37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 275221 |
Time | |
Date | 199406 |
Day | Sun |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : cwa |
State Reference | WI |
Altitude | msl bound lower : 3000 msl bound upper : 4000 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zmp |
Operator | general aviation : personal |
Make Model Name | M-20 J (201) |
Operating Under FAR Part | Part 91 |
Flight Phase | descent : approach |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 135 |
Flight Phase | descent : approach |
Route In Use | approach : straight in |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : single pilot |
Qualification | pilot : private pilot : instrument |
Experience | flight time last 90 days : 30 flight time total : 400 flight time type : 100 |
ASRS Report | 275221 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude conflict : nmac non adherence : clearance |
Independent Detector | other flight crewa |
Resolutory Action | none taken : insufficient time |
Consequence | faa : reviewed incident with flight crew |
Miss Distance | horizontal : 300 vertical : 0 |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Problem situation: 2 aircraft converging on ILS runway 8 approach at cwa (non radar controled). 1 aircraft was (on final) inbound at 3000 ft and 1 was outbound on initial procedure turn (same radial/bearing). According to center controller, outbound aircraft was to have maintained 4000 ft. Outbound pilot understood instructions to be maintain 4000 ft until or to danci (initial approach fix), report danci outbound. Upon reporting danci outbound, outbound pilot descended from 4000 ft to the published approach mins of 3000 ft. Discovery: outbound pilot reported altitude of 3000 ft. Inbound commuter pilot reported passing outbound plane within 300 ft at the same altitude. Contributing factors center controllers intent was to avoid a normal hold for the outbound aircraft by an extended outbound procedure turn at an altitude 1000 ft higher than the published minimums for the approach. Contributing factors: the situation and intent of the center controller was not communicated to the outbound pilot. Upon reporting 'danci outbound' (initial approach fix). No mention of altitude, i.e., 'maintain 4000 ft' was communicated by center to the outbound pilot. Corrective action: at non radar IFR approach environments, if non published or standard approach procedures and/or altitudes are given, the center controllers should: 1) outline the situation and the changes (this would increase understanding and communication) to the pilots. 2) reinforce the instructions at different reporting points and/or fixes to the pilot.
Original NASA ASRS Text
Title: SMA HAS NMAC WITH COMMUTER ACFT ON IMC APCH.
Narrative: PROB SIT: 2 ACFT CONVERGING ON ILS RWY 8 APCH AT CWA (NON RADAR CTLED). 1 ACFT WAS (ON FINAL) INBOUND AT 3000 FT AND 1 WAS OUTBOUND ON INITIAL PROC TURN (SAME RADIAL/BEARING). ACCORDING TO CTR CTLR, OUTBOUND ACFT WAS TO HAVE MAINTAINED 4000 FT. OUTBOUND PLT UNDERSTOOD INSTRUCTIONS TO BE MAINTAIN 4000 FT UNTIL OR TO DANCI (INITIAL APCH FIX), RPT DANCI OUTBOUND. UPON RPTING DANCI OUTBOUND, OUTBOUND PLT DSNDED FROM 4000 FT TO THE PUBLISHED APCH MINS OF 3000 FT. DISCOVERY: OUTBOUND PLT RPTED ALT OF 3000 FT. INBOUND COMMUTER PLT RPTED PASSING OUTBOUND PLANE WITHIN 300 FT AT THE SAME ALT. CONTRIBUTING FACTORS CTR CTLRS INTENT WAS TO AVOID A NORMAL HOLD FOR THE OUTBOUND ACFT BY AN EXTENDED OUTBOUND PROC TURN AT AN ALT 1000 FT HIGHER THAN THE PUBLISHED MINIMUMS FOR THE APCH. CONTRIBUTING FACTORS: THE SIT AND INTENT OF THE CTR CTLR WAS NOT COMMUNICATED TO THE OUTBOUND PLT. UPON RPTING 'DANCI OUTBOUND' (INITIAL APCH FIX). NO MENTION OF ALT, I.E., 'MAINTAIN 4000 FT' WAS COMMUNICATED BY CTR TO THE OUTBOUND PLT. CORRECTIVE ACTION: AT NON RADAR IFR APCH ENVIRONMENTS, IF NON PUBLISHED OR STANDARD APCH PROCS AND/OR ALTS ARE GIVEN, THE CTR CTLRS SHOULD: 1) OUTLINE THE SIT AND THE CHANGES (THIS WOULD INCREASE UNDERSTANDING AND COM) TO THE PLTS. 2) REINFORCE THE INSTRUCTIONS AT DIFFERENT RPTING POINTS AND/OR FIXES TO THE PLT.
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.