37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 538753 |
Time | |
Date | 200202 |
Day | Thu |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | intersection : linng |
State Reference | ON |
Altitude | msl bound lower : 9000 msl bound upper : 9600 |
Environment | |
Flight Conditions | IMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : cyyz.tracon |
Operator | common carrier : air carrier |
Make Model Name | B737-400 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | descent : approach |
Route In Use | arrival star : youth |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 16000 flight time type : 4000 |
ASRS Report | 538753 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : published procedure non adherence : far non adherence : clearance |
Independent Detector | atc equipment other atc equipment : radar other controllera |
Resolutory Action | controller : issued new clearance |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Chart Or Publication Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Passing linng at 250 KTS, 10000 ft, we were cleared to 'fly the youth 1 arrival.' believing that allowed descent also to cross vixan 'at or above 3100 ft' as depicted on the chart, we set 3100 ft in the MCP and began a VNAV descent. When approach control noticed our descent (through about 9600 ft), they cleared us to maintain 9000 ft, which we did. That clearance clued us to the fact that we should have stayed at 10000 ft and that the arrival was on RNAV/STAR and not a profile descent as we were accustomed to doing into yyz. Also, earlier in the day, going into newark, we were cleared to 'descend via the dylin 1' which allowed descent to restrs as depicted on the chart. This set a train of thought, we both agree, which was a factor in our actions on the youth 1 arrival. After landing, tower requested I contact toronto approach control. I acknowledged that beginning descent was my mistake and that altitude changes must be given by ATC. We also determined that the note at vixan intersection (on this new procedure) reads 'at or above 3100 ft' and the canadian note reads '3000 ft'). A note on the commercial chart saying something like 'descend only as cleared by ATC' would be helpful. There was no traffic conflict with this altitude deviation. I also cite fatigue as a contributing factor as we were on duty 13 hours 15 mins at the time of the incident.
Original NASA ASRS Text
Title: A B734 CREW, DSNDING INTO CYYZ, MISINTERPED THE ARR, DSNDING PREMATURELY WITHOUT AN ATC CLRNC.
Narrative: PASSING LINNG AT 250 KTS, 10000 FT, WE WERE CLRED TO 'FLY THE YOUTH 1 ARR.' BELIEVING THAT ALLOWED DSCNT ALSO TO CROSS VIXAN 'AT OR ABOVE 3100 FT' AS DEPICTED ON THE CHART, WE SET 3100 FT IN THE MCP AND BEGAN A VNAV DSCNT. WHEN APCH CTL NOTICED OUR DSCNT (THROUGH ABOUT 9600 FT), THEY CLRED US TO MAINTAIN 9000 FT, WHICH WE DID. THAT CLRNC CLUED US TO THE FACT THAT WE SHOULD HAVE STAYED AT 10000 FT AND THAT THE ARR WAS ON RNAV/STAR AND NOT A PROFILE DSCNT AS WE WERE ACCUSTOMED TO DOING INTO YYZ. ALSO, EARLIER IN THE DAY, GOING INTO NEWARK, WE WERE CLRED TO 'DSND VIA THE DYLIN 1' WHICH ALLOWED DSCNT TO RESTRS AS DEPICTED ON THE CHART. THIS SET A TRAIN OF THOUGHT, WE BOTH AGREE, WHICH WAS A FACTOR IN OUR ACTIONS ON THE YOUTH 1 ARR. AFTER LNDG, TWR REQUESTED I CONTACT TORONTO APCH CTL. I ACKNOWLEDGED THAT BEGINNING DSCNT WAS MY MISTAKE AND THAT ALT CHANGES MUST BE GIVEN BY ATC. WE ALSO DETERMINED THAT THE NOTE AT VIXAN INTXN (ON THIS NEW PROC) READS 'AT OR ABOVE 3100 FT' AND THE CANADIAN NOTE READS '3000 FT'). A NOTE ON THE COMMERCIAL CHART SAYING SOMETHING LIKE 'DSND ONLY AS CLRED BY ATC' WOULD BE HELPFUL. THERE WAS NO TFC CONFLICT WITH THIS ALTDEV. I ALSO CITE FATIGUE AS A CONTRIBUTING FACTOR AS WE WERE ON DUTY 13 HRS 15 MINS AT THE TIME OF THE INCIDENT.
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.