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|
Attributes | |
ACN | 201318 |
Time | |
Date | 199202 |
Day | Mon |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : sav |
State Reference | GA |
Altitude | msl bound lower : 29000 msl bound upper : 31000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zjx |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other |
Flight Phase | descent other |
Route In Use | enroute : direct |
Flight Plan | IFR |
Aircraft 2 | |
Operator | general aviation : corporate |
Make Model Name | Small Transport, Low Wing, 2 Turboprop 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 : 1 |
ASRS Report | 201318 |
Person 2 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : radar |
Experience | controller military : 4 controller non radar : 3 controller radar : 33 |
ASRS Report | 200625 |
Events | |
Anomaly | non adherence : published procedure non adherence : required legal separation |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance other |
Consequence | Other |
Miss Distance | horizontal : 18000 vertical : 1400 |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error |
Narrative:
Air carrier X checked in level at FL310. Traffic was light. Air carrier X landing jax international was issued clearance to cross 50 north of ssi at FL240. He stayed at FL310 for about 2 mins, then started his descent into the face of an small transport Y at FL290. A relief briefing had started and the relieving controller questioned the 2 aircraft and issued clrncs to insure separation but if had already been lost. Complacency is why this error occurred. Supplemental information from acn 200625: as I was relieving the radar controller, I question him on the restriction and realized that he had overlooked the small transport. I then told the air carrier to maintain FL310. The next radar hit show him descending, so I gave the acfts turns to increase separation, but was too late to avoid an incident.
Original NASA ASRS Text
Title: CTLR DSNDED AN ACR THROUGH AN OCCUPIED ALT RESULTING IN LTSS.
Narrative: ACR X CHKED IN LEVEL AT FL310. TFC WAS LIGHT. ACR X LNDG JAX INTL WAS ISSUED CLRNC TO CROSS 50 N OF SSI AT FL240. HE STAYED AT FL310 FOR ABOUT 2 MINS, THEN STARTED HIS DSCNT INTO THE FACE OF AN SMT Y AT FL290. A RELIEF BRIEFING HAD STARTED AND THE RELIEVING CTLR QUESTIONED THE 2 ACFT AND ISSUED CLRNCS TO INSURE SEPARATION BUT IF HAD ALREADY BEEN LOST. COMPLACENCY IS WHY THIS ERROR OCCURRED. SUPPLEMENTAL INFO FROM ACN 200625: AS I WAS RELIEVING THE RADAR CTLR, I QUESTION HIM ON THE RESTRICTION AND REALIZED THAT HE HAD OVERLOOKED THE SMT. I THEN TOLD THE AIR CARRIER TO MAINTAIN FL310. THE NEXT RADAR HIT SHOW HIM DSNDING, SO I GAVE THE ACFTS TURNS TO INCREASE SEPARATION, BUT WAS TOO LATE TO AVOID AN INCIDENT.
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.