37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 739321 |
Time | |
Date | 200705 |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : teb.airport |
State Reference | NJ |
Altitude | msl bound lower : 1500 msl bound upper : 2000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : n90.tracon |
Operator | common carrier : charter |
Make Model Name | Citation II S2/Bravo |
Operating Under FAR Part | Part 91 |
Navigation In Use | other |
Flight Phase | climbout : initial |
Route In Use | departure sid : teb.5 |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : charter |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 50 flight time total : 4900 flight time type : 350 |
ASRS Report | 739321 |
Person 2 | |
Affiliation | company : charter |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 100 flight time total : 2650 flight time type : 200 |
ASRS Report | 739487 |
Events | |
Anomaly | altitude deviation : crossing restriction not met altitude deviation : overshoot non adherence : clearance non adherence : published procedure |
Independent Detector | other controllera other flight crewa |
Resolutory Action | controller : issued alert |
Supplementary | |
Problem Areas | Flight Crew Human Performance Airspace Structure |
Primary Problem | Flight Crew Human Performance |
Narrative:
While taxiing I briefed the PF on the departure procedure for runway 24 (teb 5). Climb to 1500 ft MSL until 4.5 DME off teb VOR; then 2000 ft MSL; the PF determined that 2000 ft would be put into the altitude alerter instead of 1500 ft because he would level it off himself. When cleared for takeoff; while taxiing onto the runway; I briefed the procedure one more time to the PF and we departed on the SID; I was temporarily distracted while contacting the departure controller; and while checking in and giving him our position and altitude; I realized that the PF was going through the 1500 ft MSL altitude restr as we were only 3.0 DME from the teb VOR. The controller recognized the situation immediately. The situation will be avoided in the future by placing any altitude restr in the alerter; and allowing the autoplt to fly these tight altitude restrs.supplemental information from acn 739487: we were repositioning from teb to pick up passenger. As part of our normal checklist the captain and I reviewed the teterboro 5 departure we had been cleared for. From runway 24; it's a climb to 1500 feet on runway heading then a right turn to 280; maintain 1500 feet until reaching 4.5 DME then climb to 2000 feet. As the PF I elected to set the altitude alerter to 2000 feet prior to takeoff and decided to hand fly until reaching that altitude. Shortly after takeoff and upon reaching 1500 feet we were instructed to contact ny departure. The captain did so and I began a right turn to 280 at 1500 feet. Before ny responded the captain; seeing my right turn; said '2000 feet;' which I took to mean climb to 2000 feet. Without thinking about it first I began a climb to 2000 feet. Ny responded to our call; verified radar contact and instructed us to fly a heading of 270. In that short time span I realized that it was too early to climb to 2000 feet and leveled off with the intent of descending back to 1500 feet. At that time we were at 1800 feet and ny contacted us again to let us know we were not following the departure procedure correctly. I think there were two problems that contributed to this mistake. The first was my decision to hand-fly the airplane through the departure procedure. In hindsight 500 vertical feet does not leave much room for error. It would have been smarter to set the altitude alerter to 1500 feet and let the autopilot fly the procedure. The second was the captain trying to fly the plane from the right seat. He was busy enough with the communications and checklists.
Original NASA ASRS Text
Title: CE550 FLT CREW EXCEEDS 1500 FT PRIOR TO 4.5 DME DURING THE TEB 5.
Narrative: WHILE TAXIING I BRIEFED THE PF ON THE DEP PROC FOR RWY 24 (TEB 5). CLB TO 1500 FT MSL UNTIL 4.5 DME OFF TEB VOR; THEN 2000 FT MSL; THE PF DETERMINED THAT 2000 FT WOULD BE PUT INTO THE ALT ALERTER INSTEAD OF 1500 FT BECAUSE HE WOULD LEVEL IT OFF HIMSELF. WHEN CLRED FOR TKOF; WHILE TAXIING ONTO THE RWY; I BRIEFED THE PROC ONE MORE TIME TO THE PF AND WE DEPARTED ON THE SID; I WAS TEMPORARILY DISTRACTED WHILE CONTACTING THE DEP CTLR; AND WHILE CHKING IN AND GIVING HIM OUR POSITION AND ALT; I REALIZED THAT THE PF WAS GOING THROUGH THE 1500 FT MSL ALT RESTR AS WE WERE ONLY 3.0 DME FROM THE TEB VOR. THE CTLR RECOGNIZED THE SITUATION IMMEDIATELY. THE SITUATION WILL BE AVOIDED IN THE FUTURE BY PLACING ANY ALT RESTR IN THE ALERTER; AND ALLOWING THE AUTOPLT TO FLY THESE TIGHT ALT RESTRS.SUPPLEMENTAL INFO FROM ACN 739487: WE WERE REPOSITIONING FROM TEB TO PICK UP PAX. AS PART OF OUR NORMAL CHECKLIST THE CAPTAIN AND I REVIEWED THE TETERBORO 5 DEPARTURE WE HAD BEEN CLEARED FOR. FROM RUNWAY 24; IT'S A CLIMB TO 1500 FEET ON RUNWAY HEADING THEN A RIGHT TURN TO 280; MAINTAIN 1500 FEET UNTIL REACHING 4.5 DME THEN CLIMB TO 2000 FEET. AS THE PF I ELECTED TO SET THE ALTITUDE ALERTER TO 2000 FEET PRIOR TO TAKEOFF AND DECIDED TO HAND FLY UNTIL REACHING THAT ALTITUDE. SHORTLY AFTER TAKEOFF AND UPON REACHING 1500 FEET WE WERE INSTRUCTED TO CONTACT NY DEPARTURE. THE CAPTAIN DID SO AND I BEGAN A RIGHT TURN TO 280 AT 1500 FEET. BEFORE NY RESPONDED THE CAPTAIN; SEEING MY RIGHT TURN; SAID '2000 FEET;' WHICH I TOOK TO MEAN CLIMB TO 2000 FEET. WITHOUT THINKING ABOUT IT FIRST I BEGAN A CLIMB TO 2000 FEET. NY RESPONDED TO OUR CALL; VERIFIED RADAR CONTACT AND INSTRUCTED US TO FLY A HEADING OF 270. IN THAT SHORT TIME SPAN I REALIZED THAT IT WAS TOO EARLY TO CLIMB TO 2000 FEET AND LEVELED OFF WITH THE INTENT OF DESCENDING BACK TO 1500 FEET. AT THAT TIME WE WERE AT 1800 FEET AND NY CONTACTED US AGAIN TO LET US KNOW WE WERE NOT FOLLOWING THE DEPARTURE PROCEDURE CORRECTLY. I THINK THERE WERE TWO PROBLEMS THAT CONTRIBUTED TO THIS MISTAKE. THE FIRST WAS MY DECISION TO HAND-FLY THE AIRPLANE THROUGH THE DEPARTURE PROCEDURE. IN HINDSIGHT 500 VERTICAL FEET DOES NOT LEAVE MUCH ROOM FOR ERROR. IT WOULD HAVE BEEN SMARTER TO SET THE ALTITUDE ALERTER TO 1500 FEET AND LET THE AUTOPILOT FLY THE PROCEDURE. THE SECOND WAS THE CAPTAIN TRYING TO FLY THE PLANE FROM THE RIGHT SEAT. HE WAS BUSY ENOUGH WITH THE COMMUNICATIONS AND CHECKLISTS.
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.