37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 720501 |
Time | |
Date | 200612 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : zob.artcc |
State Reference | OH |
Altitude | msl single value : 23000 |
Environment | |
Flight Conditions | VMC |
Aircraft 1 | |
Controlling Facilities | artcc : zob.artcc |
Make Model Name | BAe 125 Series 800 |
Operating Under FAR Part | Part 121 |
Flight Phase | descent : intermediate altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 80 flight time total : 12700 flight time type : 3000 |
ASRS Report | 720501 |
Person 2 | |
Affiliation | company : corporate |
Function | flight crew : first officer |
Events | |
Anomaly | aircraft equipment problem : less severe altitude deviation : overshoot non adherence : clearance |
Independent Detector | other controllera |
Resolutory Action | controller : issued advisory |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
We were questioned upon contacting a different ZOB controller what altitude our aircraft was cleared to on a step-down descent. We checked in at FL230. (The altitude in the altitude selector.) the controller said he was expecting us to be at FL240. The crew was following our company procedures of the PNF dialing in the cleared altitude into the selector and the PF verifying the altitude prior to execution. The controller said there was not a problem and to continue to maintain FL230. At the postflt brief; we think that the design of the collins proline 21 altitude selector may have been a factor along with a possible malfunction of the unit. The selection knob has very fine tuning clicks for each 1000 ft per click. The knob also allows the user to stop between clicks. We believe what may have occurred was the selector was actually set between FL240 and FL230; with the pfd's displaying FL240 at the time the clearance from FL270 was given. Sometime after; the knob advanced a full click to FL230 due to turbulence or aircraft vibration; without the crew noticing or without any pilot input.
Original NASA ASRS Text
Title: HAWKER 800XP FLT CREW HAS AN ALTDEV.
Narrative: WE WERE QUESTIONED UPON CONTACTING A DIFFERENT ZOB CTLR WHAT ALT OUR ACFT WAS CLRED TO ON A STEP-DOWN DSCNT. WE CHKED IN AT FL230. (THE ALT IN THE ALT SELECTOR.) THE CTLR SAID HE WAS EXPECTING US TO BE AT FL240. THE CREW WAS FOLLOWING OUR COMPANY PROCS OF THE PNF DIALING IN THE CLRED ALT INTO THE SELECTOR AND THE PF VERIFYING THE ALT PRIOR TO EXECUTION. THE CTLR SAID THERE WAS NOT A PROB AND TO CONTINUE TO MAINTAIN FL230. AT THE POSTFLT BRIEF; WE THINK THAT THE DESIGN OF THE COLLINS PROLINE 21 ALT SELECTOR MAY HAVE BEEN A FACTOR ALONG WITH A POSSIBLE MALFUNCTION OF THE UNIT. THE SELECTION KNOB HAS VERY FINE TUNING CLICKS FOR EACH 1000 FT PER CLICK. THE KNOB ALSO ALLOWS THE USER TO STOP BTWN CLICKS. WE BELIEVE WHAT MAY HAVE OCCURRED WAS THE SELECTOR WAS ACTUALLY SET BTWN FL240 AND FL230; WITH THE PFD'S DISPLAYING FL240 AT THE TIME THE CLRNC FROM FL270 WAS GIVEN. SOMETIME AFTER; THE KNOB ADVANCED A FULL CLICK TO FL230 DUE TO TURB OR ACFT VIBRATION; WITHOUT THE CREW NOTICING OR WITHOUT ANY PLT INPUT.
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.