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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 215581 |
| Time | |
| Date | 199207 |
| Day | Thu |
| Local Time Of Day | 1801 To 2400 |
| Place | |
| Locale Reference | atc facility : sdf |
| State Reference | KY |
| Altitude | agl bound lower : 0 agl bound upper : 50 |
| Environment | |
| Flight Conditions | VMC |
| Light | Night |
| Aircraft 1 | |
| Controlling Facilities | tower : sdf |
| Operator | general aviation : personal |
| Make Model Name | Small Aircraft, Low Wing, 1 Eng, Retractable Gear |
| Flight Phase | descent : approach landing other |
| Flight Plan | VFR |
| Aircraft 2 | |
| Operator | common carrier : air carrier |
| Make Model Name | Medium Transport, High Wing, 2 Turboprop Eng |
| Flight Phase | climbout : takeoff ground other : taxi |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | government : faa |
| Function | controller : local |
| Qualification | controller : non radar |
| Experience | controller radar : 28 controller supervisory : 1 |
| ASRS Report | 215581 |
| Person 2 | |
| Affiliation | Other |
| Function | flight crew : single pilot |
| Qualification | pilot : private |
| Events | |
| Anomaly | conflict : ground critical conflict : nmac non adherence : published procedure non adherence : required legal separation |
| Independent Detector | other controllera |
| Resolutory Action | none taken : detected after the fact |
| Consequence | faa : investigated |
| Miss Distance | horizontal : 0 vertical : 50 |
| Supplementary | |
| Primary Problem | ATC Human Performance |
| Air Traffic Incident | Operational Error |
Narrative:
When this incident happened, I was working local control in the tower. It was dark, VFR and very light traffic. We were on a crossing runway operation, landing runway 29 and departing runway 19. Approach called and coordinated an small aircraft X landing runway 19, and I approved the runway 19 operation. The small aircraft X called about 12 southwest and I cleared him to land runway 19. Some time later, air carrier Y called ready for departure of runway 19 and I cleared him for takeoff. I forgot about the small aircraft X. Small aircraft X came across the approach end of the runway as the air carrier was taking the runway for departure. This incident happened because I forgot about the small aircraft X. Contributing factors -- light traffic, night operation and the small aircraft X being a very small airplane not being very visible, fatigue, and the amount of time it took for the small aircraft X to get to the airport after I cleared him to land 12 mi out compared to any jet's calling and getting landing clrncs about 5 mi out.
Original NASA ASRS Text
Title: SMA X LANDED ON OCCUPIED RWY OVER ACR Y. SYS ERROR. NMAC.
Narrative: WHEN THIS INCIDENT HAPPENED, I WAS WORKING LCL CTL IN THE TWR. IT WAS DARK, VFR AND VERY LIGHT TFC. WE WERE ON A XING RWY OP, LNDG RWY 29 AND DEPARTING RWY 19. APCH CALLED AND COORDINATED AN SMA X LNDG RWY 19, AND I APPROVED THE RWY 19 OP. THE SMA X CALLED ABOUT 12 SW AND I CLRED HIM TO LAND RWY 19. SOME TIME LATER, ACR Y CALLED READY FOR DEP OF RWY 19 AND I CLRED HIM FOR TKOF. I FORGOT ABOUT THE SMA X. SMA X CAME ACROSS THE APCH END OF THE RWY AS THE ACR WAS TAKING THE RWY FOR DEP. THIS INCIDENT HAPPENED BECAUSE I FORGOT ABOUT THE SMA X. CONTRIBUTING FACTORS -- LIGHT TFC, NIGHT OP AND THE SMA X BEING A VERY SMALL AIRPLANE NOT BEING VERY VISIBLE, FATIGUE, AND THE AMOUNT OF TIME IT TOOK FOR THE SMA X TO GET TO THE ARPT AFTER I CLRED HIM TO LAND 12 MI OUT COMPARED TO ANY JET'S CALLING AND GETTING LNDG CLRNCS ABOUT 5 MI OUT.
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.