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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 356290 |
| Time | |
| Date | 199612 |
| Day | Sun |
| Local Time Of Day | 1201 To 1800 |
| Place | |
| Locale Reference | atc facility : ric |
| State Reference | VA |
| Altitude | msl bound lower : 22700 msl bound upper : 23000 |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | artcc : zdc tower : msp |
| Operator | common carrier : air carrier |
| Make Model Name | MD-80 Series (DC-9-80) Undifferentiated or Other Model |
| Operating Under FAR Part | Part 121 |
| Flight Phase | cruise other |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : atp pilot : flight engineer |
| Experience | flight time last 90 days : 210 flight time total : 10100 flight time type : 210 |
| ASRS Report | 356290 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| Experience | flight time last 90 days : 80 flight time total : 14000 flight time type : 850 |
| ASRS Report | 356025 |
| Events | |
| Anomaly | altitude deviation : excursion from assigned altitude non adherence : clearance |
| Independent Detector | aircraft equipment other aircraft equipment : unspecified other controllera other flight crewa |
| Resolutory Action | flight crew : became reoriented 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:
On routine descent, we were given a crossing restr 65 mi south of the richmond VOR at FL230. After leveling off at FL230 I was distraction by a minor cabin temperature problem. The captain was writing down the ATIS. It was at this time that I heard the aural altitude warning go off. I looked at the altimeter and it showed us at FL227 and descending. I immediately initiated a climb back to FL230. ZDC did ask what my altitude was at that time. We were level at FL230 and I responded FL230. Nothing more was said by the controller. I still do not know why the autoplt did not maintain the assigned altitude. I do know, however, that the captain and myself were busy doing other tasks and nobody was watching the aircraft at that moment. Interestingly enough we had a jump seat rider on board and he didn't notice anything until the altitude warning went off. It was obviously a very gradual descent that was not noticed until it was too late. There was no conflict with other aircraft. Supplemental information from acn 356025: after a brief discussion, the crew could not ascertain the reason that the autoplt descended. My guess is that the PF (first officer) bumped the thumbwheel (vertical speed) as he made a heading change, starting a very gradual descent which went unnoticed until the aural altitude warning.
Original NASA ASRS Text
Title: ALTDEV ALT EXCURSION FROM ASSIGNED. UNMONITORED AUTOPLT DSCNT WHEEL SETS UP A SLOW, UNNOTICED DSCNT.
Narrative: ON ROUTINE DSCNT, WE WERE GIVEN A XING RESTR 65 MI S OF THE RICHMOND VOR AT FL230. AFTER LEVELING OFF AT FL230 I WAS DISTR BY A MINOR CABIN TEMP PROB. THE CAPT WAS WRITING DOWN THE ATIS. IT WAS AT THIS TIME THAT I HEARD THE AURAL ALT WARNING GO OFF. I LOOKED AT THE ALTIMETER AND IT SHOWED US AT FL227 AND DSNDING. I IMMEDIATELY INITIATED A CLB BACK TO FL230. ZDC DID ASK WHAT MY ALT WAS AT THAT TIME. WE WERE LEVEL AT FL230 AND I RESPONDED FL230. NOTHING MORE WAS SAID BY THE CTLR. I STILL DO NOT KNOW WHY THE AUTOPLT DID NOT MAINTAIN THE ASSIGNED ALT. I DO KNOW, HOWEVER, THAT THE CAPT AND MYSELF WERE BUSY DOING OTHER TASKS AND NOBODY WAS WATCHING THE ACFT AT THAT MOMENT. INTERESTINGLY ENOUGH WE HAD A JUMP SEAT RIDER ON BOARD AND HE DIDN'T NOTICE ANYTHING UNTIL THE ALT WARNING WENT OFF. IT WAS OBVIOUSLY A VERY GRADUAL DSCNT THAT WAS NOT NOTICED UNTIL IT WAS TOO LATE. THERE WAS NO CONFLICT WITH OTHER ACFT. SUPPLEMENTAL INFO FROM ACN 356025: AFTER A BRIEF DISCUSSION, THE CREW COULD NOT ASCERTAIN THE REASON THAT THE AUTOPLT DSNDED. MY GUESS IS THAT THE PF (FO) BUMPED THE THUMBWHEEL (VERT SPD) AS HE MADE A HDG CHANGE, STARTING A VERY GRADUAL DSCNT WHICH WENT UNNOTICED UNTIL THE AURAL ALT WARNING.
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.