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|
Attributes | |
ACN | 530334 |
Time | |
Date | 200111 |
Day | Fri |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | navaid : sac.vortac |
State Reference | CA |
Altitude | msl single value : 29700 |
Environment | |
Flight Conditions | VMC |
Light | Dawn |
Aircraft 1 | |
Controlling Facilities | artcc : zoa.artcc tower : sea.tower |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure sid : dudes 9 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 17000 flight time type : 9000 |
ASRS Report | 530334 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance |
Independent Detector | other controllera |
Resolutory Action | flight crew : returned to assigned altitude |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Flight Crew Human Performance ATC Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We were on a heading to intercept the sac 058 degree radial on the dudes nine departure. Autoplt was on with LNAV engaged with intercept leg to dudes entered in the FMC. Our filed altitude was FL270 and we had requested FL330. I looked at the display and it indicated that we had flown through the course. I then noticed that LNAV had disengaged. I was turning back to the course and trying to figure out what had happened when the center cleared us direct bty. I had just entered direct bty into the FMC and executed the command when the first officer reminded me that we were also cleared to FL330. I dialed FL330 into the altitude alerter on the mpc and off we climbed fat, dumb and happy. This is where the mistake was made, since I was preoccupied with the FMC I had not given my undivided attention to the controller and accepted what my first officer said as true. I should have called back to center and confirmed FL330 like I normally do but my preoccupation with the computer prevented it. When we were climbing through FL297 the controller asked us to state our altitude. We replied FL297 for FL330, whereupon the controller responded that we were cleared to FL290 and to maintain FL290. There was anger in his voice. We immediately descended to FL290 whereupon the controller very emphatically stated that the clearance was to FL290 not FL330, again anger in his voice. One other small piece of information that may or may not be a factor was when we were first handed off to this controller we made at least 3 calls with no reply. We called back to the previous controller to confirm that we had the correct frequencys, which we did, and called back again, at which time we established contact. This indicates to me that there was a possible distraction on the other end also. Another possible contributing factor is this was after my second night in a row waking up at approximately XA30 and not being able to get back to sleep, however I did not feel tired.
Original NASA ASRS Text
Title: A B733 CREW, 50 NM N OF SMF, OVERSHOT AN ASSIGNED ALT.
Narrative: WE WERE ON A HEADING TO INTERCEPT THE SAC 058 DEG RADIAL ON THE DUDES NINE DEP. AUTOPLT WAS ON WITH LNAV ENGAGED WITH INTERCEPT LEG TO DUDES ENTERED IN THE FMC. OUR FILED ALT WAS FL270 AND WE HAD REQUESTED FL330. I LOOKED AT THE DISPLAY AND IT INDICATED THAT WE HAD FLOWN THROUGH THE COURSE. I THEN NOTICED THAT LNAV HAD DISENGAGED. I WAS TURNING BACK TO THE COURSE AND TRYING TO FIGURE OUT WHAT HAD HAPPENED WHEN THE CTR CLRED US DIRECT BTY. I HAD JUST ENTERED DIRECT BTY INTO THE FMC AND EXECUTED THE COMMAND WHEN THE FO REMINDED ME THAT WE WERE ALSO CLRED TO FL330. I DIALED FL330 INTO THE ALT ALERTER ON THE MPC AND OFF WE CLBED FAT, DUMB AND HAPPY. THIS IS WHERE THE MISTAKE WAS MADE, SINCE I WAS PREOCCUPIED WITH THE FMC I HAD NOT GIVEN MY UNDIVIDED ATTN TO THE CTLR AND ACCEPTED WHAT MY FO SAID AS TRUE. I SHOULD HAVE CALLED BACK TO CTR AND CONFIRMED FL330 LIKE I NORMALLY DO BUT MY PREOCCUPATION WITH THE COMPUTER PREVENTED IT. WHEN WE WERE CLBING THROUGH FL297 THE CTLR ASKED US TO STATE OUR ALT. WE REPLIED FL297 FOR FL330, WHEREUPON THE CTLR RESPONDED THAT WE WERE CLRED TO FL290 AND TO MAINTAIN FL290. THERE WAS ANGER IN HIS VOICE. WE IMMEDIATELY DSNDED TO FL290 WHEREUPON THE CTLR VERY EMPHATICALLY STATED THAT THE CLRNC WAS TO FL290 NOT FL330, AGAIN ANGER IN HIS VOICE. ONE OTHER SMALL PIECE OF INFO THAT MAY OR MAY NOT BE A FACTOR WAS WHEN WE WERE FIRST HANDED OFF TO THIS CTLR WE MADE AT LEAST 3 CALLS WITH NO REPLY. WE CALLED BACK TO THE PREVIOUS CTLR TO CONFIRM THAT WE HAD THE CORRECT FREQS, WHICH WE DID, AND CALLED BACK AGAIN, AT WHICH TIME WE ESTABLISHED CONTACT. THIS INDICATES TO ME THAT THERE WAS A POSSIBLE DISTR ON THE OTHER END ALSO. ANOTHER POSSIBLE CONTRIBUTING FACTOR IS THIS WAS AFTER MY SECOND NIGHT IN A ROW WAKING UP AT APPROX XA30 AND NOT BEING ABLE TO GET BACK TO SLEEP, HOWEVER I DID NOT FEEL TIRED.
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.