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|
Attributes | |
ACN | 561959 |
Time | |
Date | 200210 |
Day | Sun |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : bwg.airport |
State Reference | KY |
Altitude | msl single value : 4000 |
Environment | |
Flight Conditions | VMC |
Weather Elements | Thunderstorm other |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zme.artcc |
Operator | general aviation : corporate |
Make Model Name | Beechjet 400 |
Operating Under FAR Part | Part 91 |
Navigation In Use | other |
Flight Phase | descent : intermediate altitude |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | artcc : zme.artcc |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Flight Phase | cruise : level |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 40 flight time total : 5400 flight time type : 900 |
ASRS Report | 561959 |
Person 2 | |
Affiliation | company : corporate |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 90 flight time total : 4300 flight time type : 1500 |
ASRS Report | 561960 |
Events | |
Anomaly | altitude deviation : overshoot conflict : airborne critical inflight encounter : weather inflight encounter other non adherence : required legal separation non adherence : clearance non adherence : far non adherence : published procedure other anomaly other |
Independent Detector | aircraft equipment : tcas other controllera |
Resolutory Action | controller : issued new clearance controller : issued alert flight crew : took evasive action flight crew : returned to assigned altitude none taken : detected after the fact other |
Consequence | other |
Supplementary | |
Problem Areas | Flight Crew Human Performance Company |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We were on a part 91 cpr flight from, stf, ms, to bwg, ky. We were at the end of a long day. We sat on the airplane most of the day waiting for passenger. When they arrived, they informed us they needed to drop 1 passenger in stf, so we had to refile and change our flight plan around. When we left stf for bwg, we had to cross a line of WX and do a lot of deviating to get to bwg. Just north of bna, we were turned over to ZME on 133.85. They gave us a heading of 080 degrees for traffic and a descent to 16000 ft. Around 35 NM from bwg they cleared us direct to bwg and a clearance to 4000 ft. At around 10000 ft, the captain called for the approach checklist. As I was running the approach checklist, mem asked us to stop at 5000 ft. I acknowledged the altitude and went right back to the checklist without setting the altitude selector. At around 15 mi from bwg, we had the airport in sight. We also had an aircraft on TCASII between us and bwg. We leveled at 4000 ft. At this time ZME told us to expect lower passing this traffic which was at 4000 ft. At this time the captain asked me about us being at 4000 ft also. I told the controller we were at 4000 ft and had the traffic and the airport. The captain also turned slightly right to go around the traffic. ZME called back and told us we should be at 5000 ft. I told him he had given us 4000 ft, and he told me I was in error. I told him we would climb back to 5000 ft. At this time, the TCASII issued an RA to descend. We followed the TCASII and descended to around 3600 ft after I had told ATC we would climb. The traffic passed off our left. I told ZME we had passed the traffic and had the airport in sight, we would cancel IFR. He accepted our cancellation and we landed uneventfully. I believe that the long duty day contributed to our busting the altitude. We were tired and ready to be home. We also were kept high for other traffic, so when we were given the descent to 4000 ft, we were coming down pretty fast. This was a critical phase of flight. The captain was flying and I was running a checklist when the controller told us to stop at 5000 ft. I think if he had told us to stop at 5000 ft for traffic, I would have caught the change. Instead I don't even remember reading it back and neither does the captain. Another factor is this was my first trip in the beech jet. I trained on it in august and was current. However, we operate diamonds which are the same type certificate and most of my time is in the diamonds. The beech jet has a very different package of avionics and I was trying to keep up. It also would have helped if I had informed ATC that we were following an RA. Our company has an SOP manual that we train by to cover the setting of the altitude selector. We have reported this event to the vice president of operations and have received remedial training on this issue and how to avoid it in the future. Supplemental information from acn 561960: contributing factors were night, thunderstorms, and a very long day. The first officer was on his very first flight in this aircraft. We have an SOP for setting the altitude selector. The PNF sets it if the PF is controling the airplane by hand.
Original NASA ASRS Text
Title: BE40 CREW HAD AN ALT OVERSHOOT IN ZME CLASS E AIRSPACE.
Narrative: WE WERE ON A PART 91 CPR FLT FROM, STF, MS, TO BWG, KY. WE WERE AT THE END OF A LONG DAY. WE SAT ON THE AIRPLANE MOST OF THE DAY WAITING FOR PAX. WHEN THEY ARRIVED, THEY INFORMED US THEY NEEDED TO DROP 1 PAX IN STF, SO WE HAD TO REFILE AND CHANGE OUR FLT PLAN AROUND. WHEN WE LEFT STF FOR BWG, WE HAD TO CROSS A LINE OF WX AND DO A LOT OF DEVIATING TO GET TO BWG. JUST N OF BNA, WE WERE TURNED OVER TO ZME ON 133.85. THEY GAVE US A HDG OF 080 DEGS FOR TFC AND A DSCNT TO 16000 FT. AROUND 35 NM FROM BWG THEY CLRED US DIRECT TO BWG AND A CLRNC TO 4000 FT. AT AROUND 10000 FT, THE CAPT CALLED FOR THE APCH CHKLIST. AS I WAS RUNNING THE APCH CHKLIST, MEM ASKED US TO STOP AT 5000 FT. I ACKNOWLEDGED THE ALT AND WENT RIGHT BACK TO THE CHKLIST WITHOUT SETTING THE ALT SELECTOR. AT AROUND 15 MI FROM BWG, WE HAD THE ARPT IN SIGHT. WE ALSO HAD AN ACFT ON TCASII BTWN US AND BWG. WE LEVELED AT 4000 FT. AT THIS TIME ZME TOLD US TO EXPECT LOWER PASSING THIS TFC WHICH WAS AT 4000 FT. AT THIS TIME THE CAPT ASKED ME ABOUT US BEING AT 4000 FT ALSO. I TOLD THE CTLR WE WERE AT 4000 FT AND HAD THE TFC AND THE ARPT. THE CAPT ALSO TURNED SLIGHTLY R TO GO AROUND THE TFC. ZME CALLED BACK AND TOLD US WE SHOULD BE AT 5000 FT. I TOLD HIM HE HAD GIVEN US 4000 FT, AND HE TOLD ME I WAS IN ERROR. I TOLD HIM WE WOULD CLB BACK TO 5000 FT. AT THIS TIME, THE TCASII ISSUED AN RA TO DSND. WE FOLLOWED THE TCASII AND DSNDED TO AROUND 3600 FT AFTER I HAD TOLD ATC WE WOULD CLB. THE TFC PASSED OFF OUR L. I TOLD ZME WE HAD PASSED THE TFC AND HAD THE ARPT IN SIGHT, WE WOULD CANCEL IFR. HE ACCEPTED OUR CANCELLATION AND WE LANDED UNEVENTFULLY. I BELIEVE THAT THE LONG DUTY DAY CONTRIBUTED TO OUR BUSTING THE ALT. WE WERE TIRED AND READY TO BE HOME. WE ALSO WERE KEPT HIGH FOR OTHER TFC, SO WHEN WE WERE GIVEN THE DSCNT TO 4000 FT, WE WERE COMING DOWN PRETTY FAST. THIS WAS A CRITICAL PHASE OF FLT. THE CAPT WAS FLYING AND I WAS RUNNING A CHKLIST WHEN THE CTLR TOLD US TO STOP AT 5000 FT. I THINK IF HE HAD TOLD US TO STOP AT 5000 FT FOR TFC, I WOULD HAVE CAUGHT THE CHANGE. INSTEAD I DON'T EVEN REMEMBER READING IT BACK AND NEITHER DOES THE CAPT. ANOTHER FACTOR IS THIS WAS MY FIRST TRIP IN THE BEECH JET. I TRAINED ON IT IN AUGUST AND WAS CURRENT. HOWEVER, WE OPERATE DIAMONDS WHICH ARE THE SAME TYPE CERTIFICATE AND MOST OF MY TIME IS IN THE DIAMONDS. THE BEECH JET HAS A VERY DIFFERENT PACKAGE OF AVIONICS AND I WAS TRYING TO KEEP UP. IT ALSO WOULD HAVE HELPED IF I HAD INFORMED ATC THAT WE WERE FOLLOWING AN RA. OUR COMPANY HAS AN SOP MANUAL THAT WE TRAIN BY TO COVER THE SETTING OF THE ALT SELECTOR. WE HAVE RPTED THIS EVENT TO THE VICE PRESIDENT OF OPS AND HAVE RECEIVED REMEDIAL TRAINING ON THIS ISSUE AND HOW TO AVOID IT IN THE FUTURE. SUPPLEMENTAL INFO FROM ACN 561960: CONTRIBUTING FACTORS WERE NIGHT, TSTMS, AND A VERY LONG DAY. THE FO WAS ON HIS VERY FIRST FLT IN THIS ACFT. WE HAVE AN SOP FOR SETTING THE ALT SELECTOR. THE PNF SETS IT IF THE PF IS CTLING THE AIRPLANE BY HAND.
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.