ALT BUST IN DSCNT.

Date: 1994-04 · Aircraft: Commercial Fixed Wing

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

Synopsis

ALT BUST IN DSCNT.

Narrative

THE INCIDENT OCCURRED AT THE END OF 5 CONSECUTIVE DAYS OF FLYING WHICH INCLUDED A REDUCED REST; CHK RIDE (6 MONTHS) AND 4 NORMAL REST RESPECTIVELY. THE TOTAL FLT TIME AT THE INCIDENT FOR THE 5 DAYS WAS 27 HRS AND APPROX 28 TKOFS AND LNDGS. THIS WAS FLOWN IN A NOISY; VIBRATING TURBO PROP. THE LAST LEG WAS THE END OF A VERY LONG 2 DAY TRIP WHICH HAD 5 TKOFS AND LNDGS EACH DAY; HAD A BLOCK TIME OF 13:45 AND WAS AWAY FROM BASE FOR 31:19 HRS. THE OVERNIGHT WAS FOR 10 HRS WHERE I PERSONALLY WAS WITHOUT A ROOM AND HAD TO BE RELOCATED TO ANOTHER HOTEL WHICH SHORTENED MY NIGHT AND ADDED UNWANTED STRESS. OUR CLRNC WAS DSND FROM FL230 TO CROSS 10 SW OF HOMIE INTXN AT 12000 WITH THE ALTIMETER SETTING GIVEN. THE FIRST ISSUANCE WAS PARTIALLY BLOCKED SO I HAD IT REPEATED. THE CLRNC WAS OUT OF THE NORM AS WHEN ARRIVING FROM THE W INTO ATL; WE NORMALLY ARE CLRED TO 11000 WHEN LNDG W AS WE WERE. BTWN DETERMINING THE EXACT FIX; THE UNFAMILIAR CLRNC AND THE RESTATING OF THE BLOCKED CLRNC; I SET 10000 INTO THE ALT ALERTER WHILE STILL THINKING ABOUT THE 10 SW OF HOME XING FIX. AS WE DSNDED THROUGH 12000 WE WERE REMINDED OF OUR ALT TWICE BEFORE WE WERE BACK AT 12000. WITHIN 30 SEC OF LEVEL OFF; WE WERE HANDED OFF TO ATL APCH AND CLRED DOWN TO 11000 AS WAS THE NORM. FORTUNATELY THERE WAS NO OTHER TFC AND THE CTLR WASN'T YELLING AT US. ON BEHALF OF PART 135 PLTS; OUR LIVES AND OUR PAX LIVES ARE WORTH GETTING RID OF THE RIDICULOUS FATIGUE GENERATING INADEQUATE REST REQUIREMENTS. IF I DIDN'T SEE IT AND HEAR IT FROM EVERY PLT I WORK WITH; I WOULD THINK IT WAS JUST ME; BUT IT ISN'T. WE ARE TIRED OF FLYING TIRED BECAUSE IT MIGHT COST SOMEONE A FEW DOLLARS TO ENSURE FLC'S OF 135 OPS GET ENOUGH REST TO BE ALERT IN THE COCKPIT. IT IS UNFORTUNATE THAT IT IS VIRTUALLY IMPOSSIBLE TO MEDICALLY DIAGNOSE FATIGUE. WE WILL NEVER KNOW HOW MANY DEATHS HAVE BEEN CONTRIBUTED TO BY FATIGUED CREWS. PLTS GET FATIGUED THE SAME AS THE ACFT THEY FLY. THE DIFFERENCE IS IT IMPAIRS OUR JUDGEMENT AND AFTER WE CRASH THERE ISN'T ENOUGH LEFT TO DETERMINE MUCH OF ANYTHING. I HOPE RPTS LIKE THIS AND NOT MORE DEATHS WILL HELP TO PROVIDE 1 LEVEL OF SAFETY FOR THE FLYING PUBLIC; THE CREWS AND THEIR FAMILIES. WITH SO MUCH FLYING; INCONSISTENT SLEEP; AND CYCLES OF TKOF AND LNDGS IN A VERY NOISY ENVIRONMENT; IT IS FATIGUING TO ALL; INCLUDING MYSELF. SUPPLEMENTAL INFO FROM ACN 269575: NORMALLY WHEN WE GET AN ALT CLRNC THE PNF PUTS THE NEW ALT IN THE ALT ALERTER AND SAYS THAT ALT OUT LOUD; AND THE PF REPEATS OR CONFIRMS IT. IN THIS CASE THAT WAS NOT DONE; BECAUSE WE HAD GOTTEN A CLRNC WE WERE NOT USED TO GETTING; THE FIRST THING I DID WAS CONFIRM WHERE THE ALT RESTR WAS AND NEVER CONFIRMED THE ALT.

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