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Attributes | |
ACN | 300149 |
Time | |
Date | 199503 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : lan |
State Reference | MI |
Altitude | msl bound lower : 29000 msl bound upper : 30700 |
Environment | |
Flight Conditions | Mixed |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zau artcc : zob |
Operator | common carrier : air carrier |
Make Model Name | DC-9 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise other |
Route In Use | enroute : direct |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | B737 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | descent other |
Route In Use | enroute : direct |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : radar |
Experience | controller non radar : 13 controller radar : 11 flight time total : 390 |
ASRS Report | 300149 |
Person 2 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : radar |
Events | |
Anomaly | conflict : airborne less severe non adherence : published procedure non adherence : required legal separation |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance other |
Consequence | faa : investigated |
Miss Distance | horizontal : 24000 vertical : 1000 |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error Inter Facility Coordination Failure |
Narrative:
I was working the pmm high sector at ZAU. I had switched air carrier X, a dc-9, mke J34 crl ewr at FL290 to ZOB approximately 2 mins before the incident. I had the handoff on air carrier Y, BJ3J, hpn fnt J94 pmm PMM3 ord at FL310 when I switched X to ZOB. Y was in the middle of a small ord push (10-15 aircraft) during which at least 1/2 the inbounds were at FL280 or descending to FL280. I first noticed a problem when the aircraft were about 7 mi apart and I observed X out of FL307 descending. I broadcast to see if I had Y and when I realized I did not, I called for the supervisor. I did not call ZOB because I felt that would only confuse the situation. I feel the situation was caused by ZOB inadvertently descending Y. They had not entered FL280 in the computer, had not aprequed the altitude and the descent was at a very inopportune time, so I feel the confused X with another aircraft. ZOB actually took the aircraft back to FL300 after the incident occurred.
Original NASA ASRS Text
Title: ACR Y DSCNT THROUGH OCCUPIED ALT HAD LTSS FROM ACR Y. SYS ERROR.
Narrative: I WAS WORKING THE PMM HIGH SECTOR AT ZAU. I HAD SWITCHED ACR X, A DC-9, MKE J34 CRL EWR AT FL290 TO ZOB APPROX 2 MINS BEFORE THE INCIDENT. I HAD THE HDOF ON ACR Y, BJ3J, HPN FNT J94 PMM PMM3 ORD AT FL310 WHEN I SWITCHED X TO ZOB. Y WAS IN THE MIDDLE OF A SMALL ORD PUSH (10-15 ACFT) DURING WHICH AT LEAST 1/2 THE INBOUNDS WERE AT FL280 OR DSNDING TO FL280. I FIRST NOTICED A PROB WHEN THE ACFT WERE ABOUT 7 MI APART AND I OBSERVED X OUT OF FL307 DSNDING. I BROADCAST TO SEE IF I HAD Y AND WHEN I REALIZED I DID NOT, I CALLED FOR THE SUPVR. I DID NOT CALL ZOB BECAUSE I FELT THAT WOULD ONLY CONFUSE THE SIT. I FEEL THE SIT WAS CAUSED BY ZOB INADVERTENTLY DSNDING Y. THEY HAD NOT ENTERED FL280 IN THE COMPUTER, HAD NOT APREQUED THE ALT AND THE DSCNT WAS AT A VERY INOPPORTUNE TIME, SO I FEEL THE CONFUSED X WITH ANOTHER ACFT. ZOB ACTUALLY TOOK THE ACFT BACK TO FL300 AFTER THE INCIDENT OCCURRED.
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.