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Controller inadvertently approved air carrier X to cross runway with air carrier Y on half mile final. Air carrier Y was issued a go around. Operational deviation.
| Attributes | |
| ACN | 121764 |
| Time | |
| Date | 198909 |
| Day | Mon |
| Local Time Of Day | 0001 To 0600 |
| Place | |
| Locale Reference | atc facility : jfk |
| State Reference | NY |
| Altitude | agl bound lower : 0 agl bound upper : 0 |
| Environment | |
| Flight Conditions | VMC |
| Light | Night |
| Aircraft 1 | |
| Controlling Facilities | tower : jfk tower : sfo |
| Operator | common carrier : air carrier |
| Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
| Navigation In Use | Other |
| Flight Phase | ground other : taxi |
| Flight Plan | IFR |
| Aircraft 2 | |
| Operator | common carrier : air carrier |
| Make Model Name | Widebody, Low Wing, 2 Turbojet Eng |
| Navigation In Use | Other |
| Flight Phase | landing : go around |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | government : faa |
| Function | controller : ground controller : local |
| Qualification | controller : non radar |
| Experience | controller non radar : 4 controller radar : 2 |
| ASRS Report | 121764 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| Events | |
| Anomaly | conflict : ground critical incursion : runway non adherence : published procedure |
| Independent Detector | other controllera |
| Resolutory Action | controller : issued new clearance other |
| Consequence | Other |
| Miss Distance | horizontal : 9000 |
| Supplementary | |
| Primary Problem | ATC Human Performance |
| Air Traffic Incident | Operational Deviation |
Narrative:
Air carrier X, an medium large transport, landed runway 4R just as air carrier X was touching down. Approach control called me to advise that air carrier Y, a widebody transport, will land on runway 4L. I then advised 2 aircraft who are taxiing (with a clearance to cross runway 4L) to hold short of G. I then instructed air carrier X to turn left off of runway 4L and hold short of runway 4L, or so I thought! Air carrier X then crossed runway 4L with air carrier Y on about a 1/2 mi final. When I questioned air carrier X about his position, he stopped his aircraft right in the middle of the runway so I had to send air carrier Y around. When I reviewed the tape the next morning, I was surprised to hear myself tell air carrier X to 'turn left and hold short of G.' I was thinking one thing yet said another, and didn't catch my mistake! Air carrier X answered with 'roger.' perhaps a full readback would have helped me catch my mistake?
Original NASA ASRS Text
Title: CTLR INADVERTENTLY APPROVED ACR X TO CROSS RWY WITH ACR Y ON HALF MILE FINAL. ACR Y WAS ISSUED A GO AROUND. OPERATIONAL DEVIATION.
Narrative: ACR X, AN MLG, LANDED RWY 4R JUST AS ACR X WAS TOUCHING DOWN. APCH CTL CALLED ME TO ADVISE THAT ACR Y, A WDB, WILL LAND ON RWY 4L. I THEN ADVISED 2 ACFT WHO ARE TAXIING (WITH A CLRNC TO CROSS RWY 4L) TO HOLD SHORT OF G. I THEN INSTRUCTED ACR X TO TURN LEFT OFF OF RWY 4L AND HOLD SHORT OF RWY 4L, OR SO I THOUGHT! ACR X THEN CROSSED RWY 4L WITH ACR Y ON ABOUT A 1/2 MI FINAL. WHEN I QUESTIONED ACR X ABOUT HIS POS, HE STOPPED HIS ACFT RIGHT IN THE MIDDLE OF THE RWY SO I HAD TO SEND ACR Y AROUND. WHEN I REVIEWED THE TAPE THE NEXT MORNING, I WAS SURPRISED TO HEAR MYSELF TELL ACR X TO 'TURN LEFT AND HOLD SHORT OF G.' I WAS THINKING ONE THING YET SAID ANOTHER, AND DIDN'T CATCH MY MISTAKE! ACR X ANSWERED WITH 'ROGER.' PERHAPS A FULL READBACK WOULD HAVE HELPED ME CATCH MY MISTAKE?
Data retrieved from NASA's ASRS site as of August 2007 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.