37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 533036 |
Time | |
Date | 200112 |
Day | Wed |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | US |
Altitude | msl bound lower : 10200 msl bound upper : 11000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zzz1.artcc tracon : zzz.tracon tower : atl.tower |
Operator | common carrier : air carrier |
Make Model Name | B747-SR |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | descent : approach |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : cfi pilot : atp pilot : multi engine pilot : instrument |
Experience | flight time last 90 days : 100 flight time total : 5500 flight time type : 800 |
ASRS Report | 533036 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | altitude deviation : overshoot non adherence : published procedure non adherence : company policies non adherence : far other anomaly other anomaly other |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | flight crew : returned to assigned altitude none taken : detected after the fact |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Factors: fatigue (13 plus hour duty day starting at 10 P.M. Previous evening). Aircraft in vertical speed. Cleared to descend to 11000 ft during descent aircraft overspd by 10-15 KTS. Executed proper recovery immediately. Dut to fatigue and transition from autoplt to hand flying allowed aircraft to descend below 11000 ft by approximately 700-800 ft (10200-10300 ft) executed recovery to proper level off altitude. Continued to uneventful landing. To prevent further events as this is of upmost urgency and continuing safety that flight and duty day limitations be revised for all carriers, especially air cargo.
Original NASA ASRS Text
Title: B747-400 CREW HAD ALT OVERSHOOT AND EXCEEDED VMO ON DSCNT AFTER A LONG OVERNIGHT FLT.
Narrative: FACTORS: FATIGUE (13 PLUS HOUR DUTY DAY STARTING AT 10 P.M. PREVIOUS EVENING). ACFT IN VERTICAL SPD. CLRED TO DSND TO 11000 FT DURING DSCNT ACFT OVERSPD BY 10-15 KTS. EXECUTED PROPER RECOVERY IMMEDIATELY. DUT TO FATIGUE AND TRANSITION FROM AUTOPLT TO HAND FLYING ALLOWED ACFT TO DSND BELOW 11000 FT BY APPROX 700-800 FT (10200-10300 FT) EXECUTED RECOVERY TO PROPER LEVEL OFF ALT. CONTINUED TO UNEVENTFUL LNDG. TO PREVENT FURTHER EVENTS AS THIS IS OF UPMOST URGENCY AND CONTINUING SAFETY THAT FLT AND DUTY DAY LIMITATIONS BE REVISED FOR ALL CARRIERS, ESPECIALLY AIR CARGO.
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.