37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 540505 |
Time | |
Date | 200203 |
Day | Tue |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : teb.airport |
State Reference | NJ |
Altitude | msl single value : 1500 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : n90.tracon |
Operator | general aviation : personal |
Make Model Name | Citation III, VI, VII |
Operating Under FAR Part | Part 91 |
Navigation In Use | other |
Flight Plan | IFR |
Person 1 | |
Affiliation | other |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : atp |
Experience | flight time last 90 days : 100 flight time total : 210 flight time type : 50 |
ASRS Report | 540505 |
Person 2 | |
Affiliation | other |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | altitude deviation : overshoot non adherence : far non adherence : published procedure non adherence : clearance |
Independent Detector | atc equipment other atc equipment : radar other controllera |
Resolutory Action | controller : issued alert controller : issued new clearance |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Airport Airspace Structure Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Deviated from the published departure procedure (dp) by climbing out of the initial altitude too early. The PIC and I briefed each other on the departure procedure as we taxied to the runway. The departure procedure called for maintaining runway heading until climbing to 1500 ft, then turning to a specific heading, and when 4.5 DME out from the field, climb an additional 500 ft to maintain 2000 ft until further clearance. I dialed in the initial heading on the copilot's heading bug as a reminder and also dialed in the initial altitude of 1500 ft on the altitude pre-selector. Right before rolling onto the runway, I quickly reviewed the departure procedure again, but this time skipped over the DME distance information in the text of the departure procedure. After takeoff, we climbed to 1500 ft. At this time, I advised the PIC that we were cleared to turn onto the specific heading. Tower switched us to departure control. The departure frequency was busy. As we started our turn, the PIC said '2000 ft.' I acknowledged, and dialed in 2000 ft on the pre-selector. Departure control then asked in the blind who was departing teb. I called in with altitude and heading. The controller then advised me that we were still supposed to be at 1500 ft. I quickly took another look at the departure procedure and advised the controller that we were on the proper heading of 2000 ft. The controller again said you are supposed to be at 1500 ft. I then reviewed the departure procedure again and this time saw the textual information with the required DME distance before climb. I suddenly remembered reading that instruction before. Oops! I sadly conveyed my mistake to the PIC. Within seconds, we were cleared to a higher altitude and ATC did not seem to make a big deal out of it. But the fact is, I messed up. The cause of the problem was my failure to completely read, retain, and act on the information found in the text portion of the departure procedure. All we had to do was stay at 1500 ft for a min or so. However, both the PIC and I recall that 2000 ft was part of the procedure, and I had it in my mind that the departure procedure allowed us to climb to this altitude once we commenced the turn. So when the PIC said '2000 ft,' it was actually a question, which I acknowledged as a statement. Acting on my confirmation, the PIC started a climb. Had I been able to contact departure control immediately when handed off by the tower, we may have been reminded to remain at 1500 ft, and my mistake may have been averted.
Original NASA ASRS Text
Title: A C650 CREW, DEPARTING TEB ON A 'SID,' PREMATURELY STARTED CLB TO AN INTERMEDIATE ALT, OVERSHOOTING PUBLISHED ALT.
Narrative: DEVIATED FROM THE PUBLISHED DEP PROC (DP) BY CLBING OUT OF THE INITIAL ALT TOO EARLY. THE PIC AND I BRIEFED EACH OTHER ON THE DEP PROC AS WE TAXIED TO THE RWY. THE DEP PROC CALLED FOR MAINTAINING RWY HEADING UNTIL CLBING TO 1500 FT, THEN TURNING TO A SPECIFIC HEADING, AND WHEN 4.5 DME OUT FROM THE FIELD, CLB AN ADDITIONAL 500 FT TO MAINTAIN 2000 FT UNTIL FURTHER CLRNC. I DIALED IN THE INITIAL HEADING ON THE COPLT'S HEADING BUG AS A REMINDER AND ALSO DIALED IN THE INITIAL ALT OF 1500 FT ON THE ALT PRE-SELECTOR. RIGHT BEFORE ROLLING ONTO THE RWY, I QUICKLY REVIEWED THE DEP PROC AGAIN, BUT THIS TIME SKIPPED OVER THE DME DISTANCE INFO IN THE TEXT OF THE DEP PROC. AFTER TKOF, WE CLBED TO 1500 FT. AT THIS TIME, I ADVISED THE PIC THAT WE WERE CLRED TO TURN ONTO THE SPECIFIC HEADING. TWR SWITCHED US TO DEP CTL. THE DEP FREQ WAS BUSY. AS WE STARTED OUR TURN, THE PIC SAID '2000 FT.' I ACKNOWLEDGED, AND DIALED IN 2000 FT ON THE PRE-SELECTOR. DEP CTL THEN ASKED IN THE BLIND WHO WAS DEPARTING TEB. I CALLED IN WITH ALT AND HEADING. THE CTLR THEN ADVISED ME THAT WE WERE STILL SUPPOSED TO BE AT 1500 FT. I QUICKLY TOOK ANOTHER LOOK AT THE DEP PROC AND ADVISED THE CTLR THAT WE WERE ON THE PROPER HEADING OF 2000 FT. THE CTLR AGAIN SAID YOU ARE SUPPOSED TO BE AT 1500 FT. I THEN REVIEWED THE DEP PROC AGAIN AND THIS TIME SAW THE TEXTUAL INFO WITH THE REQUIRED DME DISTANCE BEFORE CLB. I SUDDENLY REMEMBERED READING THAT INSTRUCTION BEFORE. OOPS! I SADLY CONVEYED MY MISTAKE TO THE PIC. WITHIN SECONDS, WE WERE CLRED TO A HIGHER ALT AND ATC DID NOT SEEM TO MAKE A BIG DEAL OUT OF IT. BUT THE FACT IS, I MESSED UP. THE CAUSE OF THE PROB WAS MY FAILURE TO COMPLETELY READ, RETAIN, AND ACT ON THE INFO FOUND IN THE TEXT PORTION OF THE DEP PROC. ALL WE HAD TO DO WAS STAY AT 1500 FT FOR A MIN OR SO. HOWEVER, BOTH THE PIC AND I RECALL THAT 2000 FT WAS PART OF THE PROC, AND I HAD IT IN MY MIND THAT THE DEP PROC ALLOWED US TO CLB TO THIS ALT ONCE WE COMMENCED THE TURN. SO WHEN THE PIC SAID '2000 FT,' IT WAS ACTUALLY A QUESTION, WHICH I ACKNOWLEDGED AS A STATEMENT. ACTING ON MY CONFIRMATION, THE PIC STARTED A CLB. HAD I BEEN ABLE TO CONTACT DEP CTL IMMEDIATELY WHEN HANDED OFF BY THE TWR, WE MAY HAVE BEEN REMINDED TO REMAIN AT 1500 FT, AND MY MISTAKE MAY HAVE BEEN AVERTED.
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.