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|
Attributes | |
ACN | 262193 |
Time | |
Date | 199401 |
Day | Fri |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : mem |
State Reference | TN |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Saab-Scania Undifferentiated or Other Model |
Operating Under FAR Part | Part 135 |
Navigation In Use | Other Other |
Flight Phase | ground : holding ground other : taxi |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : cfi pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 8400 flight time type : 4100 |
ASRS Report | 262193 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp pilot : commercial pilot : instrument |
Experience | flight time last 90 days : 240 flight time total : 6109 flight time type : 3026 |
ASRS Report | 261892 |
Events | |
Anomaly | incursion : runway non adherence : clearance |
Independent Detector | other flight crewa |
Resolutory Action | controller : issued new clearance other |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
While #1 for takeoff on 36L at mem, the mem tower controller instructed air carrier flight xay to 'taxi into position and hold.' our call sign was 'air carrier xyz' and my first officer responded to the tower that 'air carrier xyz was taxiing into position and hold on runway 36L.' I clearly heard the tower instruction for 'air carrier xay' to taxi into position and hold but assumed that when my first officer responded that 'air carrier xyz was taxiing into position and hold' that the tower controller realized that he had his flight plan strips out of correct order. The tower controller never questioned our readback of 'air carrier xyz taxiing into position and hold. So I proceeded to taxi into position and hold on runway 36L. After approximately 20 seconds the tower controller then cleared air carrier xay for takeoff. It was then that we became aware that the tower controller had not heard our readback of 'air carrier xyz' going into position and hold. We then responded that 'air carrier xyz' was in fact the flight that was in position and hold! This was a classic example of basic (verbal) communication failure between 3 people (captain, first officer and tower controller) involved during the exchange. Once the tower controller figured out that he had air carrier xyz 'in position and hold and not air carrier xay' he politely faulted us for going into position and hold under air carrier xay call sign. Yet he (the tower controller) also failed to hear our call sign of air carrier xyz responding to the initial clearance to taxi into position and hold. We were then properly cleared for takeoff with our correct call sign with no further irregularities. It is quite apparent that I (captain) should have caught the error at the time that it occurred. Had I done so, before taking the runway, this verbal communication breakdown would never have occurred. Fortunately the problem was corrected in a very short period of time and the flight continued on to its destination safely.
Original NASA ASRS Text
Title: COMMUTER FLC RESPONDS TO POS AND HOLD CLRNC FOR ANOTHER ACFT, CREATES CONFUSION WHEN OTHER ACFT CLRED FOR TKOF.
Narrative: WHILE #1 FOR TKOF ON 36L AT MEM, THE MEM TWR CTLR INSTRUCTED ACR FLT XAY TO 'TAXI INTO POS AND HOLD.' OUR CALL SIGN WAS 'ACR XYZ' AND MY FO RESPONDED TO THE TWR THAT 'ACR XYZ WAS TAXIING INTO POS AND HOLD ON RWY 36L.' I CLEARLY HEARD THE TWR INSTRUCTION FOR 'ACR XAY' TO TAXI INTO POS AND HOLD BUT ASSUMED THAT WHEN MY FO RESPONDED THAT 'ACR XYZ WAS TAXIING INTO POS AND HOLD' THAT THE TWR CTLR REALIZED THAT HE HAD HIS FLT PLAN STRIPS OUT OF CORRECT ORDER. THE TWR CTLR NEVER QUESTIONED OUR READBACK OF 'ACR XYZ TAXIING INTO POS AND HOLD. SO I PROCEEDED TO TAXI INTO POS AND HOLD ON RWY 36L. AFTER APPROX 20 SECONDS THE TWR CTLR THEN CLRED ACR XAY FOR TKOF. IT WAS THEN THAT WE BECAME AWARE THAT THE TWR CTLR HAD NOT HEARD OUR READBACK OF 'ACR XYZ' GOING INTO POS AND HOLD. WE THEN RESPONDED THAT 'ACR XYZ' WAS IN FACT THE FLT THAT WAS IN POS AND HOLD! THIS WAS A CLASSIC EXAMPLE OF BASIC (VERBAL) COM FAILURE BTWN 3 PEOPLE (CAPT, FO AND TWR CTLR) INVOLVED DURING THE EXCHANGE. ONCE THE TWR CTLR FIGURED OUT THAT HE HAD ACR XYZ 'IN POS AND HOLD AND NOT ACR XAY' HE POLITELY FAULTED US FOR GOING INTO POS AND HOLD UNDER ACR XAY CALL SIGN. YET HE (THE TWR CTLR) ALSO FAILED TO HEAR OUR CALL SIGN OF ACR XYZ RESPONDING TO THE INITIAL CLRNC TO TAXI INTO POS AND HOLD. WE WERE THEN PROPERLY CLRED FOR TKOF WITH OUR CORRECT CALL SIGN WITH NO FURTHER IRREGULARITIES. IT IS QUITE APPARENT THAT I (CAPT) SHOULD HAVE CAUGHT THE ERROR AT THE TIME THAT IT OCCURRED. HAD I DONE SO, BEFORE TAKING THE RWY, THIS VERBAL COM BREAKDOWN WOULD NEVER HAVE OCCURRED. FORTUNATELY THE PROB WAS CORRECTED IN A VERY SHORT PERIOD OF TIME AND THE FLT CONTINUED ON TO ITS DEST SAFELY.
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.