37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 565643 |
Time | |
Date | 200211 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | navaid : ftz.vortac |
State Reference | MO |
Altitude | msl single value : 14000 |
Environment | |
Flight Conditions | Mixed |
Weather Elements | Turbulence |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : t75.tracon |
Operator | common carrier : air carrier |
Make Model Name | MD-82 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other vortac |
Flight Phase | descent : intermediate altitude |
Route In Use | arrival star : trake 8 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : atp pilot : instrument |
Experience | flight time last 90 days : 200 flight time total : 4700 flight time type : 1800 |
ASRS Report | 565643 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | altitude deviation : crossing restriction not met altitude deviation : overshoot non adherence : clearance non adherence : far other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Supplementary | |
Problem Areas | Flight Crew Human Performance Environmental Factor |
Primary Problem | Flight Crew Human Performance |
Narrative:
After programming performance management system (pms) for descent, we were beginning descent to assigned crossing altitude of 15000 ft at kayla arc (trake arrival). ATC cleared us direct to ftz, resulting in steep descent to try to make crossing. We encountered moderate turbulence and had to slow to turbulence penetration speed, further exacerbating descent problem. Concerned with being high at fix, captain was attempting to maximize descent while first officer was performing checklists and alerting cabin per policy. After leveling at 15000 ft it was noticed that altimeter had been set with a 1 inch difference (captain 30.47 inches, first officer 29.47 inches), resulting in actual aircraft altitude of 14000 ft MSL (local altimeter 29.47 inches). Because captain was PF, autoplt was using air data and altitude reporting from #1 system. It seems likely that, since #1 transponder was reporting 15000 ft altitude to ATC, approach control didn't notice altitude discrepancy. Error was discovered at completion of descent/approach checklist after leveloff. We were subsequently cleared to 7000 ft and commenced descent before having a chance to correct back up to 15000 ft.
Original NASA ASRS Text
Title: AN ACR CROSSES A FIX 1000 FT BELOW THE REQUIRED ALT DUE TO AN ALTIMETER SETTING ERROR.
Narrative: AFTER PROGRAMMING PERFORMANCE MGMNT SYS (PMS) FOR DSCNT, WE WERE BEGINNING DSCNT TO ASSIGNED XING ALT OF 15000 FT AT KAYLA ARC (TRAKE ARR). ATC CLRED US DIRECT TO FTZ, RESULTING IN STEEP DSCNT TO TRY TO MAKE XING. WE ENCOUNTERED MODERATE TURB AND HAD TO SLOW TO TURB PENETRATION SPD, FURTHER EXACERBATING DSCNT PROB. CONCERNED WITH BEING HIGH AT FIX, CAPT WAS ATTEMPTING TO MAXIMIZE DSCNT WHILE FO WAS PERFORMING CHKLISTS AND ALERTING CABIN PER POLICY. AFTER LEVELING AT 15000 FT IT WAS NOTICED THAT ALTIMETER HAD BEEN SET WITH A 1 INCH DIFFERENCE (CAPT 30.47 INCHES, FO 29.47 INCHES), RESULTING IN ACTUAL ACFT ALT OF 14000 FT MSL (LCL ALTIMETER 29.47 INCHES). BECAUSE CAPT WAS PF, AUTOPLT WAS USING AIR DATA AND ALT RPTING FROM #1 SYS. IT SEEMS LIKELY THAT, SINCE #1 XPONDER WAS RPTING 15000 FT ALT TO ATC, APCH CTL DIDN'T NOTICE ALT DISCREPANCY. ERROR WAS DISCOVERED AT COMPLETION OF DSCNT/APCH CHKLIST AFTER LEVELOFF. WE WERE SUBSEQUENTLY CLRED TO 7000 FT AND COMMENCED DSCNT BEFORE HAVING A CHANCE TO CORRECT BACK UP TO 15000 FT.
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.