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|
Attributes | |
ACN | 268933 |
Time | |
Date | 199404 |
Day | Sun |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : csn |
State Reference | VA |
Altitude | msl bound lower : 20000 msl bound upper : 20000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zdc |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other |
Flight Phase | descent other |
Route In Use | enroute : direct |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise other |
Route In Use | enroute : direct |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 160 flight time total : 8500 flight time type : 2000 |
ASRS Report | 268933 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude conflict : airborne less severe non adherence : required legal separation non adherence : clearance |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance other |
Consequence | faa : investigated |
Miss Distance | horizontal : 24000 vertical : 400 |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Air carrier X from roa-bwi. While at FL210, we were issued a descent clearance to cross 15 NM west of casanova at FL200. Arriving at FL200 approximately 25 NM west of casanova TCASII alerted us to a TA. ATC asked our altitude and instructed us to make an immediate left turn to 360 degree and descend to FL190. The traffic passed 1000 ft above and approximately 6 NM off our right. We asked the controller what happened and he said that we mistook a callout for traffic as a clearance. Our readback was never challenged when we readback `cross 15 NM west of casanova at FL200'. Workload, most likely or intelligibility on the readback may have been the problem for the controller. We are normally accustomed to aircraft `traffic' callouts reference to the position of the clock (ie. `12 O'clock 15 NM') not in reference to a VOR. This is an excellent example of how TCASII can help avoid traffic when a miscom (human factor) takes place. Supplemental information from acn 268642: air carrier X descended without ATC clearance within separation limits of air carrier Y. Radar controller took measures to ensure safety.
Original NASA ASRS Text
Title: ACR X NON ADHERENCE TO ATC CLRNC UNAUTH DSCNT HAD LTSS FROM ACR Y. PLTDEV.
Narrative: ACR X FROM ROA-BWI. WHILE AT FL210, WE WERE ISSUED A DSCNT CLRNC TO CROSS 15 NM W OF CASANOVA AT FL200. ARRIVING AT FL200 APPROX 25 NM W OF CASANOVA TCASII ALERTED US TO A TA. ATC ASKED OUR ALT AND INSTRUCTED US TO MAKE AN IMMEDIATE L TURN TO 360 DEG AND DSND TO FL190. THE TFC PASSED 1000 FT ABOVE AND APPROX 6 NM OFF OUR R. WE ASKED THE CTLR WHAT HAPPENED AND HE SAID THAT WE MISTOOK A CALLOUT FOR TFC AS A CLRNC. OUR READBACK WAS NEVER CHALLENGED WHEN WE READBACK `CROSS 15 NM W OF CASANOVA AT FL200'. WORKLOAD, MOST LIKELY OR INTELLIGIBILITY ON THE READBACK MAY HAVE BEEN THE PROB FOR THE CTLR. WE ARE NORMALLY ACCUSTOMED TO ACFT `TFC' CALLOUTS REF TO THE POS OF THE CLOCK (IE. `12 O'CLOCK 15 NM') NOT IN REF TO A VOR. THIS IS AN EXCELLENT EXAMPLE OF HOW TCASII CAN HELP AVOID TFC WHEN A MISCOM (HUMAN FACTOR) TAKES PLACE. SUPPLEMENTAL INFO FROM ACN 268642: ACR X DSNDED WITHOUT ATC CLRNC WITHIN SEPARATION LIMITS OF ACR Y. RADAR CTLR TOOK MEASURES TO ENSURE SAFETY.
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.