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|
Attributes | |
ACN | 536657 |
Time | |
Date | 200201 |
Day | Sun |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : zau.artcc |
State Reference | IL |
Altitude | msl single value : 24000 |
Environment | |
Flight Conditions | VMC |
Aircraft 1 | |
Controlling Facilities | artcc : zau.artcc |
Operator | common carrier : air carrier |
Make Model Name | B737 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : intermediate altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
ASRS Report | 536657 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
ASRS Report | 536659 |
Events | |
Anomaly | non adherence : clearance |
Independent Detector | other flight crewa |
Resolutory Action | controller : issued advisory controller : issued new clearance flight crew : returned to assigned altitude |
Consequence | faa : reviewed incident with flight crew other |
Supplementary | |
Problem Areas | Flight Crew Human Performance ATC Human Performance Airspace Structure Environmental Factor |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We had just gotten airborne from dsm and were en route to ord on last leg of 4. A little tired and approaching 12 hours duty time. We had waited over 30 mins for our takeoff clearance due to overhead stream to ord. Our B737-500 was light with only 13 passenger. Initial altitude cleared to was 5000 ft with subsequent climbs to 14000 ft and FL190. Last clearance with first center controller was received and acknowledged as FL330. We were doing over 3500 FPM. First officer checked in with next center out of FL220 climbing FL330. Center acknowledged and said he would have higher shortly. This kind of made us think how high they would take us since we were filed for FL290. The first officer asked center, 'how high are we going? We are already cleared to FL330.' the controller came back and said 'you were probably cleared to FL230 not FL330, but continue up to FL290.' I have never had such a feeling of terror and relief so close together before. We were climbing through FL240 as the above exchange took place. There was no loss of separation or abrupt maneuvering required, just my heartbeat stopping for a second. We had not questioned FL330 initially since we both 'assumed' that was how controller was getting us into ord because of inbound stream control. That, coupled with our fatigue, and 'get doneitis' were contributing factors. Of course, 2 controllers also missed our FL330 readbacks. Supplemental information from acn 536659: this was my first altitude deviation in my flying career. Contributing factors: reading back twice FL330 to 2 controllers without them catching the mistake.
Original NASA ASRS Text
Title: A B737-300 FLC HAS AN ALTDEV FROM A CLRNC INTERP PROB DURING A PLANNED CLB THAT WAS ABOVE THEIR ACTUAL ASSIGNED ALT ON FREQ WITH ZAU, IL.
Narrative: WE HAD JUST GOTTEN AIRBORNE FROM DSM AND WERE ENRTE TO ORD ON LAST LEG OF 4. A LITTLE TIRED AND APCHING 12 HRS DUTY TIME. WE HAD WAITED OVER 30 MINS FOR OUR TKOF CLRNC DUE TO OVERHEAD STREAM TO ORD. OUR B737-500 WAS LIGHT WITH ONLY 13 PAX. INITIAL ALT CLRED TO WAS 5000 FT WITH SUBSEQUENT CLBS TO 14000 FT AND FL190. LAST CLRNC WITH FIRST CTR CTLR WAS RECEIVED AND ACKNOWLEDGED AS FL330. WE WERE DOING OVER 3500 FPM. FO CHKED IN WITH NEXT CTR OUT OF FL220 CLBING FL330. CTR ACKNOWLEDGED AND SAID HE WOULD HAVE HIGHER SHORTLY. THIS KIND OF MADE US THINK HOW HIGH THEY WOULD TAKE US SINCE WE WERE FILED FOR FL290. THE FO ASKED CTR, 'HOW HIGH ARE WE GOING? WE ARE ALREADY CLRED TO FL330.' THE CTLR CAME BACK AND SAID 'YOU WERE PROBABLY CLRED TO FL230 NOT FL330, BUT CONTINUE UP TO FL290.' I HAVE NEVER HAD SUCH A FEELING OF TERROR AND RELIEF SO CLOSE TOGETHER BEFORE. WE WERE CLBING THROUGH FL240 AS THE ABOVE EXCHANGE TOOK PLACE. THERE WAS NO LOSS OF SEPARATION OR ABRUPT MANEUVERING REQUIRED, JUST MY HEARTBEAT STOPPING FOR A SECOND. WE HAD NOT QUESTIONED FL330 INITIALLY SINCE WE BOTH 'ASSUMED' THAT WAS HOW CTLR WAS GETTING US INTO ORD BECAUSE OF INBOUND STREAM CTL. THAT, COUPLED WITH OUR FATIGUE, AND 'GET DONEITIS' WERE CONTRIBUTING FACTORS. OF COURSE, 2 CTLRS ALSO MISSED OUR FL330 READBACKS. SUPPLEMENTAL INFO FROM ACN 536659: THIS WAS MY FIRST ALTDEV IN MY FLYING CAREER. CONTRIBUTING FACTORS: READING BACK TWICE FL330 TO 2 CTLRS WITHOUT THEM CATCHING THE MISTAKE.
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.