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|
Attributes | |
ACN | 528994 |
Time | |
Date | 200111 |
Day | Thu |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : anc.airport |
State Reference | AK |
Altitude | msl bound lower : 9500 msl bound upper : 10000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : a11.tracon |
Operator | common carrier : air carrier |
Make Model Name | MD-11 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | descent : vacating altitude |
Route In Use | arrival : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : cfi pilot : flight engineer |
Experience | flight time last 90 days : 150 flight time total : 14000 flight time type : 100 |
ASRS Report | 528994 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 7900 flight time type : 1000 |
ASRS Report | 529545 |
Events | |
Anomaly | altitude deviation : overshoot inflight encounter : weather inflight encounter other non adherence : far non adherence : published procedure non adherence : company policies other anomaly other |
Independent Detector | other flight crewa other flight crewb other flight crewb |
Resolutory Action | none taken : detected after the fact other |
Supplementary | |
Problem Areas | Flight Crew Human Performance Weather |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Anc ATIS and anc approach issued a local altimeter setting of 28.82. Approach prefaced this with the word 'low!' crew mis set all three altimeters to 29.82 at 18000 ft. The first officer was the PF with the autoplt engaged. The crew discovered the error when the aircraft was descending to 10000 ft passing 10400 ft. Once the new altimeter setting was used our altitude was approximately 1000 ft in error. The first officer disengaged the autoplt and flew the aircraft back to our assigned altitude of 10000 ft. Maximum deviation was EST to be within 500-600 ft. Fatigue and the concern of expected marginal WX contributed to the oversight (all 3 crewmembers). Supplemental information from acn 529545: contributing factors were crew fatigue (up all night flying from vhhh) and the distraction of concerns regarding deteriorating marginal WX (snow, ice, fog) at destination.
Original NASA ASRS Text
Title: MD11 CREW MIS SET ALTIMETERS BY 1 INCH AT THE TRANSITION ALT.
Narrative: ANC ATIS AND ANC APCH ISSUED A LCL ALTIMETER SETTING OF 28.82. APCH PREFACED THIS WITH THE WORD 'LOW!' CREW MIS SET ALL THREE ALTIMETERS TO 29.82 AT 18000 FT. THE FO WAS THE PF WITH THE AUTOPLT ENGAGED. THE CREW DISCOVERED THE ERROR WHEN THE ACFT WAS DSNDING TO 10000 FT PASSING 10400 FT. ONCE THE NEW ALTIMETER SETTING WAS USED OUR ALT WAS APPROX 1000 FT IN ERROR. THE FO DISENGAGED THE AUTOPLT AND FLEW THE ACFT BACK TO OUR ASSIGNED ALT OF 10000 FT. MAX DEV WAS EST TO BE WITHIN 500-600 FT. FATIGUE AND THE CONCERN OF EXPECTED MARGINAL WX CONTRIBUTED TO THE OVERSIGHT (ALL 3 CREWMEMBERS). SUPPLEMENTAL INFO FROM ACN 529545: CONTRIBUTING FACTORS WERE CREW FATIGUE (UP ALL NIGHT FLYING FROM VHHH) AND THE DISTRACTION OF CONCERNS REGARDING DETERIORATING MARGINAL WX (SNOW, ICE, FOG) AT DEST.
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.