37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 112496 |
Time | |
Date | 198905 |
Day | Wed |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : lax |
State Reference | CA |
Altitude | msl bound lower : 6000 msl bound upper : 6000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : lax |
Operator | common carrier : air taxi |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Flight Phase | cruise other descent other |
Route In Use | arrival other enroute airway : lax |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air taxi |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Flight Phase | cruise other |
Route In Use | departure other |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : approach |
Qualification | controller : radar |
Experience | controller military : 4 controller non radar : 2 controller radar : 6 |
ASRS Report | 112496 |
Person 2 | |
Affiliation | government : faa |
Function | controller : approach |
Qualification | controller : developmental |
Events | |
Anomaly | conflict : airborne less severe non adherence : clearance non adherence : required legal separation non adherence : published procedure |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance other |
Consequence | faa : investigated |
Miss Distance | horizontal : 7500 vertical : 600 |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error |
Narrative:
Atx X eastbound to lax at 7000' was descended to 6000. Atx Z also eastbound to lax below atx X at 5000'. Atx Y departed lax wbound climbing to 6000'. OJT training in effect. I pointed out conflict to developmental who then turned atx Z swbound out of the way of atx X. Atx Y answered the call for company atx Y. I missed the inherent readback. I noticed that the turn hadn't had the desired result when the aircraft were approximately 5 mi apart. I then overrode the developmental and instructed atx Y to turn left heading 180 degree 'now'. I also turned atx X nebnd. The aircraft passed about 1 1/2 mi from each other and 600' vertically. I believe this error could have been prevented by careful attention to readbacks. I also feel that during training I must not allow the developmental to let a situation go to the point where only an emergency override transmission will prevent a loss of separation. To the extent possible, it also would be nice if more could be done to minimize similar sounding call signs among the carriers.
Original NASA ASRS Text
Title: LESS THAN STANDARD SEPARATION OCCURRED. SYSTEM ERROR.
Narrative: ATX X EBND TO LAX AT 7000' WAS DESCENDED TO 6000. ATX Z ALSO EBND TO LAX BELOW ATX X AT 5000'. ATX Y DEPARTED LAX WBOUND CLIMBING TO 6000'. OJT TRAINING IN EFFECT. I POINTED OUT CONFLICT TO DEVELOPMENTAL WHO THEN TURNED ATX Z SWBOUND OUT OF THE WAY OF ATX X. ATX Y ANSWERED THE CALL FOR COMPANY ATX Y. I MISSED THE INHERENT READBACK. I NOTICED THAT THE TURN HADN'T HAD THE DESIRED RESULT WHEN THE ACFT WERE APPROX 5 MI APART. I THEN OVERRODE THE DEVELOPMENTAL AND INSTRUCTED ATX Y TO TURN LEFT HDG 180 DEG 'NOW'. I ALSO TURNED ATX X NEBND. THE ACFT PASSED ABOUT 1 1/2 MI FROM EACH OTHER AND 600' VERTICALLY. I BELIEVE THIS ERROR COULD HAVE BEEN PREVENTED BY CAREFUL ATTN TO READBACKS. I ALSO FEEL THAT DURING TRAINING I MUST NOT ALLOW THE DEVELOPMENTAL TO LET A SITUATION GO TO THE POINT WHERE ONLY AN EMER OVERRIDE XMISSION WILL PREVENT A LOSS OF SEPARATION. TO THE EXTENT POSSIBLE, IT ALSO WOULD BE NICE IF MORE COULD BE DONE TO MINIMIZE SIMILAR SOUNDING CALL SIGNS AMONG THE CARRIERS.
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.