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|
Attributes | |
ACN | 179277 |
Time | |
Date | 199105 |
Day | Thu |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : hto |
State Reference | NY |
Altitude | msl bound lower : 19500 msl bound upper : 19500 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zbw |
Operator | common carrier : air carrier |
Make Model Name | Widebody, Low Wing, 4 Turbojet Eng |
Navigation In Use | Other |
Flight Phase | descent other |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Flight Phase | descent other |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : radar |
ASRS Report | 179277 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | conflict : airborne less severe non adherence : clearance non adherence : published procedure non adherence : required legal separation |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance other |
Consequence | faa : investigated |
Miss Distance | horizontal : 24000 vertical : 0 |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error |
Narrative:
I was working a combined sector (32, 33). I issued air carrier X a crossing restriction, from FL220 to cross an intersection at 110 at 250 KTS. In the next few seconds I observed air carrier Y at FL200 on a converging course with air carrier X. Air carrier Y was also an arrival aircraft. I issued air carrier X a clearance to maintain FL210. I then received a handoff on air carrier Y. I approved air carrier Y descending to 11000 through my airspace. Shortly I observed air carrier X descending through FL200. I issued him headings to try to maintain separation standards, however, the 2 aircraft were within 5 mi. Apparently, when I issued air carrier X FL210, the pilot was making a transmission at the same time, therefore never received the clearance. The only way to avoid these types of errors is to make sure you (the controller) hear exactly what the pilots read back after a clearance to be sure the aircraft will comply with clrncs.
Original NASA ASRS Text
Title: ACR X HAD LTSS FROM ACR Y. SYS ERROR.
Narrative: I WAS WORKING A COMBINED SECTOR (32, 33). I ISSUED ACR X A XING RESTRICTION, FROM FL220 TO CROSS AN INTXN AT 110 AT 250 KTS. IN THE NEXT FEW SECONDS I OBSERVED ACR Y AT FL200 ON A CONVERGING COURSE WITH ACR X. ACR Y WAS ALSO AN ARR ACFT. I ISSUED ACR X A CLRNC TO MAINTAIN FL210. I THEN RECEIVED A HDOF ON ACR Y. I APPROVED ACR Y DSNDING TO 11000 THROUGH MY AIRSPACE. SHORTLY I OBSERVED ACR X DSNDING THROUGH FL200. I ISSUED HIM HDGS TO TRY TO MAINTAIN SEPARATION STANDARDS, HOWEVER, THE 2 ACFT WERE WITHIN 5 MI. APPARENTLY, WHEN I ISSUED ACR X FL210, THE PLT WAS MAKING A XMISSION AT THE SAME TIME, THEREFORE NEVER RECEIVED THE CLRNC. THE ONLY WAY TO AVOID THESE TYPES OF ERRORS IS TO MAKE SURE YOU (THE CTLR) HEAR EXACTLY WHAT THE PLTS READ BACK AFTER A CLRNC TO BE SURE THE ACFT WILL COMPLY WITH CLRNCS.
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.