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37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
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| Attributes | |
| ACN | 815138 |
| Time | |
| Date | 200812 |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | airport : mem.airport |
| State Reference | TN |
| Altitude | msl single value : 4000 |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | tracon : mem.tracon tower : cle.tower |
| Operator | common carrier : air carrier |
| Make Model Name | A310 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | descent : approach |
| Route In Use | arrival : on vectors |
| Flight Plan | IFR |
| Aircraft 2 | |
| Controlling Facilities | tracon : mem.tracon |
| Operator | common carrier : air carrier |
| Make Model Name | CRJ 900 (all) Canadair Regional Jet 900 |
| Operating Under FAR Part | Part 121 |
| Flight Phase | descent : approach |
| Route In Use | arrival : on vectors |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | government : faa |
| Function | controller : approach |
| Qualification | controller : non radar controller : radar |
| Experience | controller non radar : 6.5 controller radar : 13.10 controller time certified in position1 : 5.6 |
| ASRS Report | 815138 |
| Events | |
| Anomaly | conflict : airborne less severe non adherence : required legal separation |
| Independent Detector | other controllera |
| Resolutory Action | controller : issued new clearance flight crew : took evasive action |
| Consequence | faa : investigated |
| Miss Distance | horizontal : 12500 vertical : 300 |
| Supplementary | |
| Problem Areas | ATC Human Performance |
| Primary Problem | ATC Human Performance |
| Air Traffic Incident | Operational Error |
Narrative:
I was working both parallel finals combined. An A310 checked in on the right downwind for runway 36R; and I descended them to 3;000 ft. A CRJ9 checked in on a right base for runway 36R; and I descended them to 4;000 ft. A DC10 reported a 'slat handle' problem and broke off final for runway 36R. I went back to verify that the A310 had checked in. Obviously they had. I instructed them to slow to 210 KTS at 6;000 ft. I thought I had stopped them at 5;000 ft for their descent. I took care of some other aircraft (I was working 8 aircraft; including an aircraft with a known problem; and watching a pointout). When I looked back at the A310 they were descending out of 4;800 ft for 4;700 ft. At the same time a fellow controller asked me if those two were ok. I immediately turned the A310 to a 270 degree heading. I turned the CRJ9 to a 240 degree heading and descended them to 3;000 ft. I pointed out traffic to the CRJ9 twice; but the first time I issued 10 o'clock rather than 2 o'clock. My fellow controller advised me of this. With the second and correct traffic call; the CRJ9 reported the traffic in sight; and I instructed them to maintain visual separation; but not before standard separation was lost. I have been working steady 6 day work weeks for some time. I believe that these work weeks have taken a toll and I felt mentally exhausted. I believe this could be a factor in me not making the correct traffic call the first time and my false belief that I had stopped the A310 at 5;000 ft when I hadn't.
Original NASA ASRS Text
Title: MEM Controller experienced operational error when assuming an altitude assignment had been accomplished; but in fact had not; resulting in the conflict.
Narrative: I was working both parallel finals combined. An A310 checked in on the right downwind for Runway 36R; and I descended them to 3;000 FT. A CRJ9 checked in on a right base for Runway 36R; and I descended them to 4;000 FT. A DC10 reported a 'slat handle' problem and broke off final for Runway 36R. I went back to verify that the A310 had checked in. Obviously they had. I instructed them to slow to 210 KTS at 6;000 FT. I thought I had stopped them at 5;000 FT for their descent. I took care of some other aircraft (I was working 8 aircraft; including an aircraft with a known problem; and watching a pointout). When I looked back at the A310 they were descending out of 4;800 FT for 4;700 FT. At the same time a fellow Controller asked me if those two were OK. I immediately turned the A310 to a 270 degree heading. I turned the CRJ9 to a 240 degree heading and descended them to 3;000 FT. I pointed out traffic to the CRJ9 twice; but the first time I issued 10 o'clock rather than 2 o'clock. My fellow Controller advised me of this. With the second and correct traffic call; the CRJ9 reported the traffic in sight; and I instructed them to maintain visual separation; but not before standard separation was lost. I have been working steady 6 day work weeks for some time. I believe that these work weeks have taken a toll and I felt mentally exhausted. I believe this could be a factor in me not making the correct traffic call the first time and my false belief that I had stopped the A310 at 5;000 FT when I hadn't.
Data retrieved from NASA's ASRS site as of May 2009 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.