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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 185952 |
| Time | |
| Date | 199108 |
| Day | Thu |
| Local Time Of Day | 1201 To 1800 |
| Place | |
| Locale Reference | atc facility : lax |
| State Reference | CA |
| Altitude | msl bound lower : 9000 msl bound upper : 10000 |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Operator | common carrier : air carrier |
| Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
| Flight Phase | climbout : intermediate altitude |
| Route In Use | departure sid : sid enroute airway : lax |
| Flight Plan | IFR |
| Aircraft 2 | |
| Operator | general aviation : corporate |
| Make Model Name | Light Transport, Low Wing, 2 Turbojet Eng |
| Flight Phase | cruise other |
| Route In Use | enroute : direct |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | government : faa |
| Function | controller : departure |
| Qualification | controller : radar |
| ASRS Report | 185952 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| Events | |
| Anomaly | conflict : airborne less severe non adherence : published procedure non adherence : required legal separation |
| Independent Detector | other controllera |
| Resolutory Action | controller : issued new clearance other |
| Consequence | Other |
| Miss Distance | vertical : 800 |
| Supplementary | |
| Primary Problem | ATC Human Performance |
| Air Traffic Incident | Operational Error |
Narrative:
I was working departure 2 at los angeles TRACON. Traffic load was heavy to moderately heavy. I climbed air carrier X to 13000. I turned air carrier X north to resume the gorman departure. Once I observed air carrier X leaving 9200 I instructed him to descend to 9000 immediately. He reported cpr Y at 10000 in sight. I told air carrier X to maintain visual separation. Then after traffic passed, I climbed air carrier X to 13000 and switched him to burbank approach. 1) I did not have a strip showing air carrier X as a gorman 9 departure and must have mistaken him for a ventura and climbed him to 13000. 2) staffing levels did not afford a handoff to assist me. The traffic level warranted one.
Original NASA ASRS Text
Title: ACR X HAD LTSS FROM CPR Y. SYS ERROR.
Narrative: I WAS WORKING DEP 2 AT LOS ANGELES TRACON. TFC LOAD WAS HVY TO MODERATELY HVY. I CLBED ACR X TO 13000. I TURNED ACR X N TO RESUME THE GORMAN DEP. ONCE I OBSERVED ACR X LEAVING 9200 I INSTRUCTED HIM TO DSND TO 9000 IMMEDIATELY. HE RPTED CPR Y AT 10000 IN SIGHT. I TOLD ACR X TO MAINTAIN VISUAL SEPARATION. THEN AFTER TFC PASSED, I CLBED ACR X TO 13000 AND SWITCHED HIM TO BURBANK APCH. 1) I DID NOT HAVE A STRIP SHOWING ACR X AS A GORMAN 9 DEP AND MUST HAVE MISTAKEN HIM FOR A VENTURA AND CLBED HIM TO 13000. 2) STAFFING LEVELS DID NOT AFFORD A HDOF TO ASSIST ME. THE TFC LEVEL WARRANTED ONE.
Data retrieved from NASA's ASRS site as of July 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.