37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 713552 |
Time | |
Date | 200610 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : teb.airport |
State Reference | NJ |
Altitude | msl bound lower : 1500 msl bound upper : 1800 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : n90.tracon |
Operator | general aviation : corporate |
Make Model Name | BAe 125 Series 800 |
Operating Under FAR Part | Part 135 |
Navigation In Use | other |
Flight Phase | climbout : initial |
Route In Use | departure sid : teb |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | tracon : n90.tracon |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : cfi |
Experience | flight time last 90 days : 120 flight time total : 15800 flight time type : 5500 |
ASRS Report | 713552 |
Person 2 | |
Affiliation | company : corporate |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 45 flight time total : 7100 flight time type : 1200 |
ASRS Report | 713550 |
Events | |
Anomaly | altitude deviation : crossing restriction not met altitude deviation : overshoot conflict : airborne less severe non adherence : clearance non adherence : published procedure |
Independent Detector | aircraft equipment : tcas other controllera other flight crewa |
Resolutory Action | flight crew : returned to assigned altitude |
Miss Distance | vertical : 1000 |
Supplementary | |
Problem Areas | Airspace Structure Flight Crew Human Performance Chart Or Publication |
Primary Problem | Flight Crew Human Performance |
Narrative:
We were departing teb at the start of rush hour on runway 24 assigned the teb 5 departure. The textual description says to fly runway heading until reaching 1500 ft then fly heading 280. Maintain 1500 ft until 4.5 DME from teb then climb to 2000 ft. We had ample time to discuss the departure since we were about number 7 for departure and elected to set 2000 ft in the altitude alerter. Takeoff was normal with a noise abatement climb executed. Just after gear and flaps were retracted; climbing through about 1000 ft; we got a traffic alert from the TCAS. Both crewmembers looked outside for the traffic. I made the heading change to 280 degrees; but did not level at 1500 ft due to the traffic distraction. I noticed my error at 1800 ft and pushed over to descend just as departure control called to tell us to watch our altitude. We leveled at 1500 ft and resumed the departure as requested. I was given a telephone number to call upon arrival at destination. Contributing factors: 1) high traffic; high workload environment. This departure requires a noise abatement climb with a turn and level off at 1500 ft MSL. 2) part time first officer whom I fly with on a sporadic basis. 3) we had experienced a resolution advisory (RA) from the TCAS on the arrival 3 hours earlier and had taken evasive action to avoid a collision with an aircraft ATC was not talking to. We were 'spring loaded' to TCAS alerts from the close call a few hours earlier. Both of us should not have looked outside the cockpit at the same time during this high workload phase of flight. The initial altitude of 1500 ft should have been set in the altitude alerter instead of 2000 ft. Both crew members should have been more diligent in altitude monitoring. We were not fatigued from a long day; but had been in a high stress; high workload environment all day having come from the washington; dc; area to the new york area.
Original NASA ASRS Text
Title: A HAWKER HS125 DEPARTING TEB ON THE TEB DEP FAILED TO LEVEL OFF AT THE CHARTED 1500 FT RESTR; CLBING TO 1800 FT; AT LEAST PARTLY BECAUSE OF A TCAS TA.
Narrative: WE WERE DEPARTING TEB AT THE START OF RUSH HOUR ON RWY 24 ASSIGNED THE TEB 5 DEP. THE TEXTUAL DESCRIPTION SAYS TO FLY RWY HEADING UNTIL REACHING 1500 FT THEN FLY HEADING 280. MAINTAIN 1500 FT UNTIL 4.5 DME FROM TEB THEN CLB TO 2000 FT. WE HAD AMPLE TIME TO DISCUSS THE DEP SINCE WE WERE ABOUT NUMBER 7 FOR DEP AND ELECTED TO SET 2000 FT IN THE ALT ALERTER. TKOF WAS NORMAL WITH A NOISE ABATEMENT CLB EXECUTED. JUST AFTER GEAR AND FLAPS WERE RETRACTED; CLBING THROUGH ABOUT 1000 FT; WE GOT A TFC ALERT FROM THE TCAS. BOTH CREWMEMBERS LOOKED OUTSIDE FOR THE TFC. I MADE THE HEADING CHANGE TO 280 DEGS; BUT DID NOT LEVEL AT 1500 FT DUE TO THE TFC DISTRACTION. I NOTICED MY ERROR AT 1800 FT AND PUSHED OVER TO DESCEND JUST AS DEP CTL CALLED TO TELL US TO WATCH OUR ALT. WE LEVELED AT 1500 FT AND RESUMED THE DEP AS REQUESTED. I WAS GIVEN A TELEPHONE NUMBER TO CALL UPON ARR AT DEST. CONTRIBUTING FACTORS: 1) HIGH TFC; HIGH WORKLOAD ENVIRONMENT. THIS DEP REQUIRES A NOISE ABATEMENT CLB WITH A TURN AND LEVEL OFF AT 1500 FT MSL. 2) PART TIME FO WHOM I FLY WITH ON A SPORADIC BASIS. 3) WE HAD EXPERIENCED A RESOLUTION ADVISORY (RA) FROM THE TCAS ON THE ARR 3 HOURS EARLIER AND HAD TAKEN EVASIVE ACTION TO AVOID A COLLISION WITH AN ACFT ATC WAS NOT TALKING TO. WE WERE 'SPRING LOADED' TO TCAS ALERTS FROM THE CLOSE CALL A FEW HOURS EARLIER. BOTH OF US SHOULD NOT HAVE LOOKED OUTSIDE THE COCKPIT AT THE SAME TIME DURING THIS HIGH WORKLOAD PHASE OF FLT. THE INITIAL ALT OF 1500 FT SHOULD HAVE BEEN SET IN THE ALT ALERTER INSTEAD OF 2000 FT. BOTH CREW MEMBERS SHOULD HAVE BEEN MORE DILIGENT IN ALT MONITORING. WE WERE NOT FATIGUED FROM A LONG DAY; BUT HAD BEEN IN A HIGH STRESS; HIGH WORKLOAD ENVIRONMENT ALL DAY HAVING COME FROM THE WASHINGTON; DC; AREA TO THE NEW YORK AREA.
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.