A DA-50 FLT CREW INADVERTENTLY SET 30 PT 72 INSTEAD OF THE ACTUAL 29 PT 72; WHICH RESULTED IN THE ACFT LEVELING OFF 1000 FT LOW.

2003-11 · NASA ASRS report 599510

Date: 2003-11 · Aircraft: Falcon 50 · Phase: climb

Anomalies: aircraft-equipment-problem-critical|deviation-altitude-undershoot|deviation-discrepancy-procedural-far|other-w-a-s

Synopsis

A DA-50 FLT CREW INADVERTENTLY SET 30 PT 72 INSTEAD OF THE ACTUAL 29 PT 72; WHICH RESULTED IN THE ACFT LEVELING OFF 1000 FT LOW.

Narrative

ON THE LAST FLT OF THE ACFT; NOV/WED/03; THE ALTIMETER SETTING WAS UNUSUALLY HIGH; SOMEWHERE IN THE 30.60 INCHES AREA. THE ALTIMETER SETTING ON THE ATIS ON THE MORNING OF THE INCIDENT WAS 29.72. WHILE SETTING THE ALTIMETERS DURING THE BEFORE START CHKS; I IGNORED THE FIRST 2 DIGITS AND ROTATED THE BOTH PRIMARY FLT DISPLAY PRESSURE SETTINGS AND THE STANDBY ALTIMETER TO 39.72 INCHES. THE CABIN PRESSURE CONTROLLER HAS AN ALTIMETER SETTING THAT REVERTS BACK TO 29.92 AFTER PWR DOWN. I SET IT CORRECTLY TO 29.72. DURING TAXI I CHKED FLT INSTS; AND COMPARED THE ALTIMETER SETTINGS; BUT FAILED TO CONFIRM THAT THEY MATCHED FIELD ELEVATION. I ONLY CHKED THE 3 ALTIMETERS; AND DID NOT CATCH THAT THE PRESSURE CONTROLLER WAS SET DIFFERENTLY FROM THE ALTIMETERS. ON THE MDW 4 DEP; WHICH IS A VECTOR WITH AN INITIAL ALT OF 3000 FT; WE LEVELED AT 3000 FT WHICH WAS ACTUALLY 2000 FT. I CHKED IN WITH DEP LEVEL AT 3000 FT. THE CTLR CLRED US TO CLB TO 4000 FT. WE CLBED TO 4000 FT. AFTER A FEW MINS THE CTLR RECLRED US TO 4000 FT. I TOLD HIM WE WERE LEVEL AT 4000 FT. HE SAID WE WERE INDICATING 3000 FT; AND TO CHK THE ALTIMETER SETTING. THAT WAS WHEN WE REALIZED OUR MISTAKE. THERE WAS NO TFC OR TERRAIN CONFLICT. THE CTLR WAS QUICK TO CATCH THE PROB; AND VERY UNDERSTANDING. I THINK THAT WHEN I AM IN A RUSH I TEND TO SKIM OVER THINGS; LIKE ONE DOES WHEN SKIMMING A NEWSPAPER ARTICLE TO PICK OUT THE INTERESTING PARTS. THAT MORNING I SKIMMED OVER THE FIRST 2 DIGITS OF THE PRESSURE AND SKIMMED OVER THE THOUSANDS PLACE ON THE ALTIMETERS TO SEE WHAT I THOUGHT WAS THE IMPORTANT INFO. LUCKILY THAT DID NOT HAPPEN GOING OUT OF AN ARPT IN MOUNTAINOUS TERRAIN. IT IS A LESSON THAT I WILL KEEP IN MIND EVERY TIME I'M FEELING RUSHED.

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

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