![]() |
37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
| Attributes | |
| ACN | 125574 |
| Time | |
| Date | 198910 |
| Day | Wed |
| Local Time Of Day | 1801 To 2400 |
| Place | |
| Locale Reference | atc facility : gdm |
| State Reference | MA |
| Altitude | msl bound lower : 6000 msl bound upper : 6000 |
| Environment | |
| Flight Conditions | IMC |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | artcc : zbw |
| Make Model Name | Small Transport, Low Wing, 2 Recip Eng |
| Flight Phase | descent other |
| Route In Use | enroute : direct enroute airway : zbw |
| Flight Plan | IFR |
| Aircraft 2 | |
| Operator | common carrier : air carrier |
| Make Model Name | Small Transport, Low Wing, 2 Turboprop Eng |
| Flight Phase | cruise other |
| Route In Use | enroute : direct |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | government : faa |
| Function | controller : radar |
| Qualification | controller : radar |
| Experience | controller non radar : 6 controller radar : 2 |
| ASRS Report | 125574 |
| Person 2 | |
| Affiliation | government : faa |
| Function | controller : handoff position |
| Qualification | controller : radar |
| Experience | controller radar : 1 |
| ASRS Report | 125575 |
| Events | |
| Anomaly | conflict : airborne less severe non adherence : published procedure non adherence : required legal separation |
| Independent Detector | atc equipment other atc equipment : unspecified |
| Resolutory Action | controller : issued new clearance other |
| Consequence | faa : investigated |
| Miss Distance | horizontal : 19200 vertical : 0 |
| Supplementary | |
| Primary Problem | ATC Human Performance |
| Air Traffic Incident | Operational Error |
Narrative:
Traffic not very heavy, however slightly complex. 3 aircraft were in the vicinity of gdm, 1 eastbound and 2 swbnd. Swbnd aircraft X was at 8000' and air carrier Y at 6000'. Eastbound aircraft Z issued a descent clearance to 8000'. Small transport X issued a descent clearance to 7000'. Readback was correct this time. Wanting small transport X to expedite his descent, I issued 'no delay on the descent down to 6000'.' (meaning 7000'.) small transport X read back 'descending to 6000''. I never realized the discrepancy until a loss of standard separation had occurred, nor did I hear the pilot's readback of 6000' instead of 7000'. Supplemental information from acn 125575: conflict alert went off and the radar controller took evasive action by turning both aircraft and climbing small transport X to 7000'.
Original NASA ASRS Text
Title: LESS THAN STANDARD SEPARATION BETWEEN ACR Y AND SMT X. SYSTEM ERROR.
Narrative: TFC NOT VERY HEAVY, HOWEVER SLIGHTLY COMPLEX. 3 ACFT WERE IN THE VICINITY OF GDM, 1 EBND AND 2 SWBND. SWBND ACFT X WAS AT 8000' AND ACR Y AT 6000'. EBND ACFT Z ISSUED A DSCNT CLRNC TO 8000'. SMT X ISSUED A DSCNT CLRNC TO 7000'. READBACK WAS CORRECT THIS TIME. WANTING SMT X TO EXPEDITE HIS DSCNT, I ISSUED 'NO DELAY ON THE DSCNT DOWN TO 6000'.' (MEANING 7000'.) SMT X READ BACK 'DESCENDING TO 6000''. I NEVER REALIZED THE DISCREPANCY UNTIL A LOSS OF STANDARD SEPARATION HAD OCCURRED, NOR DID I HEAR THE PLT'S READBACK OF 6000' INSTEAD OF 7000'. SUPPLEMENTAL INFORMATION FROM ACN 125575: CONFLICT ALERT WENT OFF AND THE RADAR CTLR TOOK EVASIVE ACTION BY TURNING BOTH ACFT AND CLIMBING SMT X TO 7000'.
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.