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F100 aircraft during climb flight crew forgot to reset altimeter at FL180 and ended up 400 ft high at leveloff. Controller intervened and they corrected both the altimeter setting and their altitude.
| Attributes | |
| ACN | 350760 |
| Time | |
| Date | 199610 |
| Day | Tue |
| Local Time Of Day | 1201 To 1800 |
| Place | |
| Locale Reference | atc facility : mci |
| State Reference | MO |
| Altitude | msl bound lower : 18000 msl bound upper : 18400 |
| Aircraft 1 | |
| Controlling Facilities | artcc : zkc |
| Operator | common carrier : air carrier |
| Make Model Name | Fokker 100 |
| Operating Under FAR Part | Part 121 |
| Navigation In Use | Other Other |
| Flight Phase | climbout : intermediate altitude |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : instrument pilot : commercial |
| ASRS Report | 350760 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| ASRS Report | 350759 |
| Events | |
| Anomaly | altitude deviation : overshoot non adherence : clearance other anomaly other |
| Independent Detector | other controllera |
| 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:
ATC facility: ZKC. Location: about 50 mi southwest of mci. After attempting 2 approachs to mci during heavy snow, we were diverting to ict. Both the captain and I were very busy communicating with dispatch, ATC, reprogramming FMC, and flying the airplane. During this time we missed resetting the altimeter to 29.92, which went unnoticed until ATC mentioned that he showed our altitude to be 400 ft high. We corrected our altitude and no conflict occurred. The solution to this problem, as always, is to fly the airplane first and take care of the other priorities when there is time. Supplemental information from acn 350759: I believe factors that contributed to this error were: crew fatigue -- a minimum of 8 hours rest the previous night, the added stress of 2 minimum approachs to misses in turbulence, and the removal of first officer from cockpit duties to communicate via ACARS with dispatch.
Original NASA ASRS Text
Title: F100 ACFT DURING CLB FLC FORGOT TO RESET ALTIMETER AT FL180 AND ENDED UP 400 FT HIGH AT LEVELOFF. CTLR INTERVENED AND THEY CORRECTED BOTH THE ALTIMETER SETTING AND THEIR ALT.
Narrative: ATC FACILITY: ZKC. LOCATION: ABOUT 50 MI SW OF MCI. AFTER ATTEMPTING 2 APCHS TO MCI DURING HVY SNOW, WE WERE DIVERTING TO ICT. BOTH THE CAPT AND I WERE VERY BUSY COMMUNICATING WITH DISPATCH, ATC, REPROGRAMMING FMC, AND FLYING THE AIRPLANE. DURING THIS TIME WE MISSED RESETTING THE ALTIMETER TO 29.92, WHICH WENT UNNOTICED UNTIL ATC MENTIONED THAT HE SHOWED OUR ALT TO BE 400 FT HIGH. WE CORRECTED OUR ALT AND NO CONFLICT OCCURRED. THE SOLUTION TO THIS PROB, AS ALWAYS, IS TO FLY THE AIRPLANE FIRST AND TAKE CARE OF THE OTHER PRIORITIES WHEN THERE IS TIME. SUPPLEMENTAL INFO FROM ACN 350759: I BELIEVE FACTORS THAT CONTRIBUTED TO THIS ERROR WERE: CREW FATIGUE -- A MINIMUM OF 8 HRS REST THE PREVIOUS NIGHT, THE ADDED STRESS OF 2 MINIMUM APCHS TO MISSES IN TURB, AND THE REMOVAL OF FO FROM COCKPIT DUTIES TO COMMUNICATE VIA ACARS WITH DISPATCH.
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.