37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 266064 |
Time | |
Date | 199403 |
Day | Mon |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : sgd |
State Reference | CA |
Altitude | msl bound lower : 4000 msl bound upper : 4000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zoa tracon : sgf |
Operator | general aviation : personal |
Make Model Name | Piper Single Undifferentiated or Other Model |
Operating Under FAR Part | Part 91 |
Flight Phase | descent : approach |
Flight Plan | IFR |
Aircraft 2 | |
Operator | general aviation : personal |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Operating Under FAR Part | Part 91 |
Flight Phase | landing : missed approach |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : radar |
ASRS Report | 266064 |
Person 2 | |
Affiliation | Other |
Function | flight crew : single pilot |
Qualification | pilot : instrument |
Events | |
Anomaly | conflict : airborne less severe non adherence : clearance non adherence : required legal separation other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance other |
Consequence | faa : investigated |
Miss Distance | horizontal : 15000 vertical : 200 |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error |
Narrative:
Aircraft X PA28 at 4000 ft was told to depart sgd on the 230 degree radial for a VOR approach. Aircraft Y was on a missed approach from apc climbing to 3000 ft. Aircraft X was descended to 3000 ft and aircraft Y was climbed to 4000 ft. Aircraft X was observed overshooting the VOR and was asked to verify outbound on the 230 degree radial. Aircraft responded that they were in the turn. Loss of separation was observed and controller reported same to supervisor. Incident was caused by a lapse in good judgement. Could have been prevented by waiting longer to issue climb and descent.
Original NASA ASRS Text
Title: ACFT Y CLB THROUGH OCCUPIED ALT HAD LTSS FROM ACFT X. SYS ERROR.
Narrative: ACFT X PA28 AT 4000 FT WAS TOLD TO DEPART SGD ON THE 230 DEG RADIAL FOR A VOR APCH. ACFT Y WAS ON A MISSED APCH FROM APC CLBING TO 3000 FT. ACFT X WAS DSNDED TO 3000 FT AND ACFT Y WAS CLBED TO 4000 FT. ACFT X WAS OBSERVED OVERSHOOTING THE VOR AND WAS ASKED TO VERIFY OUTBOUND ON THE 230 DEG RADIAL. ACFT RESPONDED THAT THEY WERE IN THE TURN. LOSS OF SEPARATION WAS OBSERVED AND CTLR RPTED SAME TO SUPVR. INCIDENT WAS CAUSED BY A LAPSE IN GOOD JUDGEMENT. COULD HAVE BEEN PREVENTED BY WAITING LONGER TO ISSUE CLB AND DSCNT.
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.