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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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Medium large transport overshoots assigned altitude causing less than standard separation.
| Attributes | |
| ACN | 89995 |
| Time | |
| Date | 198806 |
| Day | Wed |
| Local Time Of Day | 1801 To 2400 |
| Place | |
| Locale Reference | atc facility : tus |
| State Reference | AZ |
| Altitude | msl bound lower : 29000 msl bound upper : 29700 |
| Environment | |
| Flight Conditions | VMC |
| Light | Night |
| Aircraft 1 | |
| Controlling Facilities | artcc : zab |
| Operator | common carrier : air carrier |
| Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
| Navigation In Use | Other |
| Flight Phase | climbout : intermediate altitude cruise other |
| Route In Use | enroute : direct |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp pilot : commercial |
| Experience | flight time last 90 days : 125 flight time total : 8000 flight time type : 1300 |
| ASRS Report | 89995 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : commercial pilot : instrument |
| Events | |
| Anomaly | aircraft equipment problem : less severe altitude deviation : overshoot non adherence : clearance non adherence : required legal separation |
| Independent Detector | other flight crewa |
| Resolutory Action | flight crew : returned to intended course or assigned course |
| Consequence | Other |
| Miss Distance | horizontal : 36000 vertical : 1300 |
| Supplementary | |
| Primary Problem | Aircraft |
| Air Traffic Incident | other |
Narrative:
During the climb en route from tus to las out of around FL230 we were assigned FL290 for crossing traffic at FL310. We were filed at FL350. At around FL260 we were given direct to boulder city VOR. The first officer who was flying was working the FMC to set up direct (RNAV) and I started looking at the chart to check the approximately heading and mileage/time advantage. The altitude warning horn sounded. I looked up to confirm and call out 1000' to level and saw that we were climbing through FL290. Also FL300 was now set in the mode control panel. While looking for our traffic (which I saw right away at our 2 O'clock), I confirmed our altitude with center. By the time I manually reversed our vertical direction we had reached about FL297. Center called out traffic at 2 O'clock and 6 mi when we were about FL295 and descending. Both the first officer and I believe we checked that the correct altitude had been set in the window (MCP) and feel that a electrical or mechanical malfunction caused the MCP panel to change from FL290 to FL300. There is a manufacturer's red bulletin on nonselected MCP display changes, such as altitude settings. Both of us are new to the medium large transport and its FMC so it is a bit of a distraction at this point. Also the excellent climb 2000+ FPM caused us to not be as aware of our altitude as we should have been to prevent this unintentional altitude overshoot.
Original NASA ASRS Text
Title: MLG OVERSHOOTS ASSIGNED ALT CAUSING LESS THAN STANDARD SEPARATION.
Narrative: DURING THE CLB ENRTE FROM TUS TO LAS OUT OF AROUND FL230 WE WERE ASSIGNED FL290 FOR XING TFC AT FL310. WE WERE FILED AT FL350. AT AROUND FL260 WE WERE GIVEN DIRECT TO BOULDER CITY VOR. THE F/O WHO WAS FLYING WAS WORKING THE FMC TO SET UP DIRECT (RNAV) AND I STARTED LOOKING AT THE CHART TO CHK THE APPROX HDG AND MILEAGE/TIME ADVANTAGE. THE ALT WARNING HORN SOUNDED. I LOOKED UP TO CONFIRM AND CALL OUT 1000' TO LEVEL AND SAW THAT WE WERE CLBING THROUGH FL290. ALSO FL300 WAS NOW SET IN THE MODE CTL PANEL. WHILE LOOKING FOR OUR TFC (WHICH I SAW RIGHT AWAY AT OUR 2 O'CLOCK), I CONFIRMED OUR ALT WITH CENTER. BY THE TIME I MANUALLY REVERSED OUR VERT DIRECTION WE HAD REACHED ABOUT FL297. CENTER CALLED OUT TFC AT 2 O'CLOCK AND 6 MI WHEN WE WERE ABOUT FL295 AND DSNDING. BOTH THE F/O AND I BELIEVE WE CHKED THAT THE CORRECT ALT HAD BEEN SET IN THE WINDOW (MCP) AND FEEL THAT A ELECTRICAL OR MECHANICAL MALFUNCTION CAUSED THE MCP PANEL TO CHANGE FROM FL290 TO FL300. THERE IS A MANUFACTURER'S RED BULLETIN ON NONSELECTED MCP DISPLAY CHANGES, SUCH AS ALT SETTINGS. BOTH OF US ARE NEW TO THE MLG AND ITS FMC SO IT IS A BIT OF A DISTR AT THIS POINT. ALSO THE EXCELLENT CLB 2000+ FPM CAUSED US TO NOT BE AS AWARE OF OUR ALT AS WE SHOULD HAVE BEEN TO PREVENT THIS UNINTENTIONAL ALT OVERSHOOT.
Data retrieved from NASA's ASRS site as of August 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.