2003-02 · NASA ASRS report 574116
B350 PLT OVERSHOOTS HIS ASSIGNED DEP ALT WHEN FAILING TO SET HIS ALTIMETER TO LCL QNH; MKC; MO.
I WAS PICKING UP OUR KING AIR 350 AFTER SOME NON-SCHEDULED AVIONICS MAINT. SINCE THIS WAS A MAINT HOP; I WAS A SINGLE PLT OP. OUR MFD HAD BEEN REPLACED CAUSING THE CHKLIST IN THE MDD WE NORMALLY USE TO BE NONFUNCTIONAL. I WAS USING THE ACFT PLT'S CHKLIST; WHICH IS IN BOOK FORM. AFTER RECEIVING THE ATIS AND CONTACTING GND CTL FOR AND RECEIVING MY CLRNC; I WAS DOING THE BEFORE TAXI CHKLIST; WHEN I WAS GIVEN A RTE CHANGE DUE TO CTR RADAR COVERAGE BEING OUT AND EVERYONE BEING RTED OVER THE VOR'S. AT THAT TIME; I STARTED RE-PROGRAMMING THE FMS WITH THE NEW RTE AND GOT OUT THE LOW ALT CHART TO INSURE THE HDG FOR V-4 AIRWAY. WHEN I WENT BACK TO THE CHKLIST; I APPARENTLY MISSED THE ALTIMETER SETTING. AFTER GETTING TAXI CLRNC; I TAXIED UP TO RWY 1; AND ANOTHER ACFT TAXIED UP BEHIND ME. I CONTACTED TWR TO GET MY TKOF CLRNC AND WAS GOING THROUGH THE BEFORE TKOF/FINAL ITEMS CHKLIST. I WAS TOLD TO HOLD SHORT; I WAS THEN TOLD TO TAXI INTO POS AND BE READY FOR AN IMMEDIATE TKOF. AS I WAS ROUNDING THE CORNER ONTO THE RWY; TWR TOLD ME TO KEEP THE PWR IN; I WAS CLRED FOR AN IMMEDIATE TKOF WITHOUT DELAY. I WAS ASSIGNED RWY HDG TO 3000 FT. DUE TO THE QUICKNESS I WAS CLRED FOR TKOF; I DIDN'T GET TO THE CONFIRM ALTIMETER ITEM ON THE FINAL ITEMS CHKLIST. AS I WAS CLBING TO MY INITIAL ASSIGNED ALT OF 3000 FT; I WAS HANDED OFF TO DEP CTL. AFTER RPTING THAT I WAS 2800 FT FOR 3000 FT RWY HDG; I WAS CLRED TO 4000 FT. I DON'T BELIEVE THAT HE EVER CONFIRMED MY ALT CALLOUT; BUT I WAS CLBING AT APPROX 1500 FPM. AT ABOUT 3500 FT; INDICATED I WAS GIVEN A L TURN TO 270 DEGS; AS I WAS LEVELING OFF AT 4000 FT AND WAS COMPLETING THE TURN; THE CTLR ASKED MY ALT. I ADVISED 4000 FT. HE THEN GAVE THE CURRENT MCI ALTIMETER AND SAID HE SHOWED ME AT 4600 FT. SEEING THE ALTIMETER SETTING; I REALIZED WHAT I HAD DONE; SET THE CURRENT ALTIMETER AND STARTED AN IMMEDIATE DSCNT TO 4000 FT. I WAS THEN GIVEN DIRECT TO KANSAS CITY VOR AND V-4 AIRWAY. THE CTLR NEVER INDICATED THERE WAS ANY CONFLICT OR PROB OTHER THAN ASKING MY ALT. THE ONBOARD TCASII ALSO DIDN'T INDICATE ANY ACFT WITHIN 5 NM OF ME OR GIVE ANY CONFLICT WARNINGS. I BELIEVE THIS TO BE A HUMAN PERFORMANCE PROB THAT STARTED WHEN I HAD TO USE THE CHKLIST THAT I DON'T NORMALLY USE. AFTER GETTING USED TO THE ONE IN THE MFD; I HAVE ALLOWED MYSELF TO BECOME A LITTLE UNFAMILIAR WITH THE LAYOUT OF THE BOOK CHKLIST. ALSO; THE FACT THAT I HAD BEEN DISTRACTED DURING THE BEFORE TAXI CHKLIST; TO RE-PROGRAM THE FMS AND TO LOOK UP THE CORRECT CHART AND HDGS FOR V-R AIRWAY DIDN'T HELP. BUT; THE BIGGEST FACTOR WAS ACCEPTING A TKOF CLRNC BEFORE I WAS READY TO DO SO. THERE WAS NO NEED TO HURRY SINCE I WAS ONLY TAKING THE PLANE BACK AFTER MAINT.
Source: NASA Aviation Safety Reporting System (public domain). Reports are voluntary submissions and are not verified by NASA.
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