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|
Attributes | |
ACN | 534218 |
Time | |
Date | 200112 |
Day | Mon |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | navaid : cll.vortac |
State Reference | TX |
Altitude | msl bound lower : 27700 msl bound upper : 28000 |
Environment | |
Flight Conditions | IMC |
Light | Dusk |
Aircraft 1 | |
Controlling Facilities | artcc : zhu.artcc |
Operator | common carrier : air carrier |
Make Model Name | B737-800 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other other vortac |
Flight Phase | cruise : level |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | artcc : zhu.artcc |
Operator | general aviation : personal |
Make Model Name | Piper Aircraft Corp Undifferentiated or Other Model |
Operating Under FAR Part | Part 91 |
Flight Phase | cruise : level |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp pilot : cfi pilot : flight engineer pilot : multi engine |
Experience | flight time last 90 days : 215 flight time total : 8200 flight time type : 1500 |
ASRS Report | 534218 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | altitude deviation : undershoot conflict : airborne less severe non adherence : clearance non adherence : company policies non adherence : far non adherence : published procedure non adherence : required legal separation |
Independent Detector | atc equipment other atc equipment : radar other controllera other flight crewa |
Resolutory Action | controller : issued advisory flight crew : became reoriented flight crew : returned to assigned altitude other |
Consequence | faa : reviewed incident with flight crew |
Miss Distance | horizontal : 0 vertical : 800 |
Supplementary | |
Problem Areas | Flight Crew Human Performance Aircraft ATC Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
On scheduled flight from sea to iah, about 1 hour into cruise portion, I noticed the inboard landing lights and runway turnoff lights were left on. These are normally turned off by the captain passing through FL180. I mentioned to the captain that they were on and reached over and turned them off with no response from him. This should have been enough of a clue for me to doublechk the altimeters, but I didn't. [Later we noted] they were set to 30.11 inches/hg instead of 29.92. All 3 altimeters (captain's, first officer's, and standby) were still set to local sea setting, not 29.92. On initial descent into iah, we were assigned FL280 and told to look for traffic at 1:30 O'clock position and 1000 ft below. I observed the traffic on TCASII converging and only 700-800 ft below, informed ATC we were IMC and that we only showed 700 ft separation. ATC said our altitude appeared to be wrong. We broke out of cloud cover and saw what looked like a single engine turbine aircraft pass directly below us. I then checked the altimeters and immediately realized our mistake. We fixed the altimeter setting to 29.92 and climbed back up to the real FL280. Flight continued on to destination with no further mishaps. This incident could have been avoided twice. First, on climb out from sea there were incredible views. Flight attendant rang and asked if she could take pictures. She entered cockpit as we climbed through 15000 ft and stayed for about 4 mins. This was the initial distraction that caused us to fail to reset altimeters to 29.92. My second chance to correct the mistake occurred when I noticed the landing lights on and turned them off without a thorough check as to what else was amiss.
Original NASA ASRS Text
Title: A B737 FLC FLY OVER 3 HRS WITH THEIR ALTIMETERS STILL SET TO THE DEP QNH, FLYING ABOUT 200 FT TOO LOW UNTIL A POTENTIAL CONFLICT MAKES THEM AWARE OF THEIR PROB NEAR CLL, TX.
Narrative: ON SCHEDULED FLT FROM SEA TO IAH, ABOUT 1 HR INTO CRUISE PORTION, I NOTICED THE INBOARD LNDG LIGHTS AND RWY TURNOFF LIGHTS WERE LEFT ON. THESE ARE NORMALLY TURNED OFF BY THE CAPT PASSING THROUGH FL180. I MENTIONED TO THE CAPT THAT THEY WERE ON AND REACHED OVER AND TURNED THEM OFF WITH NO RESPONSE FROM HIM. THIS SHOULD HAVE BEEN ENOUGH OF A CLUE FOR ME TO DOUBLECHK THE ALTIMETERS, BUT I DIDN'T. [LATER WE NOTED] THEY WERE SET TO 30.11 INCHES/HG INSTEAD OF 29.92. ALL 3 ALTIMETERS (CAPT'S, FO'S, AND STANDBY) WERE STILL SET TO LCL SEA SETTING, NOT 29.92. ON INITIAL DSCNT INTO IAH, WE WERE ASSIGNED FL280 AND TOLD TO LOOK FOR TFC AT 1:30 O'CLOCK POS AND 1000 FT BELOW. I OBSERVED THE TFC ON TCASII CONVERGING AND ONLY 700-800 FT BELOW, INFORMED ATC WE WERE IMC AND THAT WE ONLY SHOWED 700 FT SEPARATION. ATC SAID OUR ALT APPEARED TO BE WRONG. WE BROKE OUT OF CLOUD COVER AND SAW WHAT LOOKED LIKE A SINGLE ENG TURBINE ACFT PASS DIRECTLY BELOW US. I THEN CHKED THE ALTIMETERS AND IMMEDIATELY REALIZED OUR MISTAKE. WE FIXED THE ALTIMETER SETTING TO 29.92 AND CLBED BACK UP TO THE REAL FL280. FLT CONTINUED ON TO DEST WITH NO FURTHER MISHAPS. THIS INCIDENT COULD HAVE BEEN AVOIDED TWICE. FIRST, ON CLBOUT FROM SEA THERE WERE INCREDIBLE VIEWS. FLT ATTENDANT RANG AND ASKED IF SHE COULD TAKE PICTURES. SHE ENTERED COCKPIT AS WE CLBED THROUGH 15000 FT AND STAYED FOR ABOUT 4 MINS. THIS WAS THE INITIAL DISTR THAT CAUSED US TO FAIL TO RESET ALTIMETERS TO 29.92. MY SECOND CHANCE TO CORRECT THE MISTAKE OCCURRED WHEN I NOTICED THE LNDG LIGHTS ON AND TURNED THEM OFF WITHOUT A THOROUGH CHK AS TO WHAT ELSE WAS AMISS.
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.