37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 106618 |
Time | |
Date | 198903 |
Day | Mon |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : tpa |
State Reference | FL |
Altitude | msl bound lower : 10000 msl bound upper : 11000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Large Transport, Low Wing, 3 Turbojet Eng |
Flight Phase | descent other |
Route In Use | enroute : direct enroute airway : zma |
Flight Plan | IFR |
Aircraft 2 | |
Operator | general aviation : corporate |
Make Model Name | Small Transport, Low Wing, 2 Turboprop Eng |
Flight Phase | cruise other |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : radar |
ASRS Report | 106618 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | conflict : airborne less severe non adherence : published procedure non adherence : required legal separation other anomaly other |
Independent Detector | atc equipment other atc equipment : unspecified other controllera |
Resolutory Action | controller : issued new clearance |
Consequence | faa : investigated |
Miss Distance | horizontal : 12000 vertical : 600 |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error |
Narrative:
Large transport was in holding and had been reclred to tpa and descended to 11000'. Pilot read back 10000', but controller missed readback. When controller observed that the large transport was descending through 11000' it took 3 calls to the aircraft to stop the descent due to other aircraft keying the frequency to check in. At the time of the initial clearance there was no other noise on the tape recording that would indicate that the large transport had received a garbled clearance. Neither was the pilot's readback garbled. Both parties involved heard what they wanted to hear. We all need to listen better.
Original NASA ASRS Text
Title: LGT DESCENDED BELOW ASSIGNED ALT DUE TO CTLR HEARBACK ERROR. LESS THAN STANDARD SEPARATION RESULTED WITH AN SMT AT LOWER ALT.
Narrative: LGT WAS IN HOLDING AND HAD BEEN RECLRED TO TPA AND DSNDED TO 11000'. PLT READ BACK 10000', BUT CTLR MISSED READBACK. WHEN CTLR OBSERVED THAT THE LGT WAS DSNDING THROUGH 11000' IT TOOK 3 CALLS TO THE ACFT TO STOP THE DSCNT DUE TO OTHER ACFT KEYING THE FREQ TO CHK IN. AT THE TIME OF THE INITIAL CLRNC THERE WAS NO OTHER NOISE ON THE TAPE RECORDING THAT WOULD INDICATE THAT THE LGT HAD RECEIVED A GARBLED CLRNC. NEITHER WAS THE PLT'S READBACK GARBLED. BOTH PARTIES INVOLVED HEARD WHAT THEY WANTED TO HEAR. WE ALL NEED TO LISTEN BETTER.
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.