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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 450442 |
| Time | |
| Date | 199909 |
| Day | Wed |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| State Reference | WV |
| Altitude | msl bound lower : 22800 msl bound upper : 32500 |
| Environment | |
| Flight Conditions | IMC |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | artcc : zdc.artcc |
| Operator | general aviation : personal |
| Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
| Operating Under FAR Part | Part 91 |
| Flight Phase | cruise : enroute altitude change |
| Route In Use | enroute : on vectors |
| Flight Plan | IFR |
| Aircraft 2 | |
| Controlling Facilities | artcc : zdc.artcc |
| Operator | general aviation : personal |
| Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
| Operating Under FAR Part | Part 91 |
| Flight Phase | climbout : intermediate altitude |
| Route In Use | departure : on vectors departure other |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | government : faa |
| Function | controller : radar |
| Qualification | controller : radar |
| Experience | controller military : 3 controller radar : 34 |
| ASRS Report | 450442 |
| Person 2 | |
| Affiliation | other |
| 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 | atc equipment : conflict alert other controllera |
| Resolutory Action | none taken : detected after the fact |
| Consequence | faa : investigated |
| Miss Distance | horizontal : 25800 vertical : 700 |
| Supplementary | |
| Problem Areas | ATC Human Performance |
| Primary Problem | ATC Human Performance |
| Air Traffic Incident | Operational Error |
Narrative:
I was working combined sectors, traffic was complex and heavy. I had requested sectors be split. Aircraft Y was on my frequency at FL250 landing bwi. There were 2 additional aircraft at FL250, in trail, landing bwi. ZOB activated a handoff on aircraft X climbing to FL240, a bwi satellite with no flight plan. I instructed my d-side to have ZOB turn aircraft X to a 240 degree heading. I later found out this was never accomplished. The aircraft was cleared direct mrb at 250 KTS. After several attempts to contact the aircraft, I turned aircraft Y to a 140 degree heading so I could descend (all 4 aircraft have to cross west of mrb at 15000 ft). When aircraft X finally called, I turned him to a 260 degree heading with the intention of descending him. Then thinking I was descending him, I confused data blocks and descended aircraft Y. When I realized my error, the aircraft were in opposite directions, 4 mi apart with a little over 1000 ft going away from each other.
Original NASA ASRS Text
Title: ZDC CTLR TRANSPOSES ACFT POS, DSNDING THE WRONG ACFT IN CONFLICT WITH ANOTHER ENRTE ACFT.
Narrative: I WAS WORKING COMBINED SECTORS, TFC WAS COMPLEX AND HVY. I HAD REQUESTED SECTORS BE SPLIT. ACFT Y WAS ON MY FREQ AT FL250 LNDG BWI. THERE WERE 2 ADDITIONAL ACFT AT FL250, IN TRAIL, LNDG BWI. ZOB ACTIVATED A HDOF ON ACFT X CLBING TO FL240, A BWI SATELLITE WITH NO FLT PLAN. I INSTRUCTED MY D-SIDE TO HAVE ZOB TURN ACFT X TO A 240 DEG HDG. I LATER FOUND OUT THIS WAS NEVER ACCOMPLISHED. THE ACFT WAS CLRED DIRECT MRB AT 250 KTS. AFTER SEVERAL ATTEMPTS TO CONTACT THE ACFT, I TURNED ACFT Y TO A 140 DEG HDG SO I COULD DSND (ALL 4 ACFT HAVE TO CROSS W OF MRB AT 15000 FT). WHEN ACFT X FINALLY CALLED, I TURNED HIM TO A 260 DEG HDG WITH THE INTENTION OF DSNDING HIM. THEN THINKING I WAS DSNDING HIM, I CONFUSED DATA BLOCKS AND DSNDED ACFT Y. WHEN I REALIZED MY ERROR, THE ACFT WERE IN OPPOSITE DIRECTIONS, 4 MI APART WITH A LITTLE OVER 1000 FT GOING AWAY FROM EACH OTHER.
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.