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| Attributes | |
| ACN | 187689 |
| Time | |
| Date | 199108 |
| Day | Wed |
| Local Time Of Day | 1801 To 2400 |
| Place | |
| Locale Reference | airport : dsm |
| State Reference | IA |
| Altitude | agl bound lower : 0 agl bound upper : 100 |
| Environment | |
| Flight Conditions | VMC |
| Light | Night |
| Aircraft 1 | |
| Make Model Name | Small Aircraft, Low Wing, 1 Eng, Fixed Gear |
| Flight Phase | ground : holding ground other : taxi |
| Flight Plan | None |
| Aircraft 2 | |
| Make Model Name | Small Aircraft, Low Wing, 1 Eng, Retractable Gear |
| Flight Phase | climbout : takeoff |
| Person 1 | |
| Affiliation | government : faa |
| Function | controller : local controller : ground |
| Qualification | controller : radar |
| Experience | controller non radar : 10 controller radar : 9 flight time last 90 days : 30 flight time total : 1500 |
| ASRS Report | 187689 |
| Person 2 | |
| Affiliation | Other |
| Function | flight crew : single pilot |
| Events | |
| Anomaly | conflict : ground less severe non adherence : published procedure other anomaly other |
| Independent Detector | other flight crewa |
| Resolutory Action | flight crew : took evasive action |
| Consequence | Other |
| Supplementary | |
| Primary Problem | ATC Human Performance |
| Air Traffic Incident | Operational Error |
Narrative:
Beginning of midshift. 1 person (me) working local, ground, approach, controller in charge, and clearance delivery. I cleared small aircraft X to taxi from 'T' hangars to FBO, crossing runway 23. Then I cleared small aircraft Y for takeoff runway 23. Misjudged, and was looking for flight progress strips, and not watching traffic. Small aircraft Y departed past small aircraft X who held short of runway 23 on his own and he pointed this out to me. No separation lost, but pilot was unimpressed. Dsm ATCT used to work with 2 fpl's, but recently reduced staffing to 1. I was distracted from looking out the window and aircraft X was forgotten. Easy to do on a mid. I had been awake since XA30 am and was starting second shift without sleep (common practice). 1 person working tower and approach after hours is not safe.
Original NASA ASRS Text
Title: POTENTIAL CONFLICT BTWN ACFT TAXIING AND ACFT TAKING OFF. OPERROR.
Narrative: BEGINNING OF MIDSHIFT. 1 PERSON (ME) WORKING LCL, GND, APCH, CIC, AND CLRNC DELIVERY. I CLRED SMA X TO TAXI FROM 'T' HANGARS TO FBO, XING RWY 23. THEN I CLRED SMA Y FOR TKOF RWY 23. MISJUDGED, AND WAS LOOKING FOR FLT PROGRESS STRIPS, AND NOT WATCHING TFC. SMA Y DEPARTED PAST SMA X WHO HELD SHORT OF RWY 23 ON HIS OWN AND HE POINTED THIS OUT TO ME. NO SEPARATION LOST, BUT PLT WAS UNIMPRESSED. DSM ATCT USED TO WORK WITH 2 FPL'S, BUT RECENTLY REDUCED STAFFING TO 1. I WAS DISTRACTED FROM LOOKING OUT THE WINDOW AND ACFT X WAS FORGOTTEN. EASY TO DO ON A MID. I HAD BEEN AWAKE SINCE XA30 AM AND WAS STARTING SECOND SHIFT WITHOUT SLEEP (COMMON PRACTICE). 1 PERSON WORKING TWR AND APCH AFTER HRS IS NOT SAFE.
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.