37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 222930 |
Time | |
Date | 199210 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : sel |
State Reference | FO |
Altitude | msl bound lower : 8000 msl bound upper : 9000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : sel |
Operator | common carrier : air carrier |
Make Model Name | Widebody, Low Wing, 4 Turbojet Eng |
Navigation In Use | Other Other |
Flight Phase | descent other |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | Widebody, Low Wing, 3 Turbojet Eng |
Navigation In Use | Other |
Flight Phase | descent other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : commercial pilot : instrument pilot : atp |
Experience | flight time last 90 days : 180 flight time total : 19228 flight time type : 1609 |
ASRS Report | 222930 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp pilot : commercial pilot : instrument |
Events | |
Anomaly | conflict : airborne less severe non adherence : required legal separation other anomaly other |
Independent Detector | atc equipment other atc equipment : unspecified other controllera other flight crewa |
Resolutory Action | controller : issued new clearance flight crew : took evasive action other |
Consequence | other |
Miss Distance | horizontal : 1500 vertical : 1000 |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error |
Narrative:
I was at the controls of flight number, departing SL NDB on an assigned heading of 290 degrees with a clearance to descend to 8000 ft. Air carrier flight number, a widebody transport, was approximately 1/2-1 mi ahead of us maintaining 8000 ft. Out speed at this point was greater than the widebody transport and the distance between us was closing at a steady rate. At this point the controller apparently saw what was happening and attempted to rectify his mistake. I can only assume that he panicked and began to think in a strictly 1 dimensional manner, as his only attempt to keep our 2 aircraft separated was by repeated calls for 1 of the aircraft to 'reduce to min speed.' unfortunately, he was instructing the wrong aircraft (number), which was the lead aircraft) to make the speed reduction. Fortunately, the WX was clear and I had the widebody transport in sight. I maintained visual separation by leveling off at 9000 ft. The controller continued to call for an airspeed reduction by flight number (his voice becoming higher and more out of control with each ensuing call) until he was relieved (I am assuming that it was not merely a fortuitous change of shift) by a calmer sounding controller who proceeded to sort the situation out with a combination of vectors and speed assignments. The flight was normal from this point on. Had we been in IFR conditions and not had the widebody transport in sight, I would estimate that there was at least a 90 percent probability that a midair collision would have ensued.
Original NASA ASRS Text
Title: ATC APCH CTLR DID NOT ISSUE APPROPRIATE INSTRUCTIONS FOR A RESOLUTION TO AN OVERTAKING ACFT RESULTING IN LTSS DURING AN APCH VECTOR.
Narrative: I WAS AT THE CTLS OF FLT NUMBER, DEPARTING SL NDB ON AN ASSIGNED HDG OF 290 DEGS WITH A CLRNC TO DSND TO 8000 FT. ACR FLT NUMBER, A WDB, WAS APPROX 1/2-1 MI AHEAD OF US MAINTAINING 8000 FT. OUT SPD AT THIS POINT WAS GREATER THAN THE WDB AND THE DISTANCE BTWN US WAS CLOSING AT A STEADY RATE. AT THIS POINT THE CTLR APPARENTLY SAW WHAT WAS HAPPENING AND ATTEMPTED TO RECTIFY HIS MISTAKE. I CAN ONLY ASSUME THAT HE PANICKED AND BEGAN TO THINK IN A STRICTLY 1 DIMENSIONAL MANNER, AS HIS ONLY ATTEMPT TO KEEP OUR 2 ACFT SEPARATED WAS BY REPEATED CALLS FOR 1 OF THE ACFT TO 'REDUCE TO MIN SPD.' UNFORTUNATELY, HE WAS INSTRUCTING THE WRONG ACFT (NUMBER), WHICH WAS THE LEAD ACFT) TO MAKE THE SPD REDUCTION. FORTUNATELY, THE WX WAS CLR AND I HAD THE WDB IN SIGHT. I MAINTAINED VISUAL SEPARATION BY LEVELING OFF AT 9000 FT. THE CTLR CONTINUED TO CALL FOR AN AIRSPD REDUCTION BY FLT NUMBER (HIS VOICE BECOMING HIGHER AND MORE OUT OF CTL WITH EACH ENSUING CALL) UNTIL HE WAS RELIEVED (I AM ASSUMING THAT IT WAS NOT MERELY A FORTUITOUS CHANGE OF SHIFT) BY A CALMER SOUNDING CTLR WHO PROCEEDED TO SORT THE SITUATION OUT WITH A COMBINATION OF VECTORS AND SPD ASSIGNMENTS. THE FLT WAS NORMAL FROM THIS POINT ON. HAD WE BEEN IN IFR CONDITIONS AND NOT HAD THE WDB IN SIGHT, I WOULD ESTIMATE THAT THERE WAS AT LEAST A 90 PERCENT PROBABILITY THAT A MIDAIR COLLISION WOULD HAVE ENSUED.
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.