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|
Attributes | |
ACN | 315470 |
Time | |
Date | 199509 |
Day | Mon |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : bos |
State Reference | MA |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : bwi |
Operator | common carrier : air carrier |
Make Model Name | MD-88 |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | ground other : taxi |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | Beechcraft Twin Turboprop Jet Undifferentiated or Other Model |
Operating Under FAR Part | Part 135 |
Flight Phase | landing other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : flight engineer pilot : instrument |
Experience | flight time last 90 days : 180 flight time total : 8200 flight time type : 180 |
ASRS Report | 315470 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 150 flight time total : 9000 flight time type : 1800 |
ASRS Report | 315471 |
Events | |
Anomaly | conflict : ground critical incursion : runway non adherence : clearance non adherence : published procedure other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Consequence | Other |
Miss Distance | vertical : 150 |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Intra Facility Coordination Failure Operational Error |
Narrative:
Holding short (#1) of runway 22R, bos tower instructed us to cross runway 22R and taxi to runway 22L, then immediately canceled those instructions and told us to taxi into position and hold on runway 22R. As we were pulling onto the runway, tower then instructed us to cross runway 22R, and taxi into position and hold on runway 22L. 'You will be going right out.' we crossed runway 22R and while taxiing to runway 22L, checked the weight and balance data for the new runway. Just before reaching runway 22L, tower gave us a frequency change and I checked in with the new frequency tower controller stating we were pulling into position and hold for runway 22L. Tower then said hold short runway 22L. By this time we were already on the extended overrun (displaced threshold) of runway 22L and I saw a beech commuter go over us and land in the normal touchdown zone of runway 22L. I acknowledged the hold short clearance and immediately tower came back with clearance onto the runway and hold. This whole sequence of events took place in about 1 min. There were no subsequent radio transmissions to indicate that anyone had noticed a conflict. I think the main cause was a late frequency change to the new (22L) runway tower frequency. Had it been given with the runway change instructions, there might have been time to clarify conflicting instructions. Supplemental information from acn 315471: the cockpit environment was busy checking the takeoff data for a new runway and making updates to the FMC to reflect the new runway. I am not sure anyone noticed how close and insidious this scenario was because of the rapid change in runway instructions and the fact the runways' controllers were on separate frequencys. This hindered our ability to have better situational awareness of arriving aircraft. I did not make a visual check to see if an aircraft was on short final as I was thinking about getting my aircraft ready to takeoff in a short period of time.
Original NASA ASRS Text
Title: FLC MISUNDERSTOOD TAXI CLRNC AND CONTINUED TAXIING ONTO AN ACTIVE RWY.
Narrative: HOLDING SHORT (#1) OF RWY 22R, BOS TWR INSTRUCTED US TO CROSS RWY 22R AND TAXI TO RWY 22L, THEN IMMEDIATELY CANCELED THOSE INSTRUCTIONS AND TOLD US TO TAXI INTO POS AND HOLD ON RWY 22R. AS WE WERE PULLING ONTO THE RWY, TWR THEN INSTRUCTED US TO CROSS RWY 22R, AND TAXI INTO POS AND HOLD ON RWY 22L. 'YOU WILL BE GOING RIGHT OUT.' WE CROSSED RWY 22R AND WHILE TAXIING TO RWY 22L, CHKED THE WT AND BAL DATA FOR THE NEW RWY. JUST BEFORE REACHING RWY 22L, TWR GAVE US A FREQ CHANGE AND I CHKED IN WITH THE NEW FREQ TWR CTLR STATING WE WERE PULLING INTO POS AND HOLD FOR RWY 22L. TWR THEN SAID HOLD SHORT RWY 22L. BY THIS TIME WE WERE ALREADY ON THE EXTENDED OVERRUN (DISPLACED THRESHOLD) OF RWY 22L AND I SAW A BEECH COMMUTER GO OVER US AND LAND IN THE NORMAL TOUCHDOWN ZONE OF RWY 22L. I ACKNOWLEDGED THE HOLD SHORT CLRNC AND IMMEDIATELY TWR CAME BACK WITH CLRNC ONTO THE RWY AND HOLD. THIS WHOLE SEQUENCE OF EVENTS TOOK PLACE IN ABOUT 1 MIN. THERE WERE NO SUBSEQUENT RADIO TRANSMISSIONS TO INDICATE THAT ANYONE HAD NOTICED A CONFLICT. I THINK THE MAIN CAUSE WAS A LATE FREQ CHANGE TO THE NEW (22L) RWY TWR FREQ. HAD IT BEEN GIVEN WITH THE RWY CHANGE INSTRUCTIONS, THERE MIGHT HAVE BEEN TIME TO CLARIFY CONFLICTING INSTRUCTIONS. SUPPLEMENTAL INFO FROM ACN 315471: THE COCKPIT ENVIRONMENT WAS BUSY CHKING THE TKOF DATA FOR A NEW RWY AND MAKING UPDATES TO THE FMC TO REFLECT THE NEW RWY. I AM NOT SURE ANYONE NOTICED HOW CLOSE AND INSIDIOUS THIS SCENARIO WAS BECAUSE OF THE RAPID CHANGE IN RWY INSTRUCTIONS AND THE FACT THE RWYS' CTLRS WERE ON SEPARATE FREQS. THIS HINDERED OUR ABILITY TO HAVE BETTER SITUATIONAL AWARENESS OF ARRIVING ACFT. I DID NOT MAKE A VISUAL CHK TO SEE IF AN ACFT WAS ON SHORT FINAL AS I WAS THINKING ABOUT GETTING MY ACFT READY TO TKOF IN A SHORT PERIOD OF TIME.
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.