37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 703471 |
Time | |
Date | 200607 |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : ltaa.artcc |
State Reference | FO |
Altitude | msl single value : 40000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : ltaa.artcc |
Operator | common carrier : charter |
Make Model Name | MD-11 |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise : level |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : charter |
Function | flight crew : captain oversight : pic |
Qualification | pilot : cfi pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 7000 flight time type : 1500 |
ASRS Report | 703471 |
Person 2 | |
Affiliation | company : charter |
Function | flight crew : first officer |
Events | |
Anomaly | altitude deviation : overshoot non adherence : published procedure non adherence : company policies non adherence : clearance non adherence : far |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | flight crew : returned to assigned altitude |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
On climb out from okbk we received multiple heading and altitude changes and did not accomplish resetting the altimeter at transition altitude. This was also at approximately XA00 and 10+ hours into our duty day. We proceeded through iraq airspace and when crossing into euro rvsm ankara saw the altitude deviation of 400 ft. We immediate reset to 1013 millibars and descended to our correct level. 3 pilots watched this happen and none noticed it. I have to believe fatigue was a large contributor. I also missed the item on the en route climb checklist. Perhaps we should be doing the checklist at TA rather than FL180.
Original NASA ASRS Text
Title: MD11 FLT CREW HAS AN ENRTE ALTDEV.
Narrative: ON CLBOUT FROM OKBK WE RECEIVED MULTIPLE HDG AND ALT CHANGES AND DID NOT ACCOMPLISH RESETTING THE ALTIMETER AT TRANSITION ALT. THIS WAS ALSO AT APPROX XA00 AND 10+ HRS INTO OUR DUTY DAY. WE PROCEEDED THROUGH IRAQ AIRSPACE AND WHEN XING INTO EURO RVSM ANKARA SAW THE ALTDEV OF 400 FT. WE IMMEDIATE RESET TO 1013 MILLIBARS AND DSNDED TO OUR CORRECT LEVEL. 3 PLTS WATCHED THIS HAPPEN AND NONE NOTICED IT. I HAVE TO BELIEVE FATIGUE WAS A LARGE CONTRIBUTOR. I ALSO MISSED THE ITEM ON THE ENRTE CLB CHKLIST. PERHAPS WE SHOULD BE DOING THE CHKLIST AT TA RATHER THAN FL180.
Data retrieved from NASA's ASRS site as of January 2009 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.