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|
Attributes | |
ACN | 184998 |
Time | |
Date | 199107 |
Day | Tue |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : ggt |
State Reference | NY |
Altitude | msl bound lower : 26000 msl bound upper : 26000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zbw artcc : zoa |
Operator | general aviation : corporate |
Make Model Name | Small Transport, Low Wing, 2 Turboprop Eng |
Flight Phase | descent other |
Route In Use | enroute : direct |
Flight Plan | IFR |
Aircraft 2 | |
Operator | general aviation : corporate |
Make Model Name | Light Transport, Low Wing, 2 Turbojet Eng |
Flight Phase | descent other |
Route In Use | enroute : direct |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : radar |
Experience | controller radar : 14 |
ASRS Report | 184998 |
Person 2 | |
Affiliation | Other |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : overshoot conflict : airborne less severe non adherence : published procedure non adherence : clearance non adherence : required legal separation |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance other |
Consequence | faa : investigated |
Miss Distance | horizontal : 15000 vertical : 500 |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error Pilot Deviation |
Narrative:
Small transport X was on frequency descending to FL180. Cpr Y, checked on descending to FL280. I observed small transport X leaving FL270, and issued a descent clearance to FL270 to cpr Y. Since small transport X was descending at a slower rate than the traffic above, I amended his descent clearance to include a min rate of descent of at least 1000 FPM until he departed FL260. This clearance was accepted, with a question, by cpr Y, who responded as use of an incomplete (and inconsistent) call sign. The acknowledgement of the clarified instruction was accomplished without a callsign. I noticed cpr Y descending through FL270 and asked him to verify level. When he responded that he was going through FL260, I instructed him to 'stop descent'; this was to preserve any vertical separation that I still had. I then reassigned FL260 to cpr Y and insured that small transport X was under that altitude. I feel that the following factors were contributory to the incident: use of incomplete call signs by the pilot and myself. No call sign used on final amended clearance and acknowledgement. Call sign given out of order during the middle of a readback question. Staffing at the facility was short enough to prevent a radar associate being used.
Original NASA ASRS Text
Title: CPR Y HAD LESS THAN STANDARD SEPARATION DURING DSCNT FROM SMT X. SYS ERROR. CPR Y DSCNT THROUGH ASSIGNED ALT. PLTDEV.
Narrative: SMT X WAS ON FREQ DSNDING TO FL180. CPR Y, CHKED ON DSNDING TO FL280. I OBSERVED SMT X LEAVING FL270, AND ISSUED A DSCNT CLRNC TO FL270 TO CPR Y. SINCE SMT X WAS DSNDING AT A SLOWER RATE THAN THE TFC ABOVE, I AMENDED HIS DSCNT CLRNC TO INCLUDE A MIN RATE OF DSCNT OF AT LEAST 1000 FPM UNTIL HE DEPARTED FL260. THIS CLRNC WAS ACCEPTED, WITH A QUESTION, BY CPR Y, WHO RESPONDED AS USE OF AN INCOMPLETE (AND INCONSISTENT) CALL SIGN. THE ACKNOWLEDGEMENT OF THE CLARIFIED INSTRUCTION WAS ACCOMPLISHED WITHOUT A CALLSIGN. I NOTICED CPR Y DSNDING THROUGH FL270 AND ASKED HIM TO VERIFY LEVEL. WHEN HE RESPONDED THAT HE WAS GOING THROUGH FL260, I INSTRUCTED HIM TO 'STOP DSCNT'; THIS WAS TO PRESERVE ANY VERT SEPARATION THAT I STILL HAD. I THEN REASSIGNED FL260 TO CPR Y AND INSURED THAT SMT X WAS UNDER THAT ALT. I FEEL THAT THE FOLLOWING FACTORS WERE CONTRIBUTORY TO THE INCIDENT: USE OF INCOMPLETE CALL SIGNS BY THE PLT AND MYSELF. NO CALL SIGN USED ON FINAL AMENDED CLRNC AND ACKNOWLEDGEMENT. CALL SIGN GIVEN OUT OF ORDER DURING THE MIDDLE OF A READBACK QUESTION. STAFFING AT THE FACILITY WAS SHORT ENOUGH TO PREVENT A RADAR ASSOCIATE BEING USED.
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.