37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 567225 |
Time | |
Date | 200211 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | navaid : omn.vortac |
State Reference | FL |
Altitude | msl bound lower : 11000 msl bound upper : 13000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : dab.tracon tracon : mco.tracon |
Operator | common carrier : air taxi |
Make Model Name | BAe 125 Series 800 |
Operating Under FAR Part | Part 135 |
Navigation In Use | other other vortac |
Flight Phase | climbout : intermediate altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air taxi |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 100 flight time total : 20000 flight time type : 2000 |
ASRS Report | 567225 |
Person 2 | |
Affiliation | company : air taxi |
Function | flight crew : first officer |
Events | |
Anomaly | other anomaly other |
Independent Detector | other controllera |
Resolutory Action | controller : issued alert controller : issued new clearance flight crew : returned to assigned altitude none taken : detected after the fact |
Supplementary | |
Problem Areas | Company ATC Human Performance Flight Crew Human Performance |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Intra Facility Coordination Failure other |
Narrative:
We had departed and had contacted daytona. Departure controller left for radar vectors en route to kmia. I was in right seat (PNF). We had just been cleared from 9000 ft to 13000 ft. I believe that I read back 13000 ft. After leveling off at 13000 ft, approximately 2 mins later, the controller said we were supposed to be at 11000 ft. We descended to 11000 ft. The next controller, on departure, said that he was not understanding why the previous controller had us descend to 11000 ft. He cleared us to 15000 ft. Nothing further occurred. The PF could not confirm that I read back 13000 ft to the controller or that the controller had cleared us to 13000 ft. Company policy does require that the PF confirm the altitude set in the altitude selector, which he did. However, it has not been emphasized that both pilots must hear the altitude or heading clearance and agree. That is now being emphasized.
Original NASA ASRS Text
Title: H25B CREW HAD THE DEP CTLR QUESTION THE ALT THE ACFT WAS FLYING. THE FLC HAD ENGAGED IN SEAT SWAPPING.
Narrative: WE HAD DEPARTED AND HAD CONTACTED DAYTONA. DEP CTLR LEFT FOR RADAR VECTORS ENRTE TO KMIA. I WAS IN R SEAT (PNF). WE HAD JUST BEEN CLRED FROM 9000 FT TO 13000 FT. I BELIEVE THAT I READ BACK 13000 FT. AFTER LEVELING OFF AT 13000 FT, APPROX 2 MINS LATER, THE CTLR SAID WE WERE SUPPOSED TO BE AT 11000 FT. WE DSNDED TO 11000 FT. THE NEXT CTLR, ON DEP, SAID THAT HE WAS NOT UNDERSTANDING WHY THE PREVIOUS CTLR HAD US DSND TO 11000 FT. HE CLRED US TO 15000 FT. NOTHING FURTHER OCCURRED. THE PF COULD NOT CONFIRM THAT I READ BACK 13000 FT TO THE CTLR OR THAT THE CTLR HAD CLRED US TO 13000 FT. COMPANY POLICY DOES REQUIRE THAT THE PF CONFIRM THE ALT SET IN THE ALT SELECTOR, WHICH HE DID. HOWEVER, IT HAS NOT BEEN EMPHASIZED THAT BOTH PLTS MUST HEAR THE ALT OR HDG CLRNC AND AGREE. THAT IS NOW BEING EMPHASIZED.
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.