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|
Attributes | |
ACN | 353371 |
Time | |
Date | 199611 |
Day | Sat |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : pwe |
State Reference | NE |
Altitude | msl bound lower : 28600 msl bound upper : 29000 |
Environment | |
Flight Conditions | IMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zmp |
Operator | common carrier : air carrier |
Make Model Name | B727 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise other |
Route In Use | enroute : on vectors 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 |
Navigation In Use | Other |
Flight Phase | climbout : intermediate altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : commercial pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 210 flight time total : 17000 flight time type : 7500 |
ASRS Report | 353371 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : second officer |
Qualification | pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 0 flight time total : 3000 flight time type : 0 |
ASRS Report | 353554 |
Events | |
Anomaly | conflict : airborne less severe non adherence : required legal separation |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance other |
Consequence | Other |
Miss Distance | horizontal : 24000 vertical : 400 |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error |
Narrative:
During in-flight cruise operation at FL290 a potential near miss scenario occurred over the pawnee city, northeast, VORTAC. A brief summary of all relative key events follows: our flight air carrier X was advised by ATC (ZMP) to initiate an immediate 30 degree right turn. Air carrier X was en route from sfo to cvg and was proceeding direct (RNAV omega) to capitol VORTAC. Speed was .74 mach and flight conditions were IMC with less than 1 SM visibility (and occasional light turbulence) during the initial stage of the turning maneuver, a TCASII TA alert occurred followed a few seconds later by an RA alert. The WX radar was in use so the proximity of the TA/RA target was difficult to access on the shared radar/TCASII console display. The ATC controller advised us to 'tighten our turn.' I advised my copilot to disengage the autoplt, to tighten the turning maneuver, and to follow the ivsi displayed vertical guidance. I observed a red RA target symbol almost superimposed over our position with a plus 100 ft separation indication. The RA conflict situation was resolved as we completed our commanded descent maneuver (200 FPM green bar) and rolled out on our new heading. During our escape and subsequent (repositioning) maneuvering our altitude varied approximately plus or minus 450 ft from FL290 (initial descent followed by a climb through FL290 during the recovery). We advised ATC of our compliance with the TCASII RA guidance and our altdevs as soon as the real time sequence-of-events permitted radio communication. We were advised by ATC that a 'loss-of-separation' event had occurred. A new controller came on and cleared us to a different frequency (and to ZKC). Contact phone numbers were requested and provided by the replacement ATC controller. The pilot from the other aircraft involved (air carrier Y, a B737 kansas city to slc), made some comments to ZMP such as 'what was that all about?' we did not establish visual contact with the other aircraft. I sincerely believe that timely response to the RA alert combined with the aggressive turning maneuver prevented a serious near-miss encounter. Prior to departure I briefed my crew that the 'pilot' flying should immediately follow any RA recovery guidance with the other 2 pilots attempting to establish visual contact with the intruder. Supplemental information from acn 354115: the B727 was being radar vectored to cap (capital) at FL290. The B737 was climbing out of mci to FL310 over pwe and points beyond. When aircraft were 11-13 mi apart it was noticed that the B737 was only out of FL286 climbing. Turns were initiated at this time. Valuable seconds were lost when the B737 did not take his assigned heading when first issued. The B727 responded to an RA after the aircraft were clear (non factor). I have been an fpl controller for nearly 10 yrs. I transferred to this area specialty recently and have been certified on the involved sector for 1 month. This error is my first. The only cause that explains this error is human error, mine.
Original NASA ASRS Text
Title: ZMP ARTCC RADAR CTLR SAW A POTENTIAL CONFLICT BTWN AN ACR B727 AND AN ACR B737 CLBING THROUGH THE B727 ALT AND TURNED FOR SEPARATION. B727 GOT A TCASII RA DURING THE TURN AND FOLLOWED IT, BUT SEPARATION WAS LOST ANYWAY. CTLR RPTR ACCEPTED BLAME FOR THE LOSS OF SEPARATION.
Narrative: DURING INFLT CRUISE OP AT FL290 A POTENTIAL NEAR MISS SCENARIO OCCURRED OVER THE PAWNEE CITY, NE, VORTAC. A BRIEF SUMMARY OF ALL RELATIVE KEY EVENTS FOLLOWS: OUR FLT ACR X WAS ADVISED BY ATC (ZMP) TO INITIATE AN IMMEDIATE 30 DEG R TURN. ACR X WAS ENRTE FROM SFO TO CVG AND WAS PROCEEDING DIRECT (RNAV OMEGA) TO CAPITOL VORTAC. SPD WAS .74 MACH AND FLT CONDITIONS WERE IMC WITH LESS THAN 1 SM VISIBILITY (AND OCCASIONAL LIGHT TURB) DURING THE INITIAL STAGE OF THE TURNING MANEUVER, A TCASII TA ALERT OCCURRED FOLLOWED A FEW SECONDS LATER BY AN RA ALERT. THE WX RADAR WAS IN USE SO THE PROX OF THE TA/RA TARGET WAS DIFFICULT TO ACCESS ON THE SHARED RADAR/TCASII CONSOLE DISPLAY. THE ATC CTLR ADVISED US TO 'TIGHTEN OUR TURN.' I ADVISED MY COPLT TO DISENGAGE THE AUTOPLT, TO TIGHTEN THE TURNING MANEUVER, AND TO FOLLOW THE IVSI DISPLAYED VERT GUIDANCE. I OBSERVED A RED RA TARGET SYMBOL ALMOST SUPERIMPOSED OVER OUR POS WITH A PLUS 100 FT SEPARATION INDICATION. THE RA CONFLICT SIT WAS RESOLVED AS WE COMPLETED OUR COMMANDED DSCNT MANEUVER (200 FPM GREEN BAR) AND ROLLED OUT ON OUR NEW HDG. DURING OUR ESCAPE AND SUBSEQUENT (REPOSITIONING) MANEUVERING OUR ALT VARIED APPROX PLUS OR MINUS 450 FT FROM FL290 (INITIAL DSCNT FOLLOWED BY A CLB THROUGH FL290 DURING THE RECOVERY). WE ADVISED ATC OF OUR COMPLIANCE WITH THE TCASII RA GUIDANCE AND OUR ALTDEVS AS SOON AS THE REAL TIME SEQUENCE-OF-EVENTS PERMITTED RADIO COM. WE WERE ADVISED BY ATC THAT A 'LOSS-OF-SEPARATION' EVENT HAD OCCURRED. A NEW CTLR CAME ON AND CLRED US TO A DIFFERENT FREQ (AND TO ZKC). CONTACT PHONE NUMBERS WERE REQUESTED AND PROVIDED BY THE REPLACEMENT ATC CTLR. THE PLT FROM THE OTHER ACFT INVOLVED (ACR Y, A B737 KANSAS CITY TO SLC), MADE SOME COMMENTS TO ZMP SUCH AS 'WHAT WAS THAT ALL ABOUT?' WE DID NOT ESTABLISH VISUAL CONTACT WITH THE OTHER ACFT. I SINCERELY BELIEVE THAT TIMELY RESPONSE TO THE RA ALERT COMBINED WITH THE AGGRESSIVE TURNING MANEUVER PREVENTED A SERIOUS NEAR-MISS ENCOUNTER. PRIOR TO DEP I BRIEFED MY CREW THAT THE 'PLT' FLYING SHOULD IMMEDIATELY FOLLOW ANY RA RECOVERY GUIDANCE WITH THE OTHER 2 PLTS ATTEMPTING TO ESTABLISH VISUAL CONTACT WITH THE INTRUDER. SUPPLEMENTAL INFO FROM ACN 354115: THE B727 WAS BEING RADAR VECTORED TO CAP (CAPITAL) AT FL290. THE B737 WAS CLBING OUT OF MCI TO FL310 OVER PWE AND POINTS BEYOND. WHEN ACFT WERE 11-13 MI APART IT WAS NOTICED THAT THE B737 WAS ONLY OUT OF FL286 CLBING. TURNS WERE INITIATED AT THIS TIME. VALUABLE SECONDS WERE LOST WHEN THE B737 DID NOT TAKE HIS ASSIGNED HDG WHEN FIRST ISSUED. THE B727 RESPONDED TO AN RA AFTER THE ACFT WERE CLR (NON FACTOR). I HAVE BEEN AN FPL CTLR FOR NEARLY 10 YRS. I TRANSFERRED TO THIS AREA SPECIALTY RECENTLY AND HAVE BEEN CERTIFIED ON THE INVOLVED SECTOR FOR 1 MONTH. THIS ERROR IS MY FIRST. THE ONLY CAUSE THAT EXPLAINS THIS ERROR IS HUMAN ERROR, MINE.
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.