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|
Attributes | |
ACN | 187169 |
Time | |
Date | 199108 |
Day | Wed |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : orf |
State Reference | FL |
Altitude | msl bound lower : 33000 msl bound upper : 33000 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zdc |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Flight Phase | climbout : intermediate altitude |
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 | cruise other |
Route In Use | enroute : direct |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : radar |
Experience | controller radar : 2 |
ASRS Report | 187169 |
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 | controller : issued new clearance other |
Consequence | faa : investigated |
Miss Distance | horizontal : 18000 vertical : 1000 |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error |
Narrative:
Air carrier X filed sby J209 orf J121./. At FL310, requested FL350 20 south of sby to get out of moderate chop. Air carrier X turned 20 left for northbound traffic and climbed to FL350. Handoff taken on air carrier Y at FL330 filed J121 orf J209 sby J79./. Reclred air carrier X to a 230 heading from approximately 35 northeast of orf to stay east of air carrier Y on J121 south of orf. Went to another control situation. Returned to this situation. Air carrier Y was 5 southwest of orf. Air carrier X approximately 15 northeast of orf. Ran leaders out to ensure heading was enough. Went to another control situation. Return to this situation. Air carrier Y was 3 northeast of orf and did not appear to have turned toward sby should have been a 020 heading. Air carrier X appeared to be on a track direct orf and not on a 230 heading. Air carrier X was turned to a 180 and air carrier Y was turned to a 330 heading. Aircraft passed with less than minimal separation. Contributing factors were fla traffic were rerted inland due to a missile launch. Other aircraft were rted through the sector due to WX avoidance, which changed the general flow and complexity of the traffic continuous light to moderate chop throughout sector, which added workload to assist pilot's requests for altitude changes and flight information. Sby VOR was notamed out at the time but aircraft were still using it. They were picking up the azimuth only. Alternate procedures were not being applied.
Original NASA ASRS Text
Title: ACR X HAS LTSS FROM ACR Y. SYS ERROR.
Narrative: ACR X FILED SBY J209 ORF J121./. AT FL310, REQUESTED FL350 20 S OF SBY TO GET OUT OF MODERATE CHOP. ACR X TURNED 20 L FOR NBOUND TFC AND CLBED TO FL350. HDOF TAKEN ON ACR Y AT FL330 FILED J121 ORF J209 SBY J79./. RECLRED ACR X TO A 230 HDG FROM APPROX 35 NE OF ORF TO STAY E OF ACR Y ON J121 S OF ORF. WENT TO ANOTHER CTL SITUATION. RETURNED TO THIS SITUATION. ACR Y WAS 5 SW OF ORF. ACR X APPROX 15 NE OF ORF. RAN LEADERS OUT TO ENSURE HDG WAS ENOUGH. WENT TO ANOTHER CTL SITUATION. RETURN TO THIS SITUATION. ACR Y WAS 3 NE OF ORF AND DID NOT APPEAR TO HAVE TURNED TOWARD SBY SHOULD HAVE BEEN A 020 HDG. ACR X APPEARED TO BE ON A TRACK DIRECT ORF AND NOT ON A 230 HDG. ACR X WAS TURNED TO A 180 AND ACR Y WAS TURNED TO A 330 HDG. ACFT PASSED WITH LESS THAN MINIMAL SEPARATION. CONTRIBUTING FACTORS WERE FLA TFC WERE RERTED INLAND DUE TO A MISSILE LAUNCH. OTHER ACFT WERE RTED THROUGH THE SECTOR DUE TO WX AVOIDANCE, WHICH CHANGED THE GENERAL FLOW AND COMPLEXITY OF THE TFC CONTINUOUS LIGHT TO MODERATE CHOP THROUGHOUT SECTOR, WHICH ADDED WORKLOAD TO ASSIST PLT'S REQUESTS FOR ALT CHANGES AND FLT INFO. SBY VOR WAS NOTAMED OUT AT THE TIME BUT ACFT WERE STILL USING IT. THEY WERE PICKING UP THE AZIMUTH ONLY. ALTERNATE PROCS WERE NOT BEING APPLIED.
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.