CAPT OF ACR LGT ACFT MISTAKENLY SET THE WRONG ALT INTO THE ACFT FMC RESULTING IN AN ALT OVERSHOOT.

1993-02 · NASA ASRS report 232991

Date: 1993-02 · Aircraft: Large Transport; Low Wing; 2 Turbojet Eng

Anomalies: deviation-altitude-overshoot|deviation-discrepancy-procedural-clearance|other-unspecified

Synopsis

CAPT OF ACR LGT ACFT MISTAKENLY SET THE WRONG ALT INTO THE ACFT FMC RESULTING IN AN ALT OVERSHOOT.

Narrative

CRUISING AT FL200 WITH REQUESTED ALT OF FL230; CTR CLRED US TO FL210. I SELECTED FL210 WHILE NOTING THE NEW ASSIGNED ALT ON THE PRIMARY FLT DISPLAY. I THEN PUSHED THE ALT SELECT KNOB TO ENGAGE VNAV WHILE I MONITORED THE FLT MODE ANNUNCIATOR TO VERIFY ENTERING CLB MODE. A FEW MINS LATER; CTR TOLD US TO MAINTAIN FL210 AND I NOTICED WE WERE LEVEL AT FL220. I DON'T KNOW HOW FL220 GOT IN THE FMS; BUT MUST ASSUME THAT WHEN I PUSHED THE ALT KNOB TO ENTER VNAV; THE ASSIGNED ALT CHANGED 1 DIGIT WHILE I WAS LOOKING OVER AT THE FLT MODE ANNUNCIATOR. WE WERE AT FAIRLY LIGHT GROSS WT AND CLBING FAST WHEN THE FLT ATTENDANT CAME IN TO OFFER COFFEE. I GLANCED AT THE FMA; NOTICED ALT CAPTURE AND TURNED MY ATTN TO THE FLT ATTENDANT. AS I LOOKED BACK; WE WERE IN MANAGED LEVEL FLT. I DIDN'T NOTICE WE WERE 1000 FT HIGH. BECAUSE OF THE MULTIFUNCTIONAL USES OF THIS KNOB (PUSH; PULL; TWIST) FOR VNAV MODES AND LEVEL CHANGES; IT CAN CREATE A TRAP. IF EACH MODE/LEVEL IS VERIFIED IN SEQUENCE IT MAY END UP ERRONEOUS. THE ANSWER WITH THIS KNOB IS TO REVERIFY ALL SELECTIONS AFFECTED BY THIS KNOB AFTER REMOVING YOUR HAND FROM IT.

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

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