Controller fails to issue hold short instructions to taxiing traffic and a runway incursion and conf...

Attributes
ACN	509265
Time
Date	200104
Day	Sun
Local Time Of Day	1201 To 1800
Place
Locale Reference	airport : btv.airport
State Reference	VT
Altitude	agl single value : 0
Environment
Flight Conditions	VMC
Light	Daylight
Aircraft 1
Controlling Facilities	tower : btv.tower
Operator	common carrier : air carrier
Make Model Name	Regional Jet 200 ER&LR
Operating Under FAR Part	Part 121
Flight Phase	ground : holding ground : taxi
Flight Plan	IFR
Aircraft 2
Controlling Facilities	tower : btv.tower
Operator	general aviation : personal
Make Model Name	PA-28 Cherokee/Archer II/Dakota/Pillan/Warrior
Operating Under FAR Part	Part 91
Route In Use	approach : contact
Person 1
Affiliation	government : faa
Function	controller : combined local
Qualification	controller : radar
Experience	controller radar : 30
ASRS Report	509265
Person 2
Affiliation	company : air carrier
Function	flight crew : captain oversight : pic
Events
Anomaly	conflict : ground less severe incursion : runway non adherence : published procedure non adherence : far
Independent Detector	other flight crewa other flight crewb
Miss Distance	horizontal : 100 vertical : 50
Supplementary
Problem Areas	ATC Facility ATC Human Performance
Primary Problem	ATC Human Performance
Air Traffic Incident	Operational Deviation

Narrative:

I was working the tower, combined local control and ground control due to staffing and traffic level. Airborne traffic landing runway 01. Air carrier a called ground control. I taxied him to runway 33 with no hold short of runway 01. Air carrier a reported 'holding short of runway 01 for landing traffic.' contributing factors: combined position, light traffic, communication with airborne traffic quite a while ago, distraction in tower (conversation with supervisor), concern with dsp, concern over aircraft condition (bird strike inbound, blood smeared nose, ground crew/maintenance inspection up to time of taxi). Corrective actions: none. Pilot saw arriving aircraft and held short of runway. Callback conversation with reporter revealed the following information: reporter stated that distraction due to work-related conversation and working combined positions contributed to his failure to issue hold short of runway 01 instructions to air carrier a taxiing for runway 33. Air carrier a saw the aircraft B on short final for runway 01 and stopped.

Original NASA ASRS Text

Title: CTLR FAILS TO ISSUE HOLD SHORT INSTRUCTIONS TO TAXIING TFC AND A RWY INCURSION AND CONFLICT NEARLY RESULT.

Narrative: I WAS WORKING THE TWR, COMBINED LOCAL CTL AND GND CTL DUE TO STAFFING AND TFC LEVEL. AIRBORNE TFC LNDG RWY 01. ACR A CALLED GND CTL. I TAXIED HIM TO RWY 33 WITH NO HOLD SHORT OF RWY 01. ACR A REPORTED 'HOLDING SHORT OF RWY 01 FOR LNDG TFC.' CONTRIBUTING FACTORS: COMBINED POS, LIGHT TFC, COM WITH AIRBORNE TFC QUITE A WHILE AGO, DISTR IN TWR (CONVERSATION WITH SUPVR), CONCERN WITH DSP, CONCERN OVER ACFT CONDITION (BIRD STRIKE INBOUND, BLOOD SMEARED NOSE, GND CREW/MAINT INSPECTION UP TO TIME OF TAXI). CORRECTIVE ACTIONS: NONE. PLT SAW ARRIVING ACFT AND HELD SHORT OF RWY. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: RPTR STATED THAT DISTRACTION DUE TO WORK-RELATED CONVERSATION AND WORKING COMBINED POSITIONS CONTRIBUTED TO HIS FAILURE TO ISSUE HOLD SHORT OF RWY 01 INSTRUCTIONS TO ACR A TAXIING FOR RWY 33. ACR A SAW THE ACFT B ON SHORT FINAL FOR RWY 01 AND STOPPED.

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.

Controller fails to issue hold short instructions to taxiing traffic and a runway incursion and conflict nearly result.