37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 719109 |
Time | |
Date | 200611 |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | navaid : cyn.vortac |
State Reference | NJ |
Altitude | msl bound lower : 16000 msl bound upper : 16500 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zny.artcc |
Operator | common carrier : air carrier |
Make Model Name | Dash 8-100 |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : intermediate altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : cfi pilot : atp |
Experience | flight time last 90 days : 210 flight time total : 2950 flight time type : 210 |
ASRS Report | 719109 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : multi engine pilot : cfi |
Experience | flight time last 90 days : 50 flight time total : 850 flight time type : 50 |
ASRS Report | 719110 |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : excursion from assigned altitude non adherence : clearance |
Independent Detector | other controllera |
Resolutory Action | controller : issued advisory flight crew : returned to assigned altitude |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Flight Crew Human Performance Aircraft |
Primary Problem | Flight Crew Human Performance |
Narrative:
Center assigned us 16000 ft. Somewhere between 15000 ft and 16000 ft the autoplt inadvertently disconnected. We were unaware of the autoplt disconnection due to the lack of aural or visual alert. Upon leveloff the airplane established a slow climb of about 100 FPM. We noticed the altitude deviation just as center queried us. Center informed us there were no other aircraft anywhere near us. During the slow climb the first officer was verifying the next course change while I was making an entry in the aircraft maintenance log. This momentary lapse in attention is the main reason that we did not notice the slow climb. This event has brought the need for close autoplt monitoring during leveloff to our attention. The installation of an autoplt disconnect aural warning may have also prevented this deviation.
Original NASA ASRS Text
Title: DCH8 FLT CREW HAS AN ALTDEV.
Narrative: CTR ASSIGNED US 16000 FT. SOMEWHERE BTWN 15000 FT AND 16000 FT THE AUTOPLT INADVERTENTLY DISCONNECTED. WE WERE UNAWARE OF THE AUTOPLT DISCONNECTION DUE TO THE LACK OF AURAL OR VISUAL ALERT. UPON LEVELOFF THE AIRPLANE ESTABLISHED A SLOW CLB OF ABOUT 100 FPM. WE NOTICED THE ALTDEV JUST AS CTR QUERIED US. CTR INFORMED US THERE WERE NO OTHER ACFT ANYWHERE NEAR US. DURING THE SLOW CLB THE FO WAS VERIFYING THE NEXT COURSE CHANGE WHILE I WAS MAKING AN ENTRY IN THE ACFT MAINT LOG. THIS MOMENTARY LAPSE IN ATTN IS THE MAIN REASON THAT WE DID NOT NOTICE THE SLOW CLB. THIS EVENT HAS BROUGHT THE NEED FOR CLOSE AUTOPLT MONITORING DURING LEVELOFF TO OUR ATTN. THE INSTALLATION OF AN AUTOPLT DISCONNECT AURAL WARNING MAY HAVE ALSO PREVENTED THIS DEV.
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.