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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 729710 |
| Time | |
| Date | 200703 |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | navaid : pom.vortac |
| State Reference | CA |
| Altitude | msl single value : 8000 |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | tracon : sct.tracon |
| Operator | common carrier : air carrier |
| Make Model Name | B737-700 |
| Operating Under FAR Part | Part 121 |
| Navigation In Use | other |
| Flight Phase | climbout : intermediate altitude |
| Route In Use | departure sid : pomona |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Experience | flight time last 90 days : 252 |
| ASRS Report | 729710 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Experience | flight time last 90 days : 162 flight time type : 300 |
| ASRS Report | 729707 |
| Events | |
| Anomaly | altitude deviation : overshoot altitude deviation : crossing restriction not met non adherence : clearance non adherence : published procedure |
| Independent Detector | other controllera |
| Resolutory Action | controller : issued new clearance |
| Consequence | faa : reviewed incident with flight crew |
| Supplementary | |
| Problem Areas | Weather Chart Or Publication Flight Crew Human Performance |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
I briefed a runway 8 departure out of ont on the POM7 departure. I briefed the 7000 ft restr but failed to check the MCP which was set at 14000 ft; our initial cleared altitude. Took off and encountered moderate turbulence. Passing 7300 ft on the downwind portion of the departure; I realized the error and began the leveloff planning to descend back to 7000 ft. At that same time; ATC instructed us to level at 8000 ft and reminded us of the 7000 ft restr at the pom VOR. I was not aware of any traffic conflicts. I believe the unusual runway 8 departure out of ont coupled with briefing the adverse profile departure led to missing the altitude set incorrectly on the MCP. Additionally; the moderate turbulence contributed to missing the leveloff. Taking additional time briefing and checking during times when there are unusual or adverse conditions. Supplemental information from acn 729707: I wonder if there is a more attention getting way of accentuating the restrs on the SID; such as bold; larger; or initialized font.
Original NASA ASRS Text
Title: ACR FLT CREW DEPARTING ONT ON THE POM DEP FAIL TO OBSERVE XING RESTR AT POM VORTAC AS CHARTED.
Narrative: I BRIEFED A RWY 8 DEP OUT OF ONT ON THE POM7 DEP. I BRIEFED THE 7000 FT RESTR BUT FAILED TO CHK THE MCP WHICH WAS SET AT 14000 FT; OUR INITIAL CLRED ALT. TOOK OFF AND ENCOUNTERED MODERATE TURB. PASSING 7300 FT ON THE DOWNWIND PORTION OF THE DEP; I REALIZED THE ERROR AND BEGAN THE LEVELOFF PLANNING TO DSND BACK TO 7000 FT. AT THAT SAME TIME; ATC INSTRUCTED US TO LEVEL AT 8000 FT AND REMINDED US OF THE 7000 FT RESTR AT THE POM VOR. I WAS NOT AWARE OF ANY TFC CONFLICTS. I BELIEVE THE UNUSUAL RWY 8 DEP OUT OF ONT COUPLED WITH BRIEFING THE ADVERSE PROFILE DEP LED TO MISSING THE ALT SET INCORRECTLY ON THE MCP. ADDITIONALLY; THE MODERATE TURB CONTRIBUTED TO MISSING THE LEVELOFF. TAKING ADDITIONAL TIME BRIEFING AND CHKING DURING TIMES WHEN THERE ARE UNUSUAL OR ADVERSE CONDITIONS. SUPPLEMENTAL INFO FROM ACN 729707: I WONDER IF THERE IS A MORE ATTN GETTING WAY OF ACCENTUATING THE RESTRS ON THE SID; SUCH AS BOLD; LARGER; OR INITIALIZED FONT.
Data retrieved from NASA's ASRS site as of January 2009 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.