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|
Attributes | |
ACN | 154569 |
Time | |
Date | 199008 |
Day | Mon |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : gsh |
State Reference | IN |
Altitude | msl bound lower : 9000 msl bound upper : 9000 |
Environment | |
Flight Conditions | VMC |
Light | Dusk |
Aircraft 1 | |
Controlling Facilities | artcc : zau |
Operator | common carrier : air carrier |
Make Model Name | Light Transport, Low Wing, 2 Turboprop Eng |
Flight Phase | descent other |
Route In Use | enroute : direct |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | Light Transport, Low Wing, 2 Turboprop Eng |
Flight Phase | cruise other |
Route In Use | enroute : direct |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : radar controller : developmental |
Experience | controller military : 6 controller non radar : 2 controller radar : 1 |
ASRS Report | 154569 |
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 |
Independent Detector | other controllera |
Resolutory Action | none taken : anomaly accepted |
Consequence | faa : investigated |
Miss Distance | horizontal : 24000 vertical : 500 |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error |
Narrative:
Air carrier Y at 9000' sebnd and ar X westbound descending to 10000'. Air carrier X westbound was required by SOP to be descended to 9000' (propeller landing ord). I watched the 2 aircraft pass each other. I then took care of some other business (i.e., frequency changes, sequencing for mdw) and felt that a considerable amount of time had passed by the time I returned to these 2 aircraft. I descended air carrier X to 9000', there being no doubt in my mind that there was 5 mi between them. However, I was still moving the data blocks apart, and after doing so I realized my mistake after it was too late to stop air carrier X descent. There was less than 5 mi. My perception of how much had passed since observing the targets pass, combined with the fact both aircraft were propellers (light transport), and poor controller technique (descending the aircraft while separating data blocks) combined to cause this error.
Original NASA ASRS Text
Title: ACR X HAD LESS THAN STANDARD SEPARATION FROM ACR Y. SYSTEM ERROR.
Narrative: ACR Y AT 9000' SEBND AND AR X WBND DSNDING TO 10000'. ACR X WBND WAS REQUIRED BY SOP TO BE DSNDED TO 9000' (PROP LNDG ORD). I WATCHED THE 2 ACFT PASS EACH OTHER. I THEN TOOK CARE OF SOME OTHER BUSINESS (I.E., FREQ CHANGES, SEQUENCING FOR MDW) AND FELT THAT A CONSIDERABLE AMOUNT OF TIME HAD PASSED BY THE TIME I RETURNED TO THESE 2 ACFT. I DSNDED ACR X TO 9000', THERE BEING NO DOUBT IN MY MIND THAT THERE WAS 5 MI BTWN THEM. HOWEVER, I WAS STILL MOVING THE DATA BLOCKS APART, AND AFTER DOING SO I REALIZED MY MISTAKE AFTER IT WAS TOO LATE TO STOP ACR X DSNT. THERE WAS LESS THAN 5 MI. MY PERCEPTION OF HOW MUCH HAD PASSED SINCE OBSERVING THE TARGETS PASS, COMBINED WITH THE FACT BOTH ACFT WERE PROPS (LTT), AND POOR CTLR TECHNIQUE (DSNDING THE ACFT WHILE SEPARATING DATA BLOCKS) COMBINED TO CAUSE THIS ERROR.
Data retrieved from NASA's ASRS site as of July 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.