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|
Attributes | |
ACN | 173848 |
Time | |
Date | 199103 |
Day | Fri |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : pvd |
State Reference | RI |
Altitude | msl bound lower : 10000 msl bound upper : 11000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zbw tracon : pvd |
Operator | common carrier : air carrier |
Make Model Name | Large Transport, Low Wing, 3 Turbojet Eng |
Flight Phase | cruise other descent other |
Route In Use | enroute : direct |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport |
Flight Phase | cruise other descent other |
Route In Use | enroute : direct |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : radar |
Experience | controller radar : 7 |
ASRS Report | 173848 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : undershoot other anomaly other other anomaly other |
Independent Detector | other controllera |
Resolutory Action | none taken : detected after the fact other other |
Consequence | faa : investigated |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Inter Facility Coordination Failure Operational Deviation |
Narrative:
2 aircraft on frequency at ZBW pvd sector 34. Cleared air carrier X to cross pvd at 11000' and 250 KTS. Pilot read back 10000' and was corrected. The pilot of air carrier X then proceeded to play trivial pursuit, and asked some question. The second aircraft (air carrier Y) was then cleared to cross pvd at 11000' and 250 KTS. He read back 10000' and was not caught by controller. Aircraft descended to 10000' and was pointed out to ocean approach. Had air carrier X not disrupted the sector with this game, the faulty readback would have been caught. Callback conversation with reporter revealed the following: reporter says FAA did process as operational deviation. Tapes reveal that he clearly said, '1-1-thousand' to both air carrier. Both read back '10-thousand,' and he only caught the error on the first aircraft. I suggested that perhaps he might try giving those altitudes in both digital and group form. He said that since the incident, the facility has started a test program which requires all controllers to state those 2 altitudes in both digital and group form. I asked reporter to advise me later as to test results and he said he would do so.
Original NASA ASRS Text
Title: UNCOORD PENETRATION OF AIRSPACE. OPERATIONAL DEVIATION. ALT ASSIGNMENT PROBLEM.
Narrative: 2 ACFT ON FREQ AT ZBW PVD SECTOR 34. CLRED ACR X TO CROSS PVD AT 11000' AND 250 KTS. PLT READ BACK 10000' AND WAS CORRECTED. THE PLT OF ACR X THEN PROCEEDED TO PLAY TRIVIAL PURSUIT, AND ASKED SOME QUESTION. THE SECOND ACFT (ACR Y) WAS THEN CLRED TO CROSS PVD AT 11000' AND 250 KTS. HE READ BACK 10000' AND WAS NOT CAUGHT BY CTLR. ACFT DSNDED TO 10000' AND WAS POINTED OUT TO OCEAN APCH. HAD ACR X NOT DISRUPTED THE SECTOR WITH THIS GAME, THE FAULTY READBACK WOULD HAVE BEEN CAUGHT. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING: RPTR SAYS FAA DID PROCESS AS OPERATIONAL DEVIATION. TAPES REVEAL THAT HE CLEARLY SAID, '1-1-THOUSAND' TO BOTH ACR. BOTH READ BACK '10-THOUSAND,' AND HE ONLY CAUGHT THE ERROR ON THE FIRST ACFT. I SUGGESTED THAT PERHAPS HE MIGHT TRY GIVING THOSE ALTS IN BOTH DIGITAL AND GROUP FORM. HE SAID THAT SINCE THE INCIDENT, THE FAC HAS STARTED A TEST PROGRAM WHICH REQUIRES ALL CTLRS TO STATE THOSE 2 ALTS IN BOTH DIGITAL AND GROUP FORM. I ASKED RPTR TO ADVISE ME LATER AS TO TEST RESULTS AND HE SAID HE WOULD DO SO.
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.