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|
Attributes | |
ACN | 521311 |
Time | |
Date | 200108 |
Day | Fri |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : teb.airport |
State Reference | NJ |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : n90.tracon tower : teb.tower |
Operator | general aviation : corporate |
Make Model Name | Citation V |
Operating Under FAR Part | Part 135 |
Flight Phase | climbout : initial climbout : intermediate altitude |
Route In Use | departure sid : teb |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air taxi |
Function | flight crew : captain |
Qualification | pilot : atp |
Experience | flight time last 90 days : 115 flight time total : 4583 flight time type : 635 |
ASRS Report | 521311 |
Person 2 | |
Affiliation | company : air taxi |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude altitude deviation : overshoot altitude deviation : crossing restriction not met non adherence : published procedure non adherence : clearance |
Independent Detector | other controllera |
Resolutory Action | none taken : detected after the fact |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Flight Crew Human Performance Airport |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
The crew involved in this are both capts and hold type ratings in the aircraft. I was acting copilot during this situation. We were uncertain as to whose name was actually listed on the flight plan because both of us had filed flight plans due to an earlier than scheduled departure and then an extended ground hold due to WX. We were in ground hold for nearly 5 hours and had received an initial clearance prior to getting the ground hold as well as an updated clearance later in the day. After departing runway 24 at teb and flying the SID, we were leveling at 3000 ft when ATC comes on and asks why we are climbing. After checking the SID and our DME, we were at 4.5 DME at that time and that was my reply. ATC replied that that was correct at the time but we had been climbing for the previous 3 mi. Apparently after initiating the right turn to 280 degrees, the PF continued the climb to 3000 ft, and we did not realize it until after ATC called us on it. The blame falls on both crew members since neither of us caught the error. We had briefed the SID prior to departure. My idea of what happened is as follows. Prior to takeoff, the flight director was armed with the go around pitch attitude and the heading bug was set to runway heading with heading mode engaged and altitude pre-select armed. Upon reaching the initial 1500 ft on the SID, I then turned the heading bug to 280 degrees as depicted. At this point, I also dialed in the next altitude of 3000 ft in the altitude pre-select. It is possible that the altitude capture had engaged but altitude hold had not, and when I changed the pre-select altitude to the next setting of 3000 ft, the altitude capture released and went back to altitude pre-select. This could have caused the PF to continue on with the climb utilizing the flight director and neither of us caught what had happened. Mental fatigue could have been an issue on my part because I had been sick for the 2 days prior, but both crew members felt up to the flight prior to departure and I believe we simply just made a mistake that we didn't catch. ATC did not mention any traffic conflicts and our TCASII system did not indicate such.
Original NASA ASRS Text
Title: A C560 CREW FLYING A SID AT EWR, PREMATURELY STARTED CLB TO AN INTERMEDIATE ALT.
Narrative: THE CREW INVOLVED IN THIS ARE BOTH CAPTS AND HOLD TYPE RATINGS IN THE ACFT. I WAS ACTING COPLT DURING THIS SIT. WE WERE UNCERTAIN AS TO WHOSE NAME WAS ACTUALLY LISTED ON THE FLT PLAN BECAUSE BOTH OF US HAD FILED FLT PLANS DUE TO AN EARLIER THAN SCHEDULED DEP AND THEN AN EXTENDED GND HOLD DUE TO WX. WE WERE IN GND HOLD FOR NEARLY 5 HRS AND HAD RECEIVED AN INITIAL CLRNC PRIOR TO GETTING THE GND HOLD AS WELL AS AN UPDATED CLRNC LATER IN THE DAY. AFTER DEPARTING RWY 24 AT TEB AND FLYING THE SID, WE WERE LEVELING AT 3000 FT WHEN ATC COMES ON AND ASKS WHY WE ARE CLBING. AFTER CHKING THE SID AND OUR DME, WE WERE AT 4.5 DME AT THAT TIME AND THAT WAS MY REPLY. ATC REPLIED THAT THAT WAS CORRECT AT THE TIME BUT WE HAD BEEN CLBING FOR THE PREVIOUS 3 MI. APPARENTLY AFTER INITIATING THE R TURN TO 280 DEGS, THE PF CONTINUED THE CLB TO 3000 FT, AND WE DID NOT REALIZE IT UNTIL AFTER ATC CALLED US ON IT. THE BLAME FALLS ON BOTH CREW MEMBERS SINCE NEITHER OF US CAUGHT THE ERROR. WE HAD BRIEFED THE SID PRIOR TO DEP. MY IDEA OF WHAT HAPPENED IS AS FOLLOWS. PRIOR TO TKOF, THE FLT DIRECTOR WAS ARMED WITH THE GAR PITCH ATTITUDE AND THE HDG BUG WAS SET TO RWY HEADING WITH HDG MODE ENGAGED AND ALT PRE-SELECT ARMED. UPON REACHING THE INITIAL 1500 FT ON THE SID, I THEN TURNED THE HDG BUG TO 280 DEGS AS DEPICTED. AT THIS POINT, I ALSO DIALED IN THE NEXT ALT OF 3000 FT IN THE ALT PRE-SELECT. IT IS POSSIBLE THAT THE ALT CAPTURE HAD ENGAGED BUT ALT HOLD HAD NOT, AND WHEN I CHANGED THE PRE-SELECT ALT TO THE NEXT SETTING OF 3000 FT, THE ALT CAPTURE RELEASED AND WENT BACK TO ALT PRE-SELECT. THIS COULD HAVE CAUSED THE PF TO CONTINUE ON WITH THE CLB UTILIZING THE FLT DIRECTOR AND NEITHER OF US CAUGHT WHAT HAD HAPPENED. MENTAL FATIGUE COULD HAVE BEEN AN ISSUE ON MY PART BECAUSE I HAD BEEN SICK FOR THE 2 DAYS PRIOR, BUT BOTH CREW MEMBERS FELT UP TO THE FLT PRIOR TO DEP AND I BELIEVE WE SIMPLY JUST MADE A MISTAKE THAT WE DIDN'T CATCH. ATC DID NOT MENTION ANY TFC CONFLICTS AND OUR TCASII SYS DID NOT INDICATE SUCH.
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.