37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 787513 |
Time | |
Date | 200805 |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | navaid : inw.vortac |
State Reference | NM |
Altitude | msl bound lower : 20000 msl bound upper : 20500 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zab.artcc |
Operator | common carrier : air taxi |
Make Model Name | Beech 1900 |
Operating Under FAR Part | Part 135 |
Flight Phase | climbout : intermediate altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air taxi |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 180 flight time total : 12400 flight time type : 9000 |
ASRS Report | 787513 |
Person 2 | |
Affiliation | company : air taxi |
Function | flight crew : first officer |
Events | |
Anomaly | altitude deviation : overshoot non adherence : clearance |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
As the captain; I was the PF during this flight. We had been filed for FL210. After departing the airport; we had been given clrncs during the climb for climbing at about 2000 ft each time. Our last instructions (received at 17000 ft) were to climb to FL190. While passing through FL180; we both reset our altimeters to 29.92 and verbally noted having done so. However; I don't recall us having noted 1000 ft to leveloff. Both myself and the first officer were checking on the routing and didn't observe having climbed through FL190. However; we both recognized the fact that we had gone about 500 ft high. We were just about to call center and let them know when we were given a climb to FL210. We quickly climbed the aircraft to FL210 and leveled off with no further incidents. This situation was caused by my not having been 100% focused on flying the aircraft and also the first officer not monitoring the altitude. We didn't make our 1000 ft to leveloff call (as far as I can remember). We both should have been monitoring the climb more closely. I think that I should not have been looking at the chart either until in level flight; not during a climb phase.
Original NASA ASRS Text
Title: B190 FLT CREW DID NOT STOP AT ATC ASSIGNED ALT; BOTH PLT'S FAILING TO ADHERE TO COCKPIT PROCS AND FLT VIGILANCE.
Narrative: AS THE CAPT; I WAS THE PF DURING THIS FLT. WE HAD BEEN FILED FOR FL210. AFTER DEPARTING THE ARPT; WE HAD BEEN GIVEN CLRNCS DURING THE CLB FOR CLBING AT ABOUT 2000 FT EACH TIME. OUR LAST INSTRUCTIONS (RECEIVED AT 17000 FT) WERE TO CLB TO FL190. WHILE PASSING THROUGH FL180; WE BOTH RESET OUR ALTIMETERS TO 29.92 AND VERBALLY NOTED HAVING DONE SO. HOWEVER; I DON'T RECALL US HAVING NOTED 1000 FT TO LEVELOFF. BOTH MYSELF AND THE FO WERE CHKING ON THE ROUTING AND DIDN'T OBSERVE HAVING CLBED THROUGH FL190. HOWEVER; WE BOTH RECOGNIZED THE FACT THAT WE HAD GONE ABOUT 500 FT HIGH. WE WERE JUST ABOUT TO CALL CTR AND LET THEM KNOW WHEN WE WERE GIVEN A CLB TO FL210. WE QUICKLY CLBED THE ACFT TO FL210 AND LEVELED OFF WITH NO FURTHER INCIDENTS. THIS SITUATION WAS CAUSED BY MY NOT HAVING BEEN 100% FOCUSED ON FLYING THE ACFT AND ALSO THE FO NOT MONITORING THE ALT. WE DIDN'T MAKE OUR 1000 FT TO LEVELOFF CALL (AS FAR AS I CAN REMEMBER). WE BOTH SHOULD HAVE BEEN MONITORING THE CLB MORE CLOSELY. I THINK THAT I SHOULD NOT HAVE BEEN LOOKING AT THE CHART EITHER UNTIL IN LEVEL FLT; NOT DURING A CLB PHASE.
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.