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|
Attributes | |
ACN | 107914 |
Time | |
Date | 198904 |
Day | Mon |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : bos |
State Reference | MA |
Altitude | msl bound lower : 4700 msl bound upper : 5000 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : bos artcc : zkc |
Operator | common carrier : air carrier |
Make Model Name | Small Transport, Low Wing, 2 Turboprop Eng |
Flight Phase | climbout : intermediate altitude |
Route In Use | departure other |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air taxi |
Make Model Name | Light Transport, High Wing, 2 Turboprop Eng |
Flight Phase | cruise other |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : departure |
Qualification | controller : radar |
ASRS Report | 107914 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : overshoot conflict : airborne less severe non adherence : clearance non adherence : required legal separation |
Independent Detector | other controllera other flight crewa |
Resolutory Action | flight crew : returned to intended course or assigned course other |
Consequence | Other |
Miss Distance | horizontal : 9000 vertical : 300 |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
I was working the initial departure position at bos approach. Small transport departed runway 27 heading 250 degrees. I issued a climb to 4000' MSL and issued crossing traffic at 10 O'clock, 3 mi, northeast bound at 5000', an light transport. The pilot said he was IMC and would not see the traffic. I said, 'roger, contact bos departure on 127.2.' he acknowledged. The next thing I saw (about 1 or 2 mins later) was his altitude readout indicating 4700'. As I went to warn the lincoln sector controller I heard him issuing avoidance vectors to the light transport. They passed within 300' and 1 1/2 mi (approximately). I then observed the small transport altitude descend rapidly to 4000'. I later asked the other controller if he had issued the descent. He said he had not. This would indicate that the pilot realized his error and corrected his altitude. It should be noted that bos approach had undergone a major airspace reorganization only 3 days earlier, which included changes in frequency and altitude assignments.
Original NASA ASRS Text
Title: ACFT OVERSHOT ASSIGNED ALT AND CAME IN CLOSE PROX TO AN IFR ACFT ABOVE HIM.
Narrative: I WAS WORKING THE INITIAL DEP POS AT BOS APCH. SMT DEPARTED RWY 27 HDG 250 DEGS. I ISSUED A CLB TO 4000' MSL AND ISSUED XING TFC AT 10 O'CLOCK, 3 MI, NE BOUND AT 5000', AN LTT. THE PLT SAID HE WAS IMC AND WOULD NOT SEE THE TFC. I SAID, 'ROGER, CONTACT BOS DEP ON 127.2.' HE ACKNOWLEDGED. THE NEXT THING I SAW (ABOUT 1 OR 2 MINS LATER) WAS HIS ALT READOUT INDICATING 4700'. AS I WENT TO WARN THE LINCOLN SECTOR CTLR I HEARD HIM ISSUING AVOIDANCE VECTORS TO THE LTT. THEY PASSED WITHIN 300' AND 1 1/2 MI (APPROX). I THEN OBSERVED THE SMT ALT DSND RAPIDLY TO 4000'. I LATER ASKED THE OTHER CTLR IF HE HAD ISSUED THE DSCNT. HE SAID HE HAD NOT. THIS WOULD INDICATE THAT THE PLT REALIZED HIS ERROR AND CORRECTED HIS ALT. IT SHOULD BE NOTED THAT BOS APCH HAD UNDERGONE A MAJOR AIRSPACE REORGANIZATION ONLY 3 DAYS EARLIER, WHICH INCLUDED CHANGES IN FREQ AND ALT ASSIGNMENTS.
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.