37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 178876 |
Time | |
Date | 199105 |
Day | Fri |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : pxv |
State Reference | IN |
Altitude | msl bound lower : 28000 msl bound upper : 28000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zid tower : cos |
Operator | common carrier : air carrier |
Make Model Name | Large Transport, Low Wing, 3 Turbojet Eng |
Flight Phase | climbout : intermediate altitude |
Route In Use | enroute : direct |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Flight Phase | cruise other |
Route In Use | enroute : direct |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : radar |
Experience | controller radar : 3 |
ASRS Report | 178876 |
Person 2 | |
Affiliation | government : faa |
Function | controller : flight data |
Qualification | controller : radar |
Events | |
Anomaly | conflict : airborne less severe non adherence : clearance non adherence : required legal separation non adherence : published procedure |
Resolutory Action | none taken : detected after the fact |
Consequence | faa : investigated |
Miss Distance | horizontal : 25200 vertical : 40 |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error Intra Facility Coordination Failure |
Narrative:
Air carrier X called on climbing to FL270. Air carrier Y was out FL350 descending to FL280. When air carrier X called, I suggested FL280 for a final. He said, 'roger, FL280'. My radar associate questioned the readback so I asked air carrier X to verify his assigned altitude. He said 'FL279' then it was garbled, 'FL280'. I thought he said 'FL270 to expect FL280'. The radar associate heard what the pilot actually said, which was, 'FL270, then you gave us FL280'. He sat there and watched as the operational error occurred.
Original NASA ASRS Text
Title: ACR X HAD LTSS FROM ACR Y. SYS ERROR.
Narrative: ACR X CALLED ON CLBING TO FL270. ACR Y WAS OUT FL350 DSNDING TO FL280. WHEN ACR X CALLED, I SUGGESTED FL280 FOR A FINAL. HE SAID, 'ROGER, FL280'. MY RADAR ASSOCIATE QUESTIONED THE READBACK SO I ASKED ACR X TO VERIFY HIS ASSIGNED ALT. HE SAID 'FL279' THEN IT WAS GARBLED, 'FL280'. I THOUGHT HE SAID 'FL270 TO EXPECT FL280'. THE RADAR ASSOCIATE HEARD WHAT THE PLT ACTUALLY SAID, WHICH WAS, 'FL270, THEN YOU GAVE US FL280'. HE SAT THERE AND WATCHED AS THE OPERATIONAL ERROR OCCURRED.
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.