37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 780870 |
Time | |
Date | 200803 |
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 | Gulfstream V |
Operating Under FAR Part | Part 91 |
Flight Phase | climbout : takeoff |
Route In Use | departure sid : teb |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : flight engineer pilot : instrument pilot : commercial pilot : cfi pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 7000 flight time type : 800 |
ASRS Report | 780870 |
Person 2 | |
Affiliation | government : faa |
Function | controller : departure |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance non adherence : published procedure other spatial deviation |
Independent Detector | other controllera other flight crewa |
Resolutory Action | controller : issued new clearance flight crew : returned to assigned altitude |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
We were on a ferry leg from teb to our maintenance base. We had flown a different aircraft out of teb earlier that day and used the dalton (VFR) departure earlier. This leg; we were cleared to fly the teb 5 departure. The departure was briefed twice by the PF. On takeoff since it was a ferry flight on an aircraft we had not flown that day -- and because the runway had rain earlier; I elected to conduct a rated (full power) takeoff. On takeoff; the light aircraft had excellent climb performance and we were approaching our altitude quickly. The pm started to dial in the next heading before it was supposed to be accomplished; which distracted the PF (me). I started to deviate through the 1500 foot altitude as I asked the pm to put in the original heading. I got as far as 1700 ft -- which may have caused the controllers at this busy area to raise an eyebrow. This is simply a case of having a fixation on a previous departure by the pm and the PF not concentrating enough of the task at hand (flying) to keep the nose where it should have been -- despite all the help from the electronics. The second event of the day occurred at 17000 ft MSL. We were told to intersect a radial into col then proceed direct white. I saw pm enter the information into the FMS. Then; shortly thereafter; we were cleared direct col. I entered the direct col portion into the nfms; announced what I'd done; then confirmed LNAV was punched/illuminated. I don't know what happened; but we weren't monitoring as well as we should (and both map display units were in a larger scale than they probably should have been to detect this). Anyway; were paralleling the course; instead of proceeding direct col (and never went direct). ATC ended up just giving us a heading; evidently noting the error. We were probably as far as 5 NM west of where we should have been. Even with all the 'goodies.' without the proper monitoring; we might as well be flying the dc-3 with an ADF.
Original NASA ASRS Text
Title: G V FLT CREW EXCEEDS 1500 FT ON THE TEB 5 DEP AFTER FULL POWER TKOF AT FERRY WT. A TRACK DEV OCCURS LATER AT 17000 FT WHEN ATTEMPTING TO GO DIRECT.
Narrative: WE WERE ON A FERRY LEG FROM TEB TO OUR MAINT BASE. WE HAD FLOWN A DIFFERENT ACFT OUT OF TEB EARLIER THAT DAY AND USED THE DALTON (VFR) DEP EARLIER. THIS LEG; WE WERE CLRED TO FLY THE TEB 5 DEP. THE DEP WAS BRIEFED TWICE BY THE PF. ON TKOF SINCE IT WAS A FERRY FLT ON AN ACFT WE HAD NOT FLOWN THAT DAY -- AND BECAUSE THE RWY HAD RAIN EARLIER; I ELECTED TO CONDUCT A RATED (FULL POWER) TKOF. ON TKOF; THE LIGHT ACFT HAD EXCELLENT CLB PERFORMANCE AND WE WERE APCHING OUR ALTITUDE QUICKLY. THE PM STARTED TO DIAL IN THE NEXT HEADING BEFORE IT WAS SUPPOSED TO BE ACCOMPLISHED; WHICH DISTRACTED THE PF (ME). I STARTED TO DEVIATE THROUGH THE 1500 FOOT ALTITUDE AS I ASKED THE PM TO PUT IN THE ORIGINAL HDG. I GOT AS FAR AS 1700 FT -- WHICH MAY HAVE CAUSED THE CTLRS AT THIS BUSY AREA TO RAISE AN EYEBROW. THIS IS SIMPLY A CASE OF HAVING A FIXATION ON A PREVIOUS DEP BY THE PM AND THE PF NOT CONCENTRATING ENOUGH OF THE TASK AT HAND (FLYING) TO KEEP THE NOSE WHERE IT SHOULD HAVE BEEN -- DESPITE ALL THE HELP FROM THE ELECTRONICS. THE SECOND EVENT OF THE DAY OCCURRED AT 17000 FT MSL. WE WERE TOLD TO INTERSECT A RADIAL INTO COL THEN PROCEED DIRECT WHITE. I SAW PM ENTER THE INFO INTO THE FMS. THEN; SHORTLY THEREAFTER; WE WERE CLRED DIRECT COL. I ENTERED THE DIRECT COL PORTION INTO THE NFMS; ANNOUNCED WHAT I'D DONE; THEN CONFIRMED LNAV WAS PUNCHED/ILLUMINATED. I DON'T KNOW WHAT HAPPENED; BUT WE WEREN'T MONITORING AS WELL AS WE SHOULD (AND BOTH MAP DISPLAY UNITS WERE IN A LARGER SCALE THAN THEY PROBABLY SHOULD HAVE BEEN TO DETECT THIS). ANYWAY; WERE PARALLELING THE COURSE; INSTEAD OF PROCEEDING DIRECT COL (AND NEVER WENT DIRECT). ATC ENDED UP JUST GIVING US A HDG; EVIDENTLY NOTING THE ERROR. WE WERE PROBABLY AS FAR AS 5 NM WEST OF WHERE WE SHOULD HAVE BEEN. EVEN WITH ALL THE 'GOODIES.' WITHOUT THE PROPER MONITORING; WE MIGHT AS WELL BE FLYING THE DC-3 WITH AN ADF.
Data retrieved from NASA's ASRS site as of May 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.