37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 539388 |
Time | |
Date | 200202 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | navaid : pvd.vortac |
State Reference | RI |
Altitude | msl bound lower : 10500 msl bound upper : 11000 |
Environment | |
Flight Conditions | IMC |
Weather Elements | Snow Turbulence Ice |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zbw.artcc |
Operator | common carrier : air carrier |
Make Model Name | MD-88 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other other vortac |
Flight Phase | descent : intermediate altitude |
Route In Use | arrival star : scupp |
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 : 25000 flight time type : 3000 |
ASRS Report | 539388 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | aircraft equipment problem : critical altitude deviation : overshoot inflight encounter : turbulence inflight encounter : weather inflight encounter other non adherence other |
Independent Detector | atc equipment other atc equipment : radar other controllera |
Resolutory Action | controller : issued alert |
Consequence | faa : reviewed incident with flight crew other |
Supplementary | |
Problem Areas | Flight Crew Human Performance Weather |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
I was captain, PNF, from rsw to bos. Approximately 40 NM west of pvd VOR at FL240, we were reclred from scupp arrival to orw arrival to bos. We were then given clearance to cross pvd at 11000 ft. The first officer began descent with spoilers deployed, and I turned on engine and airframe anti-deicing. Along with annunciator panel messages, we got a 'left thrust reverser accumulator low pressure' master caution light and message on the overhead annunciator panel. I told the first officer to continue to fly the plane and I would refer to the airplane operating manual, and I would perform the abnormal checklist. Just as I completed the checklist (which had me find, pull, reset circuit breakers), ATC advised us that radar showed us to be at 10500 ft. We had failed to perform and complete our descent checklist -- usually done at FL180 to reset altimeters. Contributing factors to the altitude bust were the last min rerte, a last min high rate descent (control forgot us?), icing conditions, turbulence, and the thrust reverser abnormal procedure. The first officer in this case was an excellent pilot, and this allowed me to concentrate too much on the abnormal procedure, when I should have been watching him and the airplane more carefully.
Original NASA ASRS Text
Title: AN MD80 CREW, ON DSCNT INTO BOS, OVERSHOT THEIR ASSIGNED ALT DUE TO A WRONG ALTIMETER SETTING.
Narrative: I WAS CAPT, PNF, FROM RSW TO BOS. APPROX 40 NM W OF PVD VOR AT FL240, WE WERE RECLRED FROM SCUPP ARR TO ORW ARR TO BOS. WE WERE THEN GIVEN CLRNC TO CROSS PVD AT 11000 FT. THE FO BEGAN DSCNT WITH SPOILERS DEPLOYED, AND I TURNED ON ENG AND AIRFRAME ANTI-DEICING. ALONG WITH ANNUNCIATOR PANEL MESSAGES, WE GOT A 'L THRUST REVERSER ACCUMULATOR LOW PRESSURE' MASTER CAUTION LIGHT AND MESSAGE ON THE OVERHEAD ANNUNCIATOR PANEL. I TOLD THE FO TO CONTINUE TO FLY THE PLANE AND I WOULD REFER TO THE AIRPLANE OPERATING MANUAL, AND I WOULD PERFORM THE ABNORMAL CHKLIST. JUST AS I COMPLETED THE CHKLIST (WHICH HAD ME FIND, PULL, RESET CIRCUIT BREAKERS), ATC ADVISED US THAT RADAR SHOWED US TO BE AT 10500 FT. WE HAD FAILED TO PERFORM AND COMPLETE OUR DSCNT CHKLIST -- USUALLY DONE AT FL180 TO RESET ALTIMETERS. CONTRIBUTING FACTORS TO THE ALT BUST WERE THE LAST MIN RERTE, A LAST MIN HIGH RATE DSCNT (CTL FORGOT US?), ICING CONDITIONS, TURB, AND THE THRUST REVERSER ABNORMAL PROC. THE FO IN THIS CASE WAS AN EXCELLENT PLT, AND THIS ALLOWED ME TO CONCENTRATE TOO MUCH ON THE ABNORMAL PROC, WHEN I SHOULD HAVE BEEN WATCHING HIM AND THE AIRPLANE MORE CAREFULLY.
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.