37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 238978 |
Time | |
Date | 199302 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : atl |
State Reference | GA |
Altitude | msl bound lower : 11000 msl bound upper : 12000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : atl |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Flight Phase | descent other |
Route In Use | arrival other |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other Other |
Flight Phase | climbout : intermediate altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Experience | flight time last 90 days : 230 flight time total : 6100 flight time type : 1500 |
ASRS Report | 238978 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : clearance other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : unspecified other flight crewa |
Resolutory Action | flight crew : took evasive action |
Consequence | faa : reviewed incident with flight crew |
Miss Distance | horizontal : 3000 vertical : 1000 |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We were inbound to atl on the rome arrival about 20 NM northwest on the 313 degree radial at 12000 MSL 300 KIAS. I received a radio call from approach control which was not fully understood by me or the captain I asked approach to repeat the transmission since neither one of us was sure what was said. Atl repeated the transmission but used different terminology this time and I understood that we were supposed to slow to 210 KIAS. I also think that the first transmission was something to the effect of 'slow to 210 KIAS at the 10 DME fix on the rome arrival.' as I was rogering the transmission I noticed the aircraft start a descent. The captain was flying and had commanded the autoplt to start a descent to 10000 ft. I believe the captain misunderstood the transmission and thought we were to descend to 10000 ft by 21 NM. Since we were past this point he was descending rapidly. I quickly said that I thought we were not to descend and he said he thought we were. I quickly called approach and asked what altitude he wanted us at. He responded 12000 ft and then saw that we were at 11500 ft and told us to go to 11000 ft. We were leveling at 11000 ft and almost immediately we got a TA which quickly went to an RA with a 'climb, climb' call on the TCASII. I observed an medium large transport climbing out of atl at our 12 O'clock and approaching head-on. The captain followed the RA climb which indicated a 4000 FPM rate of climb. I told approach control that we were climbing for an RA TCASII alert. Approach gave us a l-hand turn form 133 degrees to 090 degrees. The RA went away after we climbed about 600 ft (and the medium large transport leveled off at 10000 ft). We never got closer than 1000 ft vertically and 1/2 NM horizontally. At the time of the RA we were definitely on a collision course had we not climbed or the medium large transport not leveled off at 10000 ft. The cause of this incident was misunderstanding ATC's instructions. Contributing to this misunderstanding was high cockpit noise level (300 KIAS at 12000 ft), constant radio communications on a very busy atl approach control frequency, lack of verifying altitude change with the other crew member (I never read back or confirmed that we were cleared to 10000 ft). TCASII worked properly. Had we been at 12000 ft we never would have gotten the RA.
Original NASA ASRS Text
Title: ACR DSNDS FROM ASSIGNED, HAS TCASII RA.
Narrative: WE WERE INBOUND TO ATL ON THE ROME ARR ABOUT 20 NM NW ON THE 313 DEG RADIAL AT 12000 MSL 300 KIAS. I RECEIVED A RADIO CALL FROM APCH CTL WHICH WAS NOT FULLY UNDERSTOOD BY ME OR THE CAPT I ASKED APCH TO REPEAT THE XMISSION SINCE NEITHER ONE OF US WAS SURE WHAT WAS SAID. ATL REPEATED THE XMISSION BUT USED DIFFERENT TERMINOLOGY THIS TIME AND I UNDERSTOOD THAT WE WERE SUPPOSED TO SLOW TO 210 KIAS. I ALSO THINK THAT THE FIRST XMISSION WAS SOMETHING TO THE EFFECT OF 'SLOW TO 210 KIAS AT THE 10 DME FIX ON THE ROME ARR.' AS I WAS ROGERING THE XMISSION I NOTICED THE ACFT START A DSCNT. THE CAPT WAS FLYING AND HAD COMMANDED THE AUTOPLT TO START A DSCNT TO 10000 FT. I BELIEVE THE CAPT MISUNDERSTOOD THE XMISSION AND THOUGHT WE WERE TO DSND TO 10000 FT BY 21 NM. SINCE WE WERE PAST THIS POINT HE WAS DSNDING RAPIDLY. I QUICKLY SAID THAT I THOUGHT WE WERE NOT TO DSND AND HE SAID HE THOUGHT WE WERE. I QUICKLY CALLED APCH AND ASKED WHAT ALT HE WANTED US AT. HE RESPONDED 12000 FT AND THEN SAW THAT WE WERE AT 11500 FT AND TOLD US TO GO TO 11000 FT. WE WERE LEVELING AT 11000 FT AND ALMOST IMMEDIATELY WE GOT A TA WHICH QUICKLY WENT TO AN RA WITH A 'CLB, CLB' CALL ON THE TCASII. I OBSERVED AN MLG CLBING OUT OF ATL AT OUR 12 O'CLOCK AND APCHING HEAD-ON. THE CAPT FOLLOWED THE RA CLB WHICH INDICATED A 4000 FPM RATE OF CLB. I TOLD APCH CTL THAT WE WERE CLBING FOR AN RA TCASII ALERT. APCH GAVE US A L-HAND TURN FORM 133 DEGS TO 090 DEGS. THE RA WENT AWAY AFTER WE CLBED ABOUT 600 FT (AND THE MLG LEVELED OFF AT 10000 FT). WE NEVER GOT CLOSER THAN 1000 FT VERTICALLY AND 1/2 NM HORIZLY. AT THE TIME OF THE RA WE WERE DEFINITELY ON A COLLISION COURSE HAD WE NOT CLBED OR THE MLG NOT LEVELED OFF AT 10000 FT. THE CAUSE OF THIS INCIDENT WAS MISUNDERSTANDING ATC'S INSTRUCTIONS. CONTRIBUTING TO THIS MISUNDERSTANDING WAS HIGH COCKPIT NOISE LEVEL (300 KIAS AT 12000 FT), CONSTANT RADIO COMS ON A VERY BUSY ATL APCH CTL FREQ, LACK OF VERIFYING ALT CHANGE WITH THE OTHER CREW MEMBER (I NEVER READ BACK OR CONFIRMED THAT WE WERE CLRED TO 10000 FT). TCASII WORKED PROPERLY. HAD WE BEEN AT 12000 FT WE NEVER WOULD HAVE GOTTEN THE RA.
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.