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|
Attributes | |
ACN | 592106 |
Time | |
Date | 200309 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | navaid : drk.vortac |
State Reference | AZ |
Altitude | msl bound lower : 28000 msl bound upper : 28800 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zab.artcc |
Operator | common carrier : air carrier |
Make Model Name | B737-500 |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure sid : chily |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 10000 flight time type : 5000 |
ASRS Report | 592106 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : instrument pilot : commercial |
Experience | flight time last 90 days : 200 flight time total : 10000 flight time type : 3500 |
ASRS Report | 592108 |
Events | |
Anomaly | altitude deviation : overshoot non adherence : company policies non adherence : clearance non adherence : far |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance |
Supplementary | |
Problem Areas | Environmental Factor Company ATC Human Performance Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Climbing to FL280 on the chily 1 departure out of phx, LNAV engaged, I was flying. Prior to reaching cruise altitude, center gave us a left turn to a heading of 310 degrees to intercept the airway west of drk. First officer missed the radio call, but I read it back verbatim. First officer them asked what ATC had said, and I repeated it back to him. I selected heading on the MCP and VOR localizer, turned to 310 degrees, switched out of navigation and set up the outbound course and verified drk was in the navigation communication. The first officer verified this with me. Then ATC asked us to verify leveling at FL280. I looked at the altitude alerter and saw that FL310 was set. I responded to ATC negative, climbing to 310 degrees assigned. Then it dawned on me that we were only assigned FL280, we were currently at FL288. I quickly corrected back to FL280. ATC actually apologized to us, stating that we must have misunderstood his heading of 310 degrees for FL310. Of course, this was not the case. I questioned the first officer on how the altitude alerter had inadvertently been changed. He said that he misunderstood me when I repeated the original radio call to him that he had missed. I stated to him the importance of verifying with the other pilot any time the altitude is changed in the altitude alerter. I never saw him change the altitude. He apologized, and understood his mistake. While all of this was going on, the VOR localizer captured and started to turn outbound on the radial. I noticed that it had engaged too early, and never intercepted the radial. I started to correct back to the radial, but ATC noticed the deviation and gave us a heading to correct back, and then a further heading to the north to keep us out of restr airspace. We eventually were given direct eed and on course, and shortly thereafter switched to the next controller. In hindsight, I need to pay more attention to the last altitude assigned and my leveloffs, and not necessarily the altitude in the alerter. Because I was distraction from the altitude deviation, I did not respond quickly enough to the upcoming course deviation. Simply put, fly the airplane, don't let it fly you! Supplemental information from acn 592108: as we passed through FL260, I (as the PNF first officer) was making a logbook entry for our departure time.
Original NASA ASRS Text
Title: FLT CREW OF B737-500 OVERSHOT CLRED ALT WHEN COCKPIT DISCIPLINE BROKE DOWN REGARDING VERIFICATION OF CLRED ALT IN THE ALT ALERT WINDOW.
Narrative: CLBING TO FL280 ON THE CHILY 1 DEP OUT OF PHX, LNAV ENGAGED, I WAS FLYING. PRIOR TO REACHING CRUISE ALT, CTR GAVE US A L TURN TO A HDG OF 310 DEGS TO INTERCEPT THE AIRWAY W OF DRK. FO MISSED THE RADIO CALL, BUT I READ IT BACK VERBATIM. FO THEM ASKED WHAT ATC HAD SAID, AND I REPEATED IT BACK TO HIM. I SELECTED HDG ON THE MCP AND VOR LOC, TURNED TO 310 DEGS, SWITCHED OUT OF NAV AND SET UP THE OUTBOUND COURSE AND VERIFIED DRK WAS IN THE NAV COM. THE FO VERIFIED THIS WITH ME. THEN ATC ASKED US TO VERIFY LEVELING AT FL280. I LOOKED AT THE ALT ALERTER AND SAW THAT FL310 WAS SET. I RESPONDED TO ATC NEGATIVE, CLBING TO 310 DEGS ASSIGNED. THEN IT DAWNED ON ME THAT WE WERE ONLY ASSIGNED FL280, WE WERE CURRENTLY AT FL288. I QUICKLY CORRECTED BACK TO FL280. ATC ACTUALLY APOLOGIZED TO US, STATING THAT WE MUST HAVE MISUNDERSTOOD HIS HDG OF 310 DEGS FOR FL310. OF COURSE, THIS WAS NOT THE CASE. I QUESTIONED THE FO ON HOW THE ALT ALERTER HAD INADVERTENTLY BEEN CHANGED. HE SAID THAT HE MISUNDERSTOOD ME WHEN I REPEATED THE ORIGINAL RADIO CALL TO HIM THAT HE HAD MISSED. I STATED TO HIM THE IMPORTANCE OF VERIFYING WITH THE OTHER PLT ANY TIME THE ALT IS CHANGED IN THE ALT ALERTER. I NEVER SAW HIM CHANGE THE ALT. HE APOLOGIZED, AND UNDERSTOOD HIS MISTAKE. WHILE ALL OF THIS WAS GOING ON, THE VOR LOC CAPTURED AND STARTED TO TURN OUTBOUND ON THE RADIAL. I NOTICED THAT IT HAD ENGAGED TOO EARLY, AND NEVER INTERCEPTED THE RADIAL. I STARTED TO CORRECT BACK TO THE RADIAL, BUT ATC NOTICED THE DEV AND GAVE US A HDG TO CORRECT BACK, AND THEN A FURTHER HDG TO THE N TO KEEP US OUT OF RESTR AIRSPACE. WE EVENTUALLY WERE GIVEN DIRECT EED AND ON COURSE, AND SHORTLY THEREAFTER SWITCHED TO THE NEXT CTLR. IN HINDSIGHT, I NEED TO PAY MORE ATTN TO THE LAST ALT ASSIGNED AND MY LEVELOFFS, AND NOT NECESSARILY THE ALT IN THE ALERTER. BECAUSE I WAS DISTR FROM THE ALTDEV, I DID NOT RESPOND QUICKLY ENOUGH TO THE UPCOMING COURSE DEV. SIMPLY PUT, FLY THE AIRPLANE, DON'T LET IT FLY YOU! SUPPLEMENTAL INFO FROM ACN 592108: AS WE PASSED THROUGH FL260, I (AS THE PNF FO) WAS MAKING A LOGBOOK ENTRY FOR OUR DEP TIME.
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.