37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 589849 |
Time | |
Date | 200308 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : teb.airport |
State Reference | NJ |
Altitude | msl bound lower : 1500 msl bound upper : 2000 |
Environment | |
Flight Conditions | Marginal |
Weather Elements | Thunderstorm |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : n90.tracon |
Operator | general aviation : corporate |
Make Model Name | Challenger CL604 |
Operating Under FAR Part | Part 91 |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure sid : teb |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 100 flight time total : 14500 flight time type : 4000 |
ASRS Report | 589849 |
Person 2 | |
Affiliation | company : corporate |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | altitude deviation : overshoot inflight encounter : weather inflight encounter other non adherence : published procedure non adherence : far non adherence : clearance |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | flight crew : returned to assigned altitude flight crew : returned to original clearance |
Supplementary | |
Problem Areas | Weather Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
On departure, I busted a 1500 ft MSL altitude restr, briefly leveling at 2000 ft before immediately returning to 1500 ft. Takeoff was on a SID of runway 24 towards a thundershower directly off the end of the runway. Climbed steeply to get to turn altitude in order to make turn away from thunderstorm. (Hand flying aircraft.) in the turn, overshot altitude by 500 ft. I had misread the SID and thought we were supposed to climb from 1500-2000 ft after passing the 4.5 DME arc. I had therefore set the altitude alerter to 2000 ft, planning to level off at 1500 ft on my own until 4.5 NM. In the distraction of urgent turn, overshot altitude. Error chain: 1) misreading a complicated SID. 2) setting the higher of presumed altitude restrs. 3) because 2000 ft was set in the altitude alerter (incorrectly), no flight director, or reminder would prompt leveloff at 1500 ft. This is a complete automation problem: improper procedure for phase (or lack of use) of automation selected, ie, I set myself up for an error without realizing it. In the future, I will read the SID closer and set the altitude alerter to the lower restr. You can always move it to the higher altitude after 1ST leveloff.
Original NASA ASRS Text
Title: CL60 CREW DEPARTED TEB ON RWY 24 DIRECTLY INTO A TSTM CELL. THE CREW HAD AN ALT OVERSHOOT AFTER MISSETTING THE ALT ALERT SYS AND MISREADING THE TEB 5 SID.
Narrative: ON DEP, I BUSTED A 1500 FT MSL ALT RESTR, BRIEFLY LEVELING AT 2000 FT BEFORE IMMEDIATELY RETURNING TO 1500 FT. TKOF WAS ON A SID OF RWY 24 TOWARDS A THUNDERSHOWER DIRECTLY OFF THE END OF THE RWY. CLBED STEEPLY TO GET TO TURN ALT IN ORDER TO MAKE TURN AWAY FROM TSTM. (HAND FLYING ACFT.) IN THE TURN, OVERSHOT ALT BY 500 FT. I HAD MISREAD THE SID AND THOUGHT WE WERE SUPPOSED TO CLB FROM 1500-2000 FT AFTER PASSING THE 4.5 DME ARC. I HAD THEREFORE SET THE ALT ALERTER TO 2000 FT, PLANNING TO LEVEL OFF AT 1500 FT ON MY OWN UNTIL 4.5 NM. IN THE DISTR OF URGENT TURN, OVERSHOT ALT. ERROR CHAIN: 1) MISREADING A COMPLICATED SID. 2) SETTING THE HIGHER OF PRESUMED ALT RESTRS. 3) BECAUSE 2000 FT WAS SET IN THE ALT ALERTER (INCORRECTLY), NO FLT DIRECTOR, OR REMINDER WOULD PROMPT LEVELOFF AT 1500 FT. THIS IS A COMPLETE AUTOMATION PROB: IMPROPER PROC FOR PHASE (OR LACK OF USE) OF AUTOMATION SELECTED, IE, I SET MYSELF UP FOR AN ERROR WITHOUT REALIZING IT. IN THE FUTURE, I WILL READ THE SID CLOSER AND SET THE ALT ALERTER TO THE LOWER RESTR. YOU CAN ALWAYS MOVE IT TO THE HIGHER ALT AFTER 1ST LEVELOFF.
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.