37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 591421 |
Time | |
Date | 200308 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | navaid : teb.vor |
State Reference | NJ |
Altitude | msl bound lower : 1300 msl bound upper : 2000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : n90.tracon |
Operator | general aviation : corporate |
Make Model Name | Learjet 60 |
Operating Under FAR Part | Part 91 |
Navigation In Use | other other vortac |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure sid : dalton |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : captain oversight : pic |
Qualification | pilot : multi engine pilot : atp pilot : instrument |
Experience | flight time last 90 days : 160 flight time total : 7480 flight time type : 2150 |
ASRS Report | 591421 |
Person 2 | |
Affiliation | company : corporate |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : atp |
Experience | flight time last 90 days : 130 flight time total : 5200 flight time type : 1300 |
ASRS Report | 591903 |
Events | |
Anomaly | altitude deviation : crossing restriction not met altitude deviation : overshoot conflict : airborne less severe non adherence : clearance non adherence : published procedure |
Independent Detector | atc equipment other atc equipment : radar/mode c aircraft equipment : tcas other controllera other controllerb other flight crewa other flight crewb |
Resolutory Action | controller : issued advisory controller : issued new clearance |
Consequence | faa : investigated |
Miss Distance | horizontal : 18000 vertical : 500 |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
After departing teterboro runway 19 on the dalton departure, passing 800 ft with a right turn to a heading of 280 degrees, we proceeded to climb to an altitude of 2000 ft. While in the climb, we were directed to contact new york departure. The TCASII showed a target at my 9 O'clock position descending through 2600 ft. I looked for the traffic and noticed it traveling away and descending from my position. The lateral distance was approximately 2.75-3 mi away. There was no danger, nor any corrective action taken. Shortly thereafter, we were instructed to climb to 3000 ft. Before the handoff to the next controller we were given a number to call upon landing at our destination. After discussing the departure procedure with my crew member, I learned the altitude pre-select was not set to the proper altitude of 1300 ft, thus causing us to be 700 ft high. Since my altitude pre-select was set at 2000 ft, this led me to believe that this was our clearance limit. My first officer and I did our company checklist and when I asked 'flight instruments' he responded, 'check.' after I was told to contact the number above, I asked my first officer 'did you set 2000 ft.' he responded, 'no, that was from the last flight.' this is when I realized an error had occurred. Supplemental information from acn 591903: the altitude pre-select wasn't set to 1300 ft. I was on day 5 on my rotation duty and I had worked at least 12 hours everyday. Fatigue played a major role in this violation.
Original NASA ASRS Text
Title: L60 CREW DEPARTING TEB FAILED TO COMPLY WITH DALTON DEP SID RESTRS.
Narrative: AFTER DEPARTING TETERBORO RWY 19 ON THE DALTON DEP, PASSING 800 FT WITH A R TURN TO A HEADING OF 280 DEGS, WE PROCEEDED TO CLB TO AN ALT OF 2000 FT. WHILE IN THE CLB, WE WERE DIRECTED TO CONTACT NEW YORK DEP. THE TCASII SHOWED A TARGET AT MY 9 O'CLOCK POS DSNDING THROUGH 2600 FT. I LOOKED FOR THE TFC AND NOTICED IT TRAVELING AWAY AND DSNDING FROM MY POS. THE LATERAL DISTANCE WAS APPROX 2.75-3 MI AWAY. THERE WAS NO DANGER, NOR ANY CORRECTIVE ACTION TAKEN. SHORTLY THEREAFTER, WE WERE INSTRUCTED TO CLB TO 3000 FT. BEFORE THE HDOF TO THE NEXT CTLR WE WERE GIVEN A NUMBER TO CALL UPON LNDG AT OUR DEST. AFTER DISCUSSING THE DEP PROC WITH MY CREW MEMBER, I LEARNED THE ALT PRE-SELECT WAS NOT SET TO THE PROPER ALT OF 1300 FT, THUS CAUSING US TO BE 700 FT HIGH. SINCE MY ALT PRE-SELECT WAS SET AT 2000 FT, THIS LED ME TO BELIEVE THAT THIS WAS OUR CLRNC LIMIT. MY FO AND I DID OUR COMPANY CHKLIST AND WHEN I ASKED 'FLT INSTS' HE RESPONDED, 'CHK.' AFTER I WAS TOLD TO CONTACT THE NUMBER ABOVE, I ASKED MY FO 'DID YOU SET 2000 FT.' HE RESPONDED, 'NO, THAT WAS FROM THE LAST FLT.' THIS IS WHEN I REALIZED AN ERROR HAD OCCURRED. SUPPLEMENTAL INFO FROM ACN 591903: THE ALT PRE-SELECT WASN'T SET TO 1300 FT. I WAS ON DAY 5 ON MY ROTATION DUTY AND I HAD WORKED AT LEAST 12 HRS EVERYDAY. FATIGUE PLAYED A MAJOR ROLE IN THIS VIOLATION.
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.