37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 353997 |
Time | |
Date | 199611 |
Day | Wed |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | airport : roc |
State Reference | NY |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Flight Conditions | IMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tower : roc |
Operator | general aviation : personal |
Make Model Name | Baron 58/58TC |
Operating Under FAR Part | Part 91 |
Flight Phase | descent : approach landing other |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : clearance delivery controller : ground controller : local |
Qualification | controller : radar |
Experience | controller military : 4 controller radar : 7 |
ASRS Report | 353997 |
Person 2 | |
Affiliation | government : faa |
Function | controller : approach |
Qualification | controller : radar |
Events | |
Anomaly | conflict : ground critical incursion : landing without clearance non adherence : required legal separation |
Independent Detector | other flight crewa |
Resolutory Action | none taken : detected after the fact |
Consequence | faa : investigated |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation Inter Facility Coordination Failure |
Situations | |
Airport | procedure or policy : unspecified |
Narrative:
I was the lone tower controller working all position combined. Low IFR WX with heavy snow fall. I had numerous (5-7) snow removal vehicles on runway 04/22 for over 3 hours. The runway was not closed. A BE58 was cleared for ILS runway 04 approach by the radar controller and told to contact the tower. After reviewing the audio recording I heard the BE58 had contacted the tower, reporting on final for runway 04. At the time I did not hear the BE58's initial call to tower. The BE58's next transmission to tower was 'tower, do you know you have vehicles on the runway?' at this point I checked my d-brite and observed no traffic. I assumed the BE58 was on short final and attempted to send him around. The BE58 then informed me he had already landed and was at taxi speed on the runway. The problem arose because the BE58 landed without clearance. Contributing factors: 1) I did not hear the BE58's initial call to tower advising he was on final for runway 04. 2) snow removal equipment was on the ground control frequency instead of local control frequency. 3) airport operators reluctance to close the runway when equipment will be on it for extended periods. Factors affecting quality of human performance: 1) it was my first XA00- XH00 local shift after 2 days off. Incident occurred 7 hours into my shift and after I was awake for 22 hours straight. 2) pilot thought he had received landing clearance when in fact he had not. Possible lack of awareness at XG00 am after flying all night.
Original NASA ASRS Text
Title: A BE58 ON AN ILS RWY 04 APCH LANDED WITHOUT A CLRNC ON A RWY WHICH WAS OCCUPIED BY SNOW REMOVAL EQUIP. TWR CTLR WAS NOT AWARE THE BE58 WAS ON THE RWY UNTIL THE PLT TOLD HIM ABOUT THE VEHICLES ON THE RWY.
Narrative: I WAS THE LONE TWR CTLR WORKING ALL POS COMBINED. LOW IFR WX WITH HVY SNOW FALL. I HAD NUMEROUS (5-7) SNOW REMOVAL VEHICLES ON RWY 04/22 FOR OVER 3 HRS. THE RWY WAS NOT CLOSED. A BE58 WAS CLRED FOR ILS RWY 04 APCH BY THE RADAR CTLR AND TOLD TO CONTACT THE TWR. AFTER REVIEWING THE AUDIO RECORDING I HEARD THE BE58 HAD CONTACTED THE TWR, RPTING ON FINAL FOR RWY 04. AT THE TIME I DID NOT HEAR THE BE58'S INITIAL CALL TO TWR. THE BE58'S NEXT XMISSION TO TWR WAS 'TWR, DO YOU KNOW YOU HAVE VEHICLES ON THE RWY?' AT THIS POINT I CHKED MY D-BRITE AND OBSERVED NO TFC. I ASSUMED THE BE58 WAS ON SHORT FINAL AND ATTEMPTED TO SEND HIM AROUND. THE BE58 THEN INFORMED ME HE HAD ALREADY LANDED AND WAS AT TAXI SPD ON THE RWY. THE PROB AROSE BECAUSE THE BE58 LANDED WITHOUT CLRNC. CONTRIBUTING FACTORS: 1) I DID NOT HEAR THE BE58'S INITIAL CALL TO TWR ADVISING HE WAS ON FINAL FOR RWY 04. 2) SNOW REMOVAL EQUIP WAS ON THE GND CTL FREQ INSTEAD OF LCL CTL FREQ. 3) ARPT OPERATORS RELUCTANCE TO CLOSE THE RWY WHEN EQUIP WILL BE ON IT FOR EXTENDED PERIODS. FACTORS AFFECTING QUALITY OF HUMAN PERFORMANCE: 1) IT WAS MY FIRST XA00- XH00 LCL SHIFT AFTER 2 DAYS OFF. INCIDENT OCCURRED 7 HRS INTO MY SHIFT AND AFTER I WAS AWAKE FOR 22 HRS STRAIGHT. 2) PLT THOUGHT HE HAD RECEIVED LNDG CLRNC WHEN IN FACT HE HAD NOT. POSSIBLE LACK OF AWARENESS AT XG00 AM AFTER FLYING ALL NIGHT.
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.