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|
Attributes | |
ACN | 325080 |
Time | |
Date | 199601 |
Day | Thu |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : jfk |
State Reference | NY |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other |
Flight Phase | climbout : takeoff |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | Widebody, Low Wing, 2 Turbojet Eng |
Navigation In Use | Other Other |
Flight Phase | ground : holding |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 5500 flight time type : 200 |
ASRS Report | 325080 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 185 flight time total : 8650 flight time type : 575 |
ASRS Report | 325193 |
Events | |
Anomaly | conflict : ground critical incursion : runway non adherence : required legal separation non adherence : published procedure non adherence : far |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Consequence | faa : investigated |
Miss Distance | horizontal : 1300 vertical : 200 |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error Pilot Deviation |
Narrative:
After an uneventful taxi to runway 22R, ground control sent us to tower frequency (123.9). A B767 was cleared for takeoff, which left us #1 for the active runway. Tower called 'air carrier X, cleared into position and hold runway 22R.' I answered, 'air carrier X on to hold runway 22R.' I began the before takeoff checklist. Prior to completing the checklist and prior to pulling on the runway, tower called 'air carrier X cleared for takeoff.' I repeated the clearance 'air carrier X, cleared for takeoff.' the captain (the PF) and I completed the before takeoff checklist as he lined up on the runway and pushed up the power. The captain's focus was outside the cockpit for runway alignment, while I was concentrated inside the cockpit, checking engine instruments and making our standard callouts. After calling out '80 KTS, engine instruments checked,' I began to focus some of my attention to outside the cockpit. At approximately 90-100 KTS the captain said something and, in an instant, jerked the throttles back a small amount and then reset them to takeoff power. This happened in a split second. I realized he had considered aborting the takeoff, but had then decided to continue. At first I didn't know why, but an instant later I could see farther down the runway that an aircraft had been crossing the runway and was just clearing it at this time. I believe the captain decided to continue because the airplane was clearing the runway and it was safer to continue, rather than perform a high speed abort. As we passed the taxiway where the aircraft had crossed the runway, it appeared that another aircraft had also just crossed the runway on another taxiway further down runway 22R from the first aircraft. We rotated, climbed out, and continued our flight in a normal fashion. There had been a runway change in progress, previous to our departure. The captain did an outstanding job determining the safest course of action for us to take in this situation, as the crossing aircraft was just clearing the runway and there was a lot of distance between us. Supplemental information from acn 325193: as we were cleared into position the tower assigned us a climb out heading of 200 degrees, and stated that there was traffic on a 6 mi final. As I started the right turn to align the aircraft to the runway centerline, I heard the same voice that had cleared us into position clear us for takeoff. The copilot responded 'roger, air carrier X cleared for takeoff.' I called for the completion of the before takeoff checklist and commenced the takeoff roll. At about 80 KTS an aircraft came into view that was crossing the runway left to right, with about 1/3 of the fuselage still over the runway. I could see that the crossing aircraft was accelerating off the runway and would be well clear as I passed it, but I shaded our aircraft to the left of centerline in case the other aircraft stopped for some reason. As we passed the crossing aircraft, a second airplane came into view, also crossing the runway from left to right, but one taxiway further down the runway. This aircraft was also accelerating clear. We rotated about opposite the second aircraft and the rest of the departure was normal. At about 400 ft I confirmed with the copilot that we had been cleared for takeoff, because someone had obviously made a mistake. I told him we would have an indication of who had erred, if the tower turned us over to departure control normally. At 1500 ft kennedy tower called (with a lot of chatter in the backgnd) and said, 'air carrier X contact departure on 135.9.' newspaper accounts have stated that the FAA has accepted responsibility because they did not advise us that there was an air carrier Y (same number) on the frequency. Supplemental information from acn 325179: I was working the departure local control position, 2 runways -- runway 22R and runway 31L. Arrival controller working runway 22L. Holding in position on runway 22R, air carrier X, MD80, holding in position from intersection kk north side of runway 22R. Air carrier Y (same numbers) B767. I advised the arrival local controller to cross 2 aircraft across runway 22R. I cleared air carrier Y for takeoff. When I observed him not rolling I asked if he copied the clearance. He said he heard it but air carrier X acknowledged it. I looked to my left and saw air carrier X on takeoff roll at least 1/3 down the runway near rotation, also observed an air carrier Z crossing runway 22R ahead. Air carrier X rotated while air carrier Z was clearing. Air carrier X made no comments. Air carrier Z upon reaching the gate called the tower. Contributing factors: performing most of my own coordination without a cabin attendant coordinator. Air carrier X and air carrier Y -- I was not aware, went through the system without being pointed out. I did not hear air carrier X readback, but it was on tape. I specified the runway, he did not.
Original NASA ASRS Text
Title: ACR ACFT WITH SIMILAR SOUNDING CALL SIGN TAKES WRONG TKOF CLRNC AND CONFLICTS WITH 2 ACFT XING THE RWY. CTLR DID NOT CATCH WRONG READBACK.
Narrative: AFTER AN UNEVENTFUL TAXI TO RWY 22R, GND CTL SENT US TO TWR FREQ (123.9). A B767 WAS CLRED FOR TKOF, WHICH LEFT US #1 FOR THE ACTIVE RWY. TWR CALLED 'ACR X, CLRED INTO POS AND HOLD RWY 22R.' I ANSWERED, 'ACR X ON TO HOLD RWY 22R.' I BEGAN THE BEFORE TKOF CHKLIST. PRIOR TO COMPLETING THE CHKLIST AND PRIOR TO PULLING ON THE RWY, TWR CALLED 'ACR X CLRED FOR TKOF.' I REPEATED THE CLRNC 'ACR X, CLRED FOR TKOF.' THE CAPT (THE PF) AND I COMPLETED THE BEFORE TKOF CHKLIST AS HE LINED UP ON THE RWY AND PUSHED UP THE PWR. THE CAPT'S FOCUS WAS OUTSIDE THE COCKPIT FOR RWY ALIGNMENT, WHILE I WAS CONCENTRATED INSIDE THE COCKPIT, CHKING ENG INSTS AND MAKING OUR STANDARD CALLOUTS. AFTER CALLING OUT '80 KTS, ENG INSTS CHKED,' I BEGAN TO FOCUS SOME OF MY ATTN TO OUTSIDE THE COCKPIT. AT APPROX 90-100 KTS THE CAPT SAID SOMETHING AND, IN AN INSTANT, JERKED THE THROTTLES BACK A SMALL AMOUNT AND THEN RESET THEM TO TKOF PWR. THIS HAPPENED IN A SPLIT SECOND. I REALIZED HE HAD CONSIDERED ABORTING THE TKOF, BUT HAD THEN DECIDED TO CONTINUE. AT FIRST I DIDN'T KNOW WHY, BUT AN INSTANT LATER I COULD SEE FARTHER DOWN THE RWY THAT AN ACFT HAD BEEN XING THE RWY AND WAS JUST CLRING IT AT THIS TIME. I BELIEVE THE CAPT DECIDED TO CONTINUE BECAUSE THE AIRPLANE WAS CLRING THE RWY AND IT WAS SAFER TO CONTINUE, RATHER THAN PERFORM A HIGH SPD ABORT. AS WE PASSED THE TXWY WHERE THE ACFT HAD CROSSED THE RWY, IT APPEARED THAT ANOTHER ACFT HAD ALSO JUST CROSSED THE RWY ON ANOTHER TXWY FURTHER DOWN RWY 22R FROM THE FIRST ACFT. WE ROTATED, CLBED OUT, AND CONTINUED OUR FLT IN A NORMAL FASHION. THERE HAD BEEN A RWY CHANGE IN PROGRESS, PREVIOUS TO OUR DEP. THE CAPT DID AN OUTSTANDING JOB DETERMINING THE SAFEST COURSE OF ACTION FOR US TO TAKE IN THIS SIT, AS THE XING ACFT WAS JUST CLRING THE RWY AND THERE WAS A LOT OF DISTANCE BTWN US. SUPPLEMENTAL INFO FROM ACN 325193: AS WE WERE CLRED INTO POS THE TWR ASSIGNED US A CLBOUT HDG OF 200 DEGS, AND STATED THAT THERE WAS TFC ON A 6 MI FINAL. AS I STARTED THE R TURN TO ALIGN THE ACFT TO THE RWY CTRLINE, I HEARD THE SAME VOICE THAT HAD CLRED US INTO POS CLR US FOR TKOF. THE COPLT RESPONDED 'ROGER, ACR X CLRED FOR TKOF.' I CALLED FOR THE COMPLETION OF THE BEFORE TKOF CHKLIST AND COMMENCED THE TKOF ROLL. AT ABOUT 80 KTS AN ACFT CAME INTO VIEW THAT WAS XING THE RWY L TO R, WITH ABOUT 1/3 OF THE FUSELAGE STILL OVER THE RWY. I COULD SEE THAT THE XING ACFT WAS ACCELERATING OFF THE RWY AND WOULD BE WELL CLR AS I PASSED IT, BUT I SHADED OUR ACFT TO THE L OF CTRLINE IN CASE THE OTHER ACFT STOPPED FOR SOME REASON. AS WE PASSED THE XING ACFT, A SECOND AIRPLANE CAME INTO VIEW, ALSO XING THE RWY FROM L TO R, BUT ONE TXWY FURTHER DOWN THE RWY. THIS ACFT WAS ALSO ACCELERATING CLR. WE ROTATED ABOUT OPPOSITE THE SECOND ACFT AND THE REST OF THE DEP WAS NORMAL. AT ABOUT 400 FT I CONFIRMED WITH THE COPLT THAT WE HAD BEEN CLRED FOR TKOF, BECAUSE SOMEONE HAD OBVIOUSLY MADE A MISTAKE. I TOLD HIM WE WOULD HAVE AN INDICATION OF WHO HAD ERRED, IF THE TWR TURNED US OVER TO DEP CTL NORMALLY. AT 1500 FT KENNEDY TWR CALLED (WITH A LOT OF CHATTER IN THE BACKGND) AND SAID, 'ACR X CONTACT DEP ON 135.9.' NEWSPAPER ACCOUNTS HAVE STATED THAT THE FAA HAS ACCEPTED RESPONSIBILITY BECAUSE THEY DID NOT ADVISE US THAT THERE WAS AN ACR Y (SAME NUMBER) ON THE FREQ. SUPPLEMENTAL INFO FROM ACN 325179: I WAS WORKING THE DEP LCL CTL POS, 2 RWYS -- RWY 22R AND RWY 31L. ARR CTLR WORKING RWY 22L. HOLDING IN POS ON RWY 22R, ACR X, MD80, HOLDING IN POS FROM INTXN KK N SIDE OF RWY 22R. ACR Y (SAME NUMBERS) B767. I ADVISED THE ARR LCL CTLR TO CROSS 2 ACFT ACROSS RWY 22R. I CLRED ACR Y FOR TKOF. WHEN I OBSERVED HIM NOT ROLLING I ASKED IF HE COPIED THE CLRNC. HE SAID HE HEARD IT BUT ACR X ACKNOWLEDGED IT. I LOOKED TO MY L AND SAW ACR X ON TKOF ROLL AT LEAST 1/3 DOWN THE RWY NEAR ROTATION, ALSO OBSERVED AN ACR Z XING RWY 22R AHEAD. ACR X ROTATED WHILE ACR Z WAS CLRING. ACR X MADE NO COMMENTS. ACR Z UPON REACHING THE GATE CALLED THE TWR. CONTRIBUTING FACTORS: PERFORMING MOST OF MY OWN COORD WITHOUT A CAB COORDINATOR. ACR X AND ACR Y -- I WAS NOT AWARE, WENT THROUGH THE SYS WITHOUT BEING POINTED OUT. I DID NOT HEAR ACR X READBACK, BUT IT WAS ON TAPE. I SPECIFIED THE RWY, HE DID NOT.
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.