Flight crew fails to reset altimeters at the transition altitude of 4500 ft, resulting in an altitud...

Attributes
ACN	206218
Time
Date	199203
Day	Tue
Local Time Of Day	0001 To 0600
Place
Locale Reference	airport : brh
State Reference	FO
Altitude	msl bound lower : 6000 msl bound upper : 7200
Environment
Flight Conditions	IMC
Light	Night
Aircraft 1
Controlling Facilities	tracon : brh
Operator	common carrier : air carrier
Make Model Name	Widebody, Low Wing, 3 Turbojet Eng
Navigation In Use	Other
Flight Phase	climbout : intermediate altitude cruise other cruise other
Route In Use	departure other departure sid : sid
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 : 6000 flight time type : 350
ASRS Report	206218
Person 2
Affiliation	company : air carrier
Function	flight crew : captain oversight : pic
Qualification	pilot : instrument pilot : commercial pilot : flight engineer pilot : atp pilot : cfi
Experience	flight time last 90 days : 125 flight time total : 13000 flight time type : 300
ASRS Report	206233
Events
Anomaly	altitude deviation : overshoot non adherence : published procedure non adherence : clearance other anomaly other
Independent Detector	other controllera
Resolutory Action	flight crew : became reoriented flight crew : returned to assigned altitude
Consequence	Other
Supplementary
Primary Problem	Flight Crew Human Performance
Air Traffic Incident	Pilot Deviation

Narrative:

Climbing to FL60 (transition altitude 4500 ft) aircraft was very light. We were task saturated flying SID reconfiguring flaps and slats resetting INS and navigation receivers and course settings resetting engine anti-ice etc. Local altimeter setting was 28.88 inches. The crew missed resetting kollsman window to 29.92 inches at 4500 ft MSL and leveled off at FL60 (indicated) with a kollsman setting of 28.88 inches. Brussels departure informed us of our error supplemental information from acn 206233: all 3 of us missed resetting altimeters on going through transition altitude. Altimeter setting was very low, so leveled off considerably high. Should have briefed crew prior to takeoff our low altitude. Transition supplemental information from acn 206331: considering the extremely low altitude settings it may be advantageous to standardize both transitions for all european flying.

Original NASA ASRS Text

Title: FLT CREW FAILS TO RESET ALTIMETERS AT THE TRANSITION ALT OF 4500 FT, RESULTING IN AN ALT OVERSHOOT.

Narrative: CLBING TO FL60 (TRANSITION ALT 4500 FT) ACFT WAS VERY LIGHT. WE WERE TASK SATURATED FLYING SID RECONFIGURING FLAPS AND SLATS RESETTING INS AND NAV RECEIVERS AND COURSE SETTINGS RESETTING ENG ANTI-ICE ETC. LCL ALTIMETER SETTING WAS 28.88 INCHES. THE CREW MISSED RESETTING KOLLSMAN WINDOW TO 29.92 INCHES AT 4500 FT MSL AND LEVELED OFF AT FL60 (INDICATED) WITH A KOLLSMAN SETTING OF 28.88 INCHES. BRUSSELS DEP INFORMED US OF OUR ERROR SUPPLEMENTAL INFO FROM ACN 206233: ALL 3 OF US MISSED RESETTING ALTIMETERS ON GOING THROUGH TRANSITION ALT. ALTIMETER SETTING WAS VERY LOW, SO LEVELED OFF CONSIDERABLY HIGH. SHOULD HAVE BRIEFED CREW PRIOR TO TKOF OUR LOW ALT. TRANSITION SUPPLEMENTAL INFO FROM ACN 206331: CONSIDERING THE EXTREMELY LOW ALT SETTINGS IT MAY BE ADVANTAGEOUS TO STANDARDIZE BOTH TRANSITIONS FOR ALL EUROPEAN FLYING.

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.

Flight crew fails to reset altimeters at the transition altitude of 4500 ft, resulting in an altitude overshoot.