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|
Attributes | |
ACN | 539766 |
Time | |
Date | 200202 |
Day | Wed |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | navaid : vxv.vortac |
State Reference | TN |
Altitude | msl bound lower : 4400 msl bound upper : 5000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : tys.tracon |
Operator | common carrier : air carrier |
Make Model Name | Regional Jet CL65, Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | descent : approach |
Route In Use | approach : visual arrival : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 200 flight time total : 15000 flight time type : 4000 |
ASRS Report | 539766 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument pilot : multi engine |
Experience | flight time last 90 days : 240 flight time total : 2085 flight time type : 1000 |
ASRS Report | 539382 |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : clearance non adherence : far non adherence : published procedure |
Independent Detector | aircraft equipment other aircraft equipment : altitude alert other flight crewa other flight crewb |
Resolutory Action | none taken : detected after the fact |
Consequence | Other |
Supplementary | |
Problem Areas | Flight Crew Human Performance ATC Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
Knoxville approach was vectoring us for a visual approach to runway 23L. We were approaching vxv VOR, cleared to 5000 ft. We'd just reported the runway in sight, but had not yet been cleared for the approach. I had my head down in the cockpit, setting up my navigation radio or the FMS, I don't really remember. I heard the 'altitude alert' tone and I thought and said '1000 ft to go.' I did not immediately look up. When I did look up, I noticed that we were descending through about 4400 ft and our altitude selector was on 5000 ft. This was not good, both because of ATC considerations and because there are hills in the neighborhood. Right then, we were cleared for the visual. Contributing factors: poor planning, I should have done my setup way beforehand. Anyway, how much setup is really needed for a visual in good VMC to a runway with no ILS installed? Lack of situational awareness. The alert tone in the CL65 is exactly the same whether it's telling you 'you've got 1000 ft to go' or 'hey, dummy! You just passed up your assigned altitude.' since that's 2 different messages it might make sense to have 2 different tones, or a tone for one and a voice for the other. Supplemental information from acn 539382: I looked up and noticed that the altitude alerter was flashing 5000 ft and we were at approximately 4300 ft MSL. As PNF, I did not think much about it other than it was not the captain's habit to descend below an altitude without verifying an altitude. I immediately thought we must be cleared for the visual approach to runway 23L, which was clearly visual, which I thought would account for us being below the previously assigned altitude. The captain in the course of the trip had answered radio calls for me while I was busy doing other tasks. I immediately after seeing us below altitude, the controller cleared us for the visual approach, which I thought must be the captain verifying the clearance which he had done many times during the trip. After the turn at tys the captain mentioned the incident on the climb out. He said, 'I think I may have deviated from altitude on the descent into tys.' better crew coordination and communication could have cleared up the reason we were below 5000 ft. When I noticed the altitude flashing, I should have queried the captain as to what was happening.
Original NASA ASRS Text
Title: A CANADAIR CL65 BEING VECTORED FOR A VISUAL APCH AND CLRED TO 5000 FT DSNDS TO 4400 FT AND IS ALERTED BY THE ALT ALERT SYS.
Narrative: KNOXVILLE APCH WAS VECTORING US FOR A VISUAL APCH TO RWY 23L. WE WERE APCHING VXV VOR, CLRED TO 5000 FT. WE'D JUST RPTED THE RWY IN SIGHT, BUT HAD NOT YET BEEN CLRED FOR THE APCH. I HAD MY HEAD DOWN IN THE COCKPIT, SETTING UP MY NAV RADIO OR THE FMS, I DON'T REALLY REMEMBER. I HEARD THE 'ALT ALERT' TONE AND I THOUGHT AND SAID '1000 FT TO GO.' I DID NOT IMMEDIATELY LOOK UP. WHEN I DID LOOK UP, I NOTICED THAT WE WERE DSNDING THROUGH ABOUT 4400 FT AND OUR ALT SELECTOR WAS ON 5000 FT. THIS WAS NOT GOOD, BOTH BECAUSE OF ATC CONSIDERATIONS AND BECAUSE THERE ARE HILLS IN THE NEIGHBORHOOD. RIGHT THEN, WE WERE CLRED FOR THE VISUAL. CONTRIBUTING FACTORS: POOR PLANNING, I SHOULD HAVE DONE MY SETUP WAY BEFOREHAND. ANYWAY, HOW MUCH SETUP IS REALLY NEEDED FOR A VISUAL IN GOOD VMC TO A RWY WITH NO ILS INSTALLED? LACK OF SITUATIONAL AWARENESS. THE ALERT TONE IN THE CL65 IS EXACTLY THE SAME WHETHER IT'S TELLING YOU 'YOU'VE GOT 1000 FT TO GO' OR 'HEY, DUMMY! YOU JUST PASSED UP YOUR ASSIGNED ALT.' SINCE THAT'S 2 DIFFERENT MESSAGES IT MIGHT MAKE SENSE TO HAVE 2 DIFFERENT TONES, OR A TONE FOR ONE AND A VOICE FOR THE OTHER. SUPPLEMENTAL INFO FROM ACN 539382: I LOOKED UP AND NOTICED THAT THE ALT ALERTER WAS FLASHING 5000 FT AND WE WERE AT APPROX 4300 FT MSL. AS PNF, I DID NOT THINK MUCH ABOUT IT OTHER THAN IT WAS NOT THE CAPT'S HABIT TO DSND BELOW AN ALT WITHOUT VERIFYING AN ALT. I IMMEDIATELY THOUGHT WE MUST BE CLRED FOR THE VISUAL APCH TO RWY 23L, WHICH WAS CLRLY VISUAL, WHICH I THOUGHT WOULD ACCOUNT FOR US BEING BELOW THE PREVIOUSLY ASSIGNED ALT. THE CAPT IN THE COURSE OF THE TRIP HAD ANSWERED RADIO CALLS FOR ME WHILE I WAS BUSY DOING OTHER TASKS. I IMMEDIATELY AFTER SEEING US BELOW ALT, THE CTLR CLRED US FOR THE VISUAL APCH, WHICH I THOUGHT MUST BE THE CAPT VERIFYING THE CLRNC WHICH HE HAD DONE MANY TIMES DURING THE TRIP. AFTER THE TURN AT TYS THE CAPT MENTIONED THE INCIDENT ON THE CLBOUT. HE SAID, 'I THINK I MAY HAVE DEVIATED FROM ALT ON THE DSCNT INTO TYS.' BETTER CREW COORD AND COM COULD HAVE CLRED UP THE REASON WE WERE BELOW 5000 FT. WHEN I NOTICED THE ALT FLASHING, I SHOULD HAVE QUERIED THE CAPT AS TO WHAT WAS HAPPENING.
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.