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|
Attributes | |
ACN | 97336 |
Time | |
Date | 198811 |
Day | Thu |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : jfk |
State Reference | NY |
Altitude | msl bound lower : 10400 msl bound upper : 11000 |
Environment | |
Flight Conditions | Marginal |
Light | Dusk |
Aircraft 1 | |
Controlling Facilities | tracon : n90 |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other |
Flight Phase | descent other |
Route In Use | arrival : profile descent |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : flight engineer pilot : atp |
Experience | flight time last 90 days : 100 flight time total : 4000 flight time type : 1300 |
ASRS Report | 97336 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : clearance |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : returned to intended course or assigned course |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Both pilots copied altitudes: first officer 29.63, captain 30.63, actual 29.63. On profile descent first officer busy making crossing restriction. Captain read checklist. First officer called out 29.63. Captain did not catch his error. First officer did not xchk captain's altitude setting. First officer leveled off at 11000'. Captain yelled 'push over, you're 1000' high.' first officer responded by pushing over before xchking altitude setting. Dropped to 10400' before insisting he was correct. This excursion was caused by improper use of existing procedures: failure to xchk altimeters by PNF, failure to read ATIS information aloud, failure of PNF to xchk altimeters when responding, failure of captain to consider his setting in error and failure of first officer to question order to descend below what he considered the correct altitude.
Original NASA ASRS Text
Title: ACR MLG ALT DEVIATION EXCURSION FROM CLRNC ALT.
Narrative: BOTH PLTS COPIED ALTS: F/O 29.63, CAPT 30.63, ACTUAL 29.63. ON PROFILE DSCNT F/O BUSY MAKING XING RESTRICTION. CAPT READ CHKLIST. F/O CALLED OUT 29.63. CAPT DID NOT CATCH HIS ERROR. F/O DID NOT XCHK CAPT'S ALT SETTING. F/O LEVELED OFF AT 11000'. CAPT YELLED 'PUSH OVER, YOU'RE 1000' HIGH.' F/O RESPONDED BY PUSHING OVER BEFORE XCHKING ALT SETTING. DROPPED TO 10400' BEFORE INSISTING HE WAS CORRECT. THIS EXCURSION WAS CAUSED BY IMPROPER USE OF EXISTING PROCS: FAILURE TO XCHK ALTIMETERS BY PNF, FAILURE TO READ ATIS INFO ALOUD, FAILURE OF PNF TO XCHK ALTIMETERS WHEN RESPONDING, FAILURE OF CAPT TO CONSIDER HIS SETTING IN ERROR AND FAILURE OF F/O TO QUESTION ORDER TO DSND BELOW WHAT HE CONSIDERED THE CORRECT ALT.
Data retrieved from NASA's ASRS site as of August 2007 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.