ACR LGT MISSED XING RESTRICTION AT HEEHAW BY 1000 FT.

1992-01 · NASA ASRS report 199560

Date: 1992-01 · Aircraft: Large Transport; Low Wing; 3 Turbojet Eng

Anomalies: deviation-altitude-crossing-restriction-not-met|deviation-altitude-overshoot|deviation-discrepancy-procedural-clearance

Synopsis

ACR LGT MISSED XING RESTRICTION AT HEEHAW BY 1000 FT.

Narrative

WE WERE ON 'HEE HAW' ARR INTO BNA. WE WERE CLRED TO CROSS HEE HAW AT EITHER 10000 FT OR 11000 AT 250 KTS. THE ARR CALLS TO EXPECT 11000 AT HEE HAW. MY FO BELIEVED WE WERE CLRED TO 11000 FT AND 250 KTS AND SET SAME IN ALT WARNING WINDOW. I HAD IN MY MIND THAT WE WERE CLRED TO 10000 FT AND 250 KTS. I BELIEVE I REPEATED BACK 10000 FT; BUT IF I DID IT WAS MISSED BY MY FO. WE WERE CLRED TO START OUR DSCNT LATE AND THERE WAS SOME QUESTION IF WE COULD MAKE ALT (WHICHEVER IT WAS) AND SPD BY HEE HAW. I WAS COMING DOWN AT A HIGH SINK RATE; 4000 FT 1 MIN; AND HIGH SPD; 340 KTS. I GUESS WE BOTH WERE FIXED ON MAKING ALT AND SPD. ME THINKING 10000 FT AND MY FO 11000 FT. FOR SOME REASON HE DID NOT CALL '1000 TO GO' FOR 11000 FT AND I LEVELED OFF AT 10000 FT AND STARTED SPD BLEED TO 250 KTS. AT THIS TIME MY FO REALIZES WE WERE AT 10000 FT AND SAID WE WERE CLRED TO 11000 FT. I LOOKED AT ALT WARNING WINDOW AND FINALLY SAW THAT 11000 FT WAS SET IN WINDOW. I IMMEDIATELY CLBED BACK TO 11000 FT. THERE WAS NO CONFLICT WITH OTHER ACFT; ATC TURNED US OVER TO APCH AND SAID NOTHING ABOUT OUR ALT. I STILL DO NOT KNOW IF WE WERE CLRED TO 10000 FT OR 11000 FT. I CANNOT EXPLAIN MY FAILURE TO CATCH CONFLICT BTWN MY THINKING 10000 FT AND FO PUTTING 11000 FT IN ALT WARNING WINDOW. (I BELIEVE WE DID NOT HEAR ALT WARNING SOUND BECAUSE OF LOUD SLIPSTREAM NOISE AT 340 KTS.) NOR CAN I EXPLAIN FAILURE OF '1000 TO GO' MANDATORY CALLOUT. THE FLT ENGINEER WAS CALLING COMPANY BUT THERE WAS NO REAL EXCUSE FOR ME OR MY FO TO MISS THIS CALL. I HAVE FLOWN FOR OVER 30 YRS AND HAVE NEVER HAD AN ALT 'BUST' UNTIL THIS TRIP. THE ONLY THING I KNOW TO DO IS PUT MORE EMPHASIS ON CREW COORD (ALT CALLOUTS) AND BE MORE DILIGENT TOWARD MY PROFESSION. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: RPTR STATED HE HAD HIS FIRST 2 ALT BUSTS ON THIS TRIP AND WAS BOTHERED BY THAT FACT. SAID HE KNEW THE FO WAS CORRECT ON THE XING RESTRICTION; JUST HAD A MIND BLOCK ON 10000. OTHER DISTRS OF THE OTHER BUSINESSES ALSO WERE WEIGHING ON HIS THOUGHTS. COCKPIT WAS NOISY AND COORD JUST BROKE DOWN BTWN HIM AND HIS FO. SUPPLEMENTAL INFO FROM ACN 199572: CLRED TO CROSS INTXN AT 11000 AND 250 KTS. IN THE DSCNT THE CTLR ASKED US TO GIVE HIM 310 KTS UNTIL WE HAD TO SLOW. THERE ARE SEVERAL FACTORS WHICH I BELIEVE ADDED UP TO THIS MISTAKE. THE FIRST INVOLVES NOT BEING TO THIS ARPT FOR OVER A YR AND THAT THE 98 PERCENT OF THE ARPTS I GO INTO REGULARLY HAVE ARR STARS BEING 10000 FT. THE OTHER FACTORS INCLUDE: THE CAPT HAD DURING THE COURSE OF THE TRIP EXPLAINED THAT HE WAS WORKING HARD TO SHUT DOWN 2 OTHER BUSINESSES THAT WERE FAILING AND THAT HE FELT BETTER BEING AT WORK BECAUSE HE DIDN'T HAVE TO THINK ABOUT THEM; HOWEVER; IT WAS THE FIRST THING ON HIS MIND WHEN HE WOKE UP. I AM ALSO FINALLY BUILDING MY HOUSE; DURING A TIME WHEN THAT 'WARM SECURE' FEELING OF A FUTURE AT MY AIRLINE CONTINUES TO BE NON-EXISTENT. THE CAPT HAD BEEN ON THE AIRPLANE ONLY 1 MONTH BUT RAN THE SHIP BY THE BOOK AND WAS COMPETENT. I PERSONALLY FEEL THAT I'M THE BEST PLT THIS AIRLINE HAS AND HATE IT WHEN I HAVE AN OFF DAY.

Source: NASA Aviation Safety Reporting System (public domain). Reports are voluntary submissions and are not verified by NASA.

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