37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 365567 |
Time | |
Date | 199704 |
Day | Thu |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : msp |
State Reference | MN |
Altitude | msl bound lower : 4000 msl bound upper : 4500 |
Environment | |
Flight Conditions | IMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : msp |
Operator | common carrier : air carrier |
Make Model Name | DC-9 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | descent other |
Route In Use | arrival other enroute : on vectors |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | B757 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | descent other |
Route In Use | arrival other enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : approach |
Qualification | controller : radar |
Experience | controller radar : 12 |
ASRS Report | 365567 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | conflict : airborne less severe non adherence : published procedure non adherence : required legal separation other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : unspecified other controllera |
Resolutory Action | none taken : detected after the fact |
Consequence | Other |
Miss Distance | horizontal : 9000 vertical : 500 |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Pilot Deviation Operational Error |
Narrative:
I was the south approach controller running staggered ILS's to runway 11R at msp, aircraft #1 was on final 14 mi out with traffic 3/4 of a mi ahead on the parallel localizer at 1000 ft below. I advised aircraft #1 that I was taking him off the final for additional spacing with the aircraft ahead on the parallel localizer. I then turned him to a 170 degree heading and instructed him to maintain 5000 ft. I talked to another aircraft and then returned to aircraft #1 and instructed him to turn left heading 080 degrees and intercept the runway 11R localizer. I then talked with another couple of aircraft and coordinated with the runway 11L controller to descend my aircraft #1 to 4000 ft. I then instructed aircraft #1 to maintain 4000 ft. I made another transmission and then realized aircraft #1 was still sbound on a 170 degree heading descending through 4500 ft converging with a B757, aircraft #2, on downwind at 4000 ft. I turned aircraft #2 left to 250 degrees, and then turned aircraft #1 left immediately to a 090 degree heading and issued traffic, I then turned aircraft #2 further left and issued a traffic alert. He then responded saying he was in a TCASII descent. Closest point of approach was 1.5 mi and 500 ft. After reviewing the tapes, it turns out that aircraft #3 took the call for aircraft #1 when I instructed him to turn left heading 080 degrees and rejoin the localizer. Aircraft #3 was about 25 mi out about to join. All 3 aircraft were from the same company. Better attention to readbacks from myself could have prevented this, however aircraft #1 and aircraft #3 should have been more attentive.
Original NASA ASRS Text
Title: OPERROR BTWN ACFT #1 IN DSCNT TO 4000 FT AND ACFT #2 LEVEL AT 4000 FT. RPTR HAD INSTRUCTED ACFT #1 TO TURN TO INTERCEPT THE LOC. CLRNC WAS TAKEN ACKNOWLEDGED BY ACFT #3. RPTR MISSED THE READBACK. ACFT #1 WAS ON A CONVERGING COURSE WITH ACFT #2 WHEN RPTR REALIZED IT HAD NOT TURNED. ACFT #1 WAS TURNED BUT SEPARATION WAS LOST. ACFT #2 WAS TURNED AND MADE AN EVASIVE ACTION DSCNT AFTER RECEIVING A TCASII RA.
Narrative: I WAS THE S APCH CTLR RUNNING STAGGERED ILS'S TO RWY 11R AT MSP, ACFT #1 WAS ON FINAL 14 MI OUT WITH TFC 3/4 OF A MI AHEAD ON THE PARALLEL LOC AT 1000 FT BELOW. I ADVISED ACFT #1 THAT I WAS TAKING HIM OFF THE FINAL FOR ADDITIONAL SPACING WITH THE ACFT AHEAD ON THE PARALLEL LOC. I THEN TURNED HIM TO A 170 DEG HDG AND INSTRUCTED HIM TO MAINTAIN 5000 FT. I TALKED TO ANOTHER ACFT AND THEN RETURNED TO ACFT #1 AND INSTRUCTED HIM TO TURN L HDG 080 DEGS AND INTERCEPT THE RWY 11R LOC. I THEN TALKED WITH ANOTHER COUPLE OF ACFT AND COORDINATED WITH THE RWY 11L CTLR TO DSND MY ACFT #1 TO 4000 FT. I THEN INSTRUCTED ACFT #1 TO MAINTAIN 4000 FT. I MADE ANOTHER XMISSION AND THEN REALIZED ACFT #1 WAS STILL SBOUND ON A 170 DEG HDG DSNDING THROUGH 4500 FT CONVERGING WITH A B757, ACFT #2, ON DOWNWIND AT 4000 FT. I TURNED ACFT #2 L TO 250 DEGS, AND THEN TURNED ACFT #1 L IMMEDIATELY TO A 090 DEG HDG AND ISSUED TFC, I THEN TURNED ACFT #2 FURTHER L AND ISSUED A TFC ALERT. HE THEN RESPONDED SAYING HE WAS IN A TCASII DSCNT. CLOSEST POINT OF APCH WAS 1.5 MI AND 500 FT. AFTER REVIEWING THE TAPES, IT TURNS OUT THAT ACFT #3 TOOK THE CALL FOR ACFT #1 WHEN I INSTRUCTED HIM TO TURN L HDG 080 DEGS AND REJOIN THE LOC. ACFT #3 WAS ABOUT 25 MI OUT ABOUT TO JOIN. ALL 3 ACFT WERE FROM THE SAME COMPANY. BETTER ATTN TO READBACKS FROM MYSELF COULD HAVE PREVENTED THIS, HOWEVER ACFT #1 AND ACFT #3 SHOULD HAVE BEEN MORE ATTENTIVE.
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.