37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 753091 |
Time | |
Date | 200709 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : teb.airport |
State Reference | NJ |
Altitude | msl single value : 1500 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : n90.tracon |
Operator | general aviation : corporate |
Make Model Name | Falcon 2000 |
Operating Under FAR Part | Part 91 |
Flight Phase | climbout : initial |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 100 flight time total : 7800 flight time type : 100 |
ASRS Report | 753091 |
Person 2 | |
Affiliation | company : corporate |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 112 flight time total : 10115 flight time type : 692 |
ASRS Report | 753090 |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : published procedure |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | none taken : detected after the fact |
Supplementary | |
Problem Areas | Chart Or Publication Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
After being cleared for the teb 5 departure off runway 24; I; the PIC briefed the departure procedure; which is quite complex; with the sic. The departure procedure involves flying the runway heading to a level-off at 1500 ft MSL; followed by a heading turn to 280 degrees while monitoring distance to a point 4.5 DME from the VOR; followed by another short climb to 2000 ft MSL. After leveling off at 1500 ft MSL; and when the CDI (based on FMS input) turned to the new heading; I interpreted this as the time to start the climb to 2000 ft MSL; instead of ensuring that the aircraft had passed the 4.5 DME position. I do not believe that the aircraft was more than about 120 ft into the early second climb short of the 4.5 DME before ATC cleared us to 6000 ft MSL. I believe there are a few changes that could help safeguard reoccurrences. These include methodically reviewing the departure procedures; making use of the automation sooner in the sequence of events (engaging the autopilot sooner); and possibly reevaluating the departure procedure itself. Because of the complex nature of teb's departure procedures; I suspect that unintentional deviations from it are a common occurrence.
Original NASA ASRS Text
Title: FALCON 2000 FLT CREW INITIATED CLB FROM 1500 FT TOO EARLY ON TEB DEP.
Narrative: AFTER BEING CLEARED FOR THE TEB 5 DEP OFF RWY 24; I; THE PIC BRIEFED THE DEP PROC; WHICH IS QUITE COMPLEX; WITH THE SIC. THE DEP PROC INVOLVES FLYING THE RWY HDG TO A LEVEL-OFF AT 1500 FT MSL; FOLLOWED BY A HDG TURN TO 280 DEGS WHILE MONITORING DISTANCE TO A POINT 4.5 DME FROM THE VOR; FOLLOWED BY ANOTHER SHORT CLIMB TO 2000 FT MSL. AFTER LEVELING OFF AT 1500 FT MSL; AND WHEN THE CDI (BASED ON FMS INPUT) TURNED TO THE NEW HDG; I INTERPRETED THIS AS THE TIME TO START THE CLB TO 2000 FT MSL; INSTEAD OF ENSURING THAT THE ACFT HAD PASSED THE 4.5 DME POSITION. I DO NOT BELIEVE THAT THE ACFT WAS MORE THAN ABOUT 120 FT INTO THE EARLY SECOND CLB SHORT OF THE 4.5 DME BEFORE ATC CLRED US TO 6000 FT MSL. I BELIEVE THERE ARE A FEW CHANGES THAT COULD HELP SAFEGUARD REOCCURRENCES. THESE INCLUDE METHODICALLY REVIEWING THE DEP PROCS; MAKING USE OF THE AUTOMATION SOONER IN THE SEQUENCE OF EVENTS (ENGAGING THE AUTOPILOT SOONER); AND POSSIBLY REEVALUATING THE DEP PROC ITSELF. BECAUSE OF THE COMPLEX NATURE OF TEB'S DEP PROCS; I SUSPECT THAT UNINTENTIONAL DEVS FROM IT ARE A COMMON OCCURRENCE.
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.