![]() |
37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
| Attributes | |
| ACN | 418800 |
| Time | |
| Date | 199811 |
| Day | Sun |
| Local Time Of Day | 1801 To 2400 |
| Place | |
| Locale Reference | atc facility : bos airport : bos |
| State Reference | MA |
| Altitude | msl bound lower : 5000 msl bound upper : 5000 |
| Environment | |
| Flight Conditions | Mixed |
| Light | Night |
| Aircraft 1 | |
| Controlling Facilities | tracon : bos |
| Operator | common carrier : air carrier |
| Make Model Name | B737-200 |
| Flight Phase | descent : approach |
| Route In Use | enroute : on vectors |
| Flight Plan | IFR |
| Aircraft 2 | |
| Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
| Flight Phase | landing other |
| Person 1 | |
| Affiliation | company : air carrier |
| Function | flight crew : captain oversight : pic |
| Qualification | pilot : atp |
| Experience | flight time last 90 days : 160 flight time total : 16000 flight time type : 5000 |
| ASRS Report | 418800 |
| Person 2 | |
| Affiliation | company : air carrier |
| Function | flight crew : first officer |
| Qualification | pilot : atp |
| Experience | flight time last 90 days : 180 flight time total : 13000 flight time type : 5000 |
| ASRS Report | 418796 |
| Events | |
| Anomaly | conflict : airborne less severe non adherence : required legal separation non adherence : clearance other spatial deviation |
| Independent Detector | other controllera other flight crewa |
| Resolutory Action | controller : issued new clearance flight crew : exited adverse environment other |
| Consequence | faa : reviewed incident with flight crew |
| Miss Distance | horizontal : 10000 vertical : 500 |
| Supplementary | |
| Primary Problem | Flight Crew Human Performance |
| Air Traffic Incident | Pilot Deviation |
Narrative:
On heading of 210 degrees for downwind leg of runway 4R ILS, controller issued heading of 200 degrees to widen downwind leg. I heard '300 degrees,' and read that back, thinking this was a turn to base leg. After turn, corrective headings were issued immediately before serious traffic conflict occurred. We had visual contact with the traffic on the ILS. Contributing factors: high traffic volume, rapid clrncs being issued, rapid readbacks, in and out of clouds, high workload in cockpit. I discussed the situation with a controller supervisor and he concurred with this report.
Original NASA ASRS Text
Title: B737 DEVIATES FROM ASSIGNED HDG ON APCH TO BOS.
Narrative: ON HDG OF 210 DEGS FOR DOWNWIND LEG OF RWY 4R ILS, CTLR ISSUED HDG OF 200 DEGS TO WIDEN DOWNWIND LEG. I HEARD '300 DEGS,' AND READ THAT BACK, THINKING THIS WAS A TURN TO BASE LEG. AFTER TURN, CORRECTIVE HDGS WERE ISSUED IMMEDIATELY BEFORE SERIOUS TFC CONFLICT OCCURRED. WE HAD VISUAL CONTACT WITH THE TFC ON THE ILS. CONTRIBUTING FACTORS: HIGH TFC VOLUME, RAPID CLRNCS BEING ISSUED, RAPID READBACKS, IN AND OUT OF CLOUDS, HIGH WORKLOAD IN COCKPIT. I DISCUSSED THE SIT WITH A CTLR SUPVR AND HE CONCURRED WITH THIS RPT.
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.