![]() |
37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
| Attributes | |
| ACN | 94648 |
| Time | |
| Date | 198809 |
| Day | Mon |
| Local Time Of Day | 0601 To 1200 |
| Place | |
| Locale Reference | atc facility : dqo airport : dov |
| State Reference | DE |
| Altitude | msl bound lower : 5500 msl bound upper : 6000 |
| Environment | |
| Flight Conditions | VMC |
| Light | Daylight |
| Aircraft 1 | |
| Controlling Facilities | tracon : phl |
| Operator | general aviation : personal |
| Make Model Name | Small Aircraft, Low Wing, 1 Eng, Fixed Gear |
| Flight Phase | cruise other |
| Route In Use | enroute airway : v29 |
| Flight Plan | IFR |
| Aircraft 2 | |
| Operator | other |
| Make Model Name | Military Transport |
| Flight Phase | climbout : intermediate altitude |
| Flight Plan | IFR |
| Person 1 | |
| Affiliation | government : faa |
| Function | controller : approach |
| Qualification | controller : developmental |
| ASRS Report | 94648 |
| Person 2 | |
| Affiliation | government : faa |
| Function | controller : approach |
| Qualification | controller : radar |
| Events | |
| Anomaly | conflict : airborne less severe non adherence : required legal separation other anomaly other |
| Independent Detector | other controllera |
| Resolutory Action | none taken : insufficient time |
| Consequence | faa : investigated |
| Miss Distance | horizontal : 9000 vertical : 500 |
| Supplementary | |
| Primary Problem | ATC Human Performance |
| Air Traffic Incident | Operational Error |
Narrative:
As a developmental approach controller, I was training on the dupont low sector at phl approach. I was working several IFR aircraft inbound to ilg for the ILS runway 1 approach. I was also working small aircraft X southbound on V29 from dqo to eno at 6000'. I initiated an ARTS handoff to dov approach on small aircraft X, and they accepted it. I then instructed X to contact dov approach, and the pilot acknowledged. A few moments later dov approach called on the landline with 2 handoffs, mlt Y at 5000', and also an small transport at 5000'. I had radar contact on both aircraft and accepted both handoffs. While I was accepting the handoff on mlt Y I remember looking at small aircraft X target on my scope and reconfirming the fact that he was at 6000'. When Y called, I climbed him to 6000' (opp direction to X), forgetting all about X, whom I was aware of only seconds before. When I observed mlt Y's altitude, and realized he was climbing out of 5200', I suddenly remembered small aircraft X and realized my error. I instructed Y to turn away from the traffic and descend immediately to 5000', which he did. But by then, IFR sep had already been lost. I don't know why I forgot about aircraft X only seconds after I reconfirmed his position and altitude in my mind while accepting the handoff on mlt Y. Apparently I was more concerned with my ilg arrival traffic, feeling that my time spent coordinating with dov approach on the landline had put me behind. My forgetting about aircraft X and failure to scan the area surrounding mlt Y properly before issuing the climb instruction were the causes of this system error.
Original NASA ASRS Text
Title: LESS THAN STANDARD SEPARATION BETWEEN SMA AND MIL TRANSPORT. OPERATIONAL ERROR.
Narrative: AS A DEVELOPMENTAL APCH CTLR, I WAS TRNING ON THE DUPONT LOW SECTOR AT PHL APCH. I WAS WORKING SEVERAL IFR ACFT INBND TO ILG FOR THE ILS RWY 1 APCH. I WAS ALSO WORKING SMA X SBND ON V29 FROM DQO TO ENO AT 6000'. I INITIATED AN ARTS HDOF TO DOV APCH ON SMA X, AND THEY ACCEPTED IT. I THEN INSTRUCTED X TO CONTACT DOV APCH, AND THE PLT ACKNOWLEDGED. A FEW MOMENTS LATER DOV APCH CALLED ON THE LANDLINE WITH 2 HDOFS, MLT Y AT 5000', AND ALSO AN SMT AT 5000'. I HAD RADAR CONTACT ON BOTH ACFT AND ACCEPTED BOTH HDOFS. WHILE I WAS ACCEPTING THE HDOF ON MLT Y I REMEMBER LOOKING AT SMA X TARGET ON MY SCOPE AND RECONFIRMING THE FACT THAT HE WAS AT 6000'. WHEN Y CALLED, I CLBED HIM TO 6000' (OPP DIRECTION TO X), FORGETTING ALL ABOUT X, WHOM I WAS AWARE OF ONLY SECS BEFORE. WHEN I OBSERVED MLT Y'S ALT, AND REALIZED HE WAS CLBING OUT OF 5200', I SUDDENLY REMEMBERED SMA X AND REALIZED MY ERROR. I INSTRUCTED Y TO TURN AWAY FROM THE TFC AND DSND IMMEDIATELY TO 5000', WHICH HE DID. BUT BY THEN, IFR SEP HAD ALREADY BEEN LOST. I DON'T KNOW WHY I FORGOT ABOUT ACFT X ONLY SECS AFTER I RECONFIRMED HIS POS AND ALT IN MY MIND WHILE ACCEPTING THE HDOF ON MLT Y. APPARENTLY I WAS MORE CONCERNED WITH MY ILG ARR TFC, FEELING THAT MY TIME SPENT COORDINATING WITH DOV APCH ON THE LANDLINE HAD PUT ME BEHIND. MY FORGETTING ABOUT ACFT X AND FAILURE TO SCAN THE AREA SURROUNDING MLT Y PROPERLY BEFORE ISSUING THE CLB INSTRUCTION WERE THE CAUSES OF THIS SYS ERROR.
Data retrieved from NASA's ASRS site as of August 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.