TO 3000 FT MSL WHILE BEING VECTORED TO THE ARPT AT TEB. WE HAD DEVELOPED SOME PLT FATIGUE INDUCED CONFUSION AS TO WHAT ALT WE WERE ASSIGNED DURING OUR DSCNT INTO TEB. AS WE WERE CONDUCTING OUR DSCNT AND APCH CHKLISTS, AND RECEIVING ATIS WE WERE GIVEN INSTRUCTION TO DSND FROM 4000 FT TO 3000 FT. NEITHER ONE OF US SET THE ALT PRE-SELECT, THINKING THAT THE OTHER ONE HAD DONE SO. A FEW MOMENTS LATER WE NOTICED THAT WE WERE PASSING APPROX 2800 FT AND WERE CONFUSED AS TO WHY THE AUTOPLT HAD NOT CAPTURED THE ALT. WE THEN LOOKED AT THE ALT PRE-SELECT AND NOTICED THAT IT WAS SHOWING 4000 FT. AT THAT MOMENT I BEGAN A CLB BACK TO 4000 FT (NOT SURE WHAT ALT TO BE AT). AS WE WERE LEVELING OFF AT 4000 FT ATC CALLED AND ASKED US WHAT ALT WE WERE AT. WE SAID 4000 FT. HE THEN SAID THAT WE SHOULD BE AT 3000 FT. WE IMMEDIATELY STARTED A DSCNT BACK DOWN TO 3000 FT, AND CONTINUED THE FLT WITHOUT ANY FURTHER INCIDENT. THIS DUTY DAY STARTED EARLY AM PUTTING US ON DUTY FOR JUST OVER 13 HRS AT THE TIME OF THE INCIDENT. OUR FIRST DAY ON DUTY STARTED EARLY AM ON AUG/MON/01, WITH 9 HRS 20 MINS ON DUTY THAT DAY. SECOND DAY STARTED AT EARLY AM AUG/TUE/01, WITH 14 HRS 30 MINS ON DUTY. THIRD DAY STARTED EARLY AM ALSO ON AUG/WED/01 WITH 14 HRS 20 MINS ON DUTY. AT THIS POINT IN THE WEEK WE WERE BOTH FEELING THE EFFECTS OF FATIGUE. BETTER REST AND DUTY REGS ARE THE ONLY WAY TO FIX THIS PROB.
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.