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|
Attributes | |
ACN | 296033 |
Time | |
Date | 199502 |
Day | Sun |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : pae airport : sea |
State Reference | WA |
Altitude | msl bound lower : 12000 msl bound upper : 12000 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : sea 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 : approach descent other |
Route In Use | arrival other arrival star : star enroute : on vectors enroute airway : sea |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 19000 flight time type : 6500 |
ASRS Report | 296033 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 13400 flight time type : 3830 |
ASRS Report | 296039 |
Events | |
Anomaly | non adherence : clearance other anomaly other other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | flight crew : returned to intended course or assigned course other |
Consequence | Other |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Air carrier X given a clearance to cross jaksen intersection at 12000 ft and 250 KIAS immediately followed by another clearance to continue to slow to 210 KIAS and then after jaksen descend to 7000 ft. Just prior to jaksen we received the clearance to turn right to 150 degrees. Since this was a turn opposite the arrival procedure, which should have been a left turn, the copilot questioned the controller. The immediate response was in the affirmative but this time without a flight call sign. Soon after we started the right turn the controller asked us where we were going and turned us back left to the normal arrival heading. There was no conflict but the potential was frightening. The controller said he was working 2 frequencys and the clearance was for one of our company flts, on the other frequency with a similar call sign. We should not have accepted the clearance until we heard it repeated the second time, in full, including our flight number. I also believe this dangerous situation could have been prevented if we could have heard both sides of the communications between the controller and other aircraft on approach. I find it really helps me keep track of what is going on and where everyone is when I can hear both sides. This has been a strong reminder for me how easy it is for both pilots and controllers to create dangerous sits by not using precise time proven radio procedures. I have pledged to myself to be more careful and disciplined with my radio procedures and to always clarify -- never assume. Supplemental information from acn 296039: we were given several speed, altitude and heading changes in quick succession. On the second or third call we were given a heading change of right turn to 150 degrees. As our current heading was 210 degrees, I responded 'roger, right to 150 degrees, the long way around(?)' approach replied in the affirmative. As we began the turn, approach called back with 'where are you going?' approach stated that the turn had been for flight xy (we were flight X). This was an obvious readback/hearback problem exacerbated by high workload for both the controller and crew.
Original NASA ASRS Text
Title: SIMILAR CALL SIGNS. ACR X FLEW WRONG HDG. PLTDEV.
Narrative: ACR X GIVEN A CLRNC TO CROSS JAKSEN INTXN AT 12000 FT AND 250 KIAS IMMEDIATELY FOLLOWED BY ANOTHER CLRNC TO CONTINUE TO SLOW TO 210 KIAS AND THEN AFTER JAKSEN DSND TO 7000 FT. JUST PRIOR TO JAKSEN WE RECEIVED THE CLRNC TO TURN R TO 150 DEGS. SINCE THIS WAS A TURN OPPOSITE THE ARR PROC, WHICH SHOULD HAVE BEEN A L TURN, THE COPLT QUESTIONED THE CTLR. THE IMMEDIATE RESPONSE WAS IN THE AFFIRMATIVE BUT THIS TIME WITHOUT A FLT CALL SIGN. SOON AFTER WE STARTED THE R TURN THE CTLR ASKED US WHERE WE WERE GOING AND TURNED US BACK L TO THE NORMAL ARR HDG. THERE WAS NO CONFLICT BUT THE POTENTIAL WAS FRIGHTENING. THE CTLR SAID HE WAS WORKING 2 FREQS AND THE CLRNC WAS FOR ONE OF OUR COMPANY FLTS, ON THE OTHER FREQ WITH A SIMILAR CALL SIGN. WE SHOULD NOT HAVE ACCEPTED THE CLRNC UNTIL WE HEARD IT REPEATED THE SECOND TIME, IN FULL, INCLUDING OUR FLT NUMBER. I ALSO BELIEVE THIS DANGEROUS SIT COULD HAVE BEEN PREVENTED IF WE COULD HAVE HEARD BOTH SIDES OF THE COMS BTWN THE CTLR AND OTHER ACFT ON APCH. I FIND IT REALLY HELPS ME KEEP TRACK OF WHAT IS GOING ON AND WHERE EVERYONE IS WHEN I CAN HEAR BOTH SIDES. THIS HAS BEEN A STRONG REMINDER FOR ME HOW EASY IT IS FOR BOTH PLTS AND CTLRS TO CREATE DANGEROUS SITS BY NOT USING PRECISE TIME PROVEN RADIO PROCS. I HAVE PLEDGED TO MYSELF TO BE MORE CAREFUL AND DISCIPLINED WITH MY RADIO PROCS AND TO ALWAYS CLARIFY -- NEVER ASSUME. SUPPLEMENTAL INFO FROM ACN 296039: WE WERE GIVEN SEVERAL SPD, ALT AND HDG CHANGES IN QUICK SUCCESSION. ON THE SECOND OR THIRD CALL WE WERE GIVEN A HDG CHANGE OF R TURN TO 150 DEGS. AS OUR CURRENT HDG WAS 210 DEGS, I RESPONDED 'ROGER, R TO 150 DEGS, THE LONG WAY AROUND(?)' APCH REPLIED IN THE AFFIRMATIVE. AS WE BEGAN THE TURN, APCH CALLED BACK WITH 'WHERE ARE YOU GOING?' APCH STATED THAT THE TURN HAD BEEN FOR FLT XY (WE WERE FLT X). THIS WAS AN OBVIOUS READBACK/HEARBACK PROB EXACERBATED BY HIGH WORKLOAD FOR BOTH THE CTLR AND CREW.
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.