<< >> NASA ASRS Report 192534, October 1991

TRACON ATCT interfacility coordination local controller failed to issue new altitude and cpr X climbed to wrong altitude. Operational deviation.

Attributes
ACN	192534
Time
Date	199110
Day	Fri
Local Time Of Day	1201 To 1800
Place
Locale Reference	atc facility : frg
State Reference	NY
Altitude	msl bound lower : 2000 msl bound upper : 3000
Environment
Flight Conditions	VMC
Light	Daylight
Aircraft 1
Controlling Facilities	tower : frg tower : ewr
Operator	general aviation : corporate
Make Model Name	Light Transport, Low Wing, 2 Turbojet Eng
Flight Phase	climbout : initial
Flight Plan	IFR
Person 1
Affiliation	government : faa
Function	controller : local
Qualification	controller : non radar
Experience	controller non radar : 10
ASRS Report	192534
Person 2
Affiliation	government : faa
Function	controller : flight data
Qualification	controller : non radar
Events
Anomaly	altitude deviation : overshoot non adherence : published procedure other anomaly other
Independent Detector	other other : unspecified atc
Resolutory Action	none taken : detected after the fact
Consequence	faa : investigated
Supplementary
Primary Problem	ATC Human Performance
Air Traffic Incident	Operational Deviation Intra Facility Coordination Failure Inter Facility Coordination Failure

Narrative:

I heard cpr X had been released, I turned and stated cpr X are you with us. His reply was yes. I then asked if he could accept A6, he said he would enter at that point and taxi full length. I then told him to taxi with a right turn to full length. Once traffic exited runway, my next response was cleared for takeoff to cpr X. I then told cpr X to contact new york departure. Callback conversation with reporter revealed the following information. The reporter stated at the time cpr X was released departure control had coordination to stop cpr X at 2000 ft. Normal altitude is 3000 ft. Flight data controller had written 2000 ft on the flight progress strip but had not issued the new altitude to cpr X. The altitude was supposed to be check marked after being issued. The altitude was not checked and the reporter failed to catch the error. Cpr X climbed to wrong altitude.

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Original NASA ASRS Text

Title: TRACON ATCT INTERFAC COORD LCL CTLR FAILED TO ISSUE NEW ALT AND CPR X CLBED TO WRONG ALT. OPDEV.

Narrative: I HEARD CPR X HAD BEEN RELEASED, I TURNED AND STATED CPR X ARE YOU WITH US. HIS REPLY WAS YES. I THEN ASKED IF HE COULD ACCEPT A6, HE SAID HE WOULD ENTER AT THAT POINT AND TAXI FULL LENGTH. I THEN TOLD HIM TO TAXI WITH A R TURN TO FULL LENGTH. ONCE TFC EXITED RWY, MY NEXT RESPONSE WAS CLRED FOR TKOF TO CPR X. I THEN TOLD CPR X TO CONTACT NEW YORK DEP. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO. THE RPTR STATED AT THE TIME CPR X WAS RELEASED DEP CTL HAD COORD TO STOP CPR X AT 2000 FT. NORMAL ALT IS 3000 FT. FLT DATA CTLR HAD WRITTEN 2000 FT ON THE FLT PROGRESS STRIP BUT HAD NOT ISSUED THE NEW ALT TO CPR X. THE ALT WAS SUPPOSED TO BE CHK MARKED AFTER BEING ISSUED. THE ALT WAS NOT CHKED AND THE RPTR FAILED TO CATCH THE ERROR. CPR X CLBED TO WRONG ALT.

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.