37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 547061 |
Time | |
Date | 200205 |
Day | Fri |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | navaid : pvd.vortac |
State Reference | RI |
Altitude | msl single value : 12000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zbw.artcc |
Operator | common carrier : air carrier |
Make Model Name | B737-500 |
Operating Under FAR Part | Part 121 |
Flight Phase | descent : intermediate altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 220 flight time total : 6500 flight time type : 3500 |
ASRS Report | 547061 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Experience | flight time last 90 days : 200 flight time total : 14800 flight time type : 2000 |
ASRS Report | 547063 |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance non adherence : company policies non adherence : far non adherence : published procedure other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : returned to assigned altitude none taken : detected after the fact |
Consequence | other |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Second leg return to bos from ewr. Captain flying with autoplt on, VNAV and LNAV engaged, direct to pvd VOR. ATC instructed airspeed increase to 320 KIAS or greater to cross pvd at 11000 ft. With 100 KT tailwind, captain left FL210 early on VNAV descent. Passing through FL180, in-range checklist accomplished, altimeter 29.46 with current bos ATIS. About 10 NM prior, ATC instructed us to cross pvd at 12000 ft and gave holding instructions over pvd. Captain reset altitude to 12000 ft in MCP. The captain programmed the holding pattern in the FMC with my help to make the correct entries. Took a bit longer than normal and we were rapidly approaching pvd VOR air traffic area high airspeed and rate of descent. At approximately 330 KIAS, the clacker sounded and I looked to see the airspeed high and within 100-200 ft of 12000 ft assigned altitude. I called 'altitude, altitude, we need to level.' captain was busy with FMC entries to holding pattern. I took the yoke and stopped the descent 400-500 ft below 12000 ft and immediately returning to correct altitude I then noticed both captain's altimeters set to 30.46 showing 1000 ft difference, which he then corrected. ATC did not call us about deviation. Monitoring pilot did not doublechk altimeter setting for the PF on the in-range checklist. Too much attention placed on FMC entries for a holding pattern during a critical phase.
Original NASA ASRS Text
Title: A B737-500 CREW, IN DSCNT TO BOS, OVERSHOT THEIR ASSIGNED ALT.
Narrative: SECOND LEG RETURN TO BOS FROM EWR. CAPT FLYING WITH AUTOPLT ON, VNAV AND LNAV ENGAGED, DIRECT TO PVD VOR. ATC INSTRUCTED AIRSPD INCREASE TO 320 KIAS OR GREATER TO CROSS PVD AT 11000 FT. WITH 100 KT TAILWIND, CAPT LEFT FL210 EARLY ON VNAV DSCNT. PASSING THROUGH FL180, IN-RANGE CHKLIST ACCOMPLISHED, ALTIMETER 29.46 WITH CURRENT BOS ATIS. ABOUT 10 NM PRIOR, ATC INSTRUCTED US TO CROSS PVD AT 12000 FT AND GAVE HOLDING INSTRUCTIONS OVER PVD. CAPT RESET ALT TO 12000 FT IN MCP. THE CAPT PROGRAMMED THE HOLDING PATTERN IN THE FMC WITH MY HELP TO MAKE THE CORRECT ENTRIES. TOOK A BIT LONGER THAN NORMAL AND WE WERE RAPIDLY APCHING PVD VOR ATA HIGH AIRSPD AND RATE OF DSCNT. AT APPROX 330 KIAS, THE CLACKER SOUNDED AND I LOOKED TO SEE THE AIRSPD HIGH AND WITHIN 100-200 FT OF 12000 FT ASSIGNED ALT. I CALLED 'ALT, ALT, WE NEED TO LEVEL.' CAPT WAS BUSY WITH FMC ENTRIES TO HOLDING PATTERN. I TOOK THE YOKE AND STOPPED THE DSCNT 400-500 FT BELOW 12000 FT AND IMMEDIATELY RETURNING TO CORRECT ALT I THEN NOTICED BOTH CAPT'S ALTIMETERS SET TO 30.46 SHOWING 1000 FT DIFFERENCE, WHICH HE THEN CORRECTED. ATC DID NOT CALL US ABOUT DEV. MONITORING PLT DID NOT DOUBLECHK ALTIMETER SETTING FOR THE PF ON THE IN-RANGE CHKLIST. TOO MUCH ATTN PLACED ON FMC ENTRIES FOR A HOLDING PATTERN DURING A CRITICAL PHASE.
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.