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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 159439 |
| Time | |
| Date | 199010 |
| Day | Thu |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | atc facility : 22g |
| State Reference | OH |
| Altitude | msl bound lower : 5600 msl bound upper : 6000 |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | tracon : cle |
| Operator | common carrier : air taxi |
| Make Model Name | Small Transport, Low Wing, 2 Turboprop Eng |
| Flight Phase | descent other |
| Route In Use | enroute : on vectors |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | Other |
| Function | flight crew : single pilot |
| Qualification | pilot : atp pilot : cfi pilot : commercial pilot : instrument |
| Experience | flight time last 90 days : 20 flight time total : 3000 flight time type : 700 |
| ASRS Report | 159439 |
| Person 2 | |
| Affiliation | government : faa |
| Function | controller : approach |
| Qualification | controller : radar |
| Events | |
| Anomaly | altitude deviation : overshoot non adherence : clearance non adherence : far |
| Independent Detector | other flight crewa |
| Resolutory Action | flight crew : returned to intended course or assigned course other |
| Consequence | Other |
| Supplementary | |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
I was descending and on a vector, I had been cleared to 3 different altitudes and headings in the last 3 mins (approximately). The last altitude was changed from 4000 to stop at 6000'. I reset the altitude alert to 6000' but did not engage the preselect on the autoplt. I was doing cockpit preparation for landing and looked up and saw 5600'. I switched off encoder and returned to 6000'. I had headphones on and did not hear the altitude warning from the alerter. Solutions: 2 pilots, route alerter to headphones. Controller appeared to be playing catch-up as I never achieved any of his goals before he changed them. I was tired also from early trip and personal stress.
Original NASA ASRS Text
Title: AIR TAXI ALT DEVIATION. TURNS OFF ENCODER AND RETURNS TO ALT.
Narrative: I WAS DSNDING AND ON A VECTOR, I HAD BEEN CLRED TO 3 DIFFERENT ALTS AND HDGS IN THE LAST 3 MINS (APPROX). THE LAST ALT WAS CHANGED FROM 4000 TO STOP AT 6000'. I RESET THE ALT ALERT TO 6000' BUT DID NOT ENGAGE THE PRESELECT ON THE AUTOPLT. I WAS DOING COCKPIT PREPARATION FOR LNDG AND LOOKED UP AND SAW 5600'. I SWITCHED OFF ENCODER AND RETURNED TO 6000'. I HAD HEADPHONES ON AND DID NOT HEAR THE ALT WARNING FROM THE ALERTER. SOLUTIONS: 2 PLTS, RTE ALERTER TO HEADPHONES. CTLR APPEARED TO BE PLAYING CATCH-UP AS I NEVER ACHIEVED ANY OF HIS GOALS BEFORE HE CHANGED THEM. I WAS TIRED ALSO FROM EARLY TRIP AND PERSONAL STRESS.
Data retrieved from NASA's ASRS site as of July 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.