1997-04 · NASA ASRS report 366830
CL65RJ FLC OVERSHOOTS ALT ASSIGNED WHEN THE FO PLACES THE WRONG ALT IN THE ALT ALERTER. CAPT WAS HAND-FLYING THE GLASS COCKPIT ACFT AND HADN'T HEARD THE NEW ALT ASSIGNMENT. FO NEW ON EQUIP.
CAPT WAS HAND-FLYING NEWARK 6 DEP OFF OF RWY 22R WHICH CALLS FOR A CLB TO 5000 FT (L TO 190 DEGS AFTER TKOF AND R TO 220 DEGS AFTER 2.3 DME). THE FO WAS HANDLING THE RADIOS AND SETTING HEADINGS AND ALTS. SOMEWHERE AROUND 4000 FT MSL ATC ORDERED R TURN TO 320 DEGS AND CLB TO 4000 FT OF WHICH CAPT HEARD ONLY R TO 320 DEGS. FO SET THE HDG BUG TO 320 DEGS AND ALT SELECTOR TO 6000 FT. AS I WAS BUSY FLYING I DID NOT NOTICE THE INCORRECT ALT BEING SET AND THE FO ONLY CALLED R TO 320 DEGS. HE DID NOT CALL 6000 FT SET. ATC AGAIN CALLED AS WE WERE PASSING THROUGH +/-4400 FT TO LEVEL AT 4000 FT AND TFC AT 10-11 O'CLOCK 5000 FT (ALTS MAY BE INCORRECT). I IMMEDIATELY REDUCED PWR TO FLT IDLE IN AN ATTEMPT TO DSND TO 4000 FT. I DO NOT RECALL WHAT ALT I ACTUALLY ATTAINED PRIOR TO MY INITIATION OF A DSCNT AS I WAS VERY BUSY WITH THE ACFT; TRYING TO RECTIFY A BAD SIT. FACTORS CONTRIBUTING TO THE ALTDEV ARE AS FOLLOWS: 1) VERY HVY WORKLOAD OF ATC; 2) 4000 FT LEVELOFF COMMAND BY ATC CAME AS AN AFTER THOUGHT; SINCE I WAS ALREADY ON A 220 DEG HDG CLBING AT 3000 FPM; 3) CAPT'S FAILURE TO HEAR 4000 FT LEVELOFF; 4) FO FAILURE TO SET PROPER ALT; 5) FO FAILURE TO MAKE ALT CALLOUT; AND 6) FO SECOND MONTH IN ACFT TYPE AND SECOND EVER TRIP INTO AND OUT OF NEWARK. SUPPLEMENTAL INFO FROM ACN 366821: I HEARD 6000 FT R TO 320 DEGS. I SET 6000 FT IN THE ALT ALERTER AND VERBALIZED THIS. THE CAPT WAS HAND-FLYING AND DID NOT RESPOND. WE BOTH HAD VISUAL ON THE TFC AND THEN RECEIVED AN RA ON THE TCASII. IN RETROSPECT WE SHOULD HAVE USED THE AUTOMATION OF THE AUTOPLT TO RELIEVE THE WORKLOAD AND THE CAPT SHOULD HAVE CONFIRMED THE ALT OR CHALLENGED IT. (LACK OF CRM.) I WAS TIRED; DUE TO POOR SLEEP THE PREVIOUS NIGHT; AND SHOULD HAVE TOLD THIS TO THE CAPT. WITH THE HIGH WORKLOAD AND BUSYNESS OF THE CTLR I MISSED THE ALT.
Source: NASA Aviation Safety Reporting System (public domain). Reports are voluntary submissions and are not verified by NASA.
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