37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 371187 |
Time | |
Date | 199706 |
Day | Mon |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : pxt |
State Reference | MD |
Altitude | msl bound lower : 29000 msl bound upper : 29000 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zdc |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Flight Phase | descent other |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Flight Phase | descent other |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : radar |
Experience | controller radar : 15 |
ASRS Report | 371187 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | conflict : airborne less severe non adherence : clearance non adherence : required legal separation other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance other |
Consequence | Other |
Miss Distance | horizontal : 1500 vertical : 400 |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
I was sequencing jet arrs to ewr. I built a gap to put air carrier X in sequence. I issued a crossing restr to air carrier Y to cross pxt at FL290. I descended air carrier X to FL280 from FL330. 1 min later, air carrier Y reported leaving FL370 for FL290. Both aircraft were converging on pxt. Air carrier X was not descending very much. I issued a 040 degree heading for descent and asked air carrier Y his heading. He replied 030 degrees. I then issued air carrier X a 020 degree heading to ensure separation. I missed the readback. (At this time the aircraft were 8 mi apart and on diverging headings.) air carrier Y had answered and taken air carrier X's heading. After 2 updates on my display, I noticed air carrier Y turning at air carrier X - - both at FL300 and descending. I immediately turned both aircraft away from each other. After reviewing the audio tape recording I was shocked to hear that it was air carrier Y who read back the 020 degree heading and not air carrier X. He did not use the 'air carrier Y' in his call sign. It was a clear transmission to air carrier X, and they did not even question if the clearance was for them. I believe the classic hear what you want to hear is why I missed the readback, but if air carrier Y answered the turn for air carrier X by saying air carrier Y, I might have had a better chance to hear the mistake and immediately correct it. I was only working 4 aircraft on that frequency.
Original NASA ASRS Text
Title: PLTDEV WHEN ACR Y RESPONDS AND TURNS TO HDG ASSIGNED TO ACR X. ACR Y DID NOT SEE COMPANY IDENT WHEN HDG WAS REPEATED. ACR X DID NOT CHALLENGE THE CLRNC. RPTR WAS NOT AWARE THAT ACR X HAD NOT ACKNOWLEDGED THE CLRNC UNTIL ACR Y'S TARGET WAS OBSERVED TURNING. LTSS.
Narrative: I WAS SEQUENCING JET ARRS TO EWR. I BUILT A GAP TO PUT ACR X IN SEQUENCE. I ISSUED A XING RESTR TO ACR Y TO CROSS PXT AT FL290. I DSNDED ACR X TO FL280 FROM FL330. 1 MIN LATER, ACR Y RPTED LEAVING FL370 FOR FL290. BOTH ACFT WERE CONVERGING ON PXT. ACR X WAS NOT DSNDING VERY MUCH. I ISSUED A 040 DEG HDG FOR DSCNT AND ASKED ACR Y HIS HDG. HE REPLIED 030 DEGS. I THEN ISSUED ACR X A 020 DEG HDG TO ENSURE SEPARATION. I MISSED THE READBACK. (AT THIS TIME THE ACFT WERE 8 MI APART AND ON DIVERGING HDGS.) ACR Y HAD ANSWERED AND TAKEN ACR X'S HDG. AFTER 2 UPDATES ON MY DISPLAY, I NOTICED ACR Y TURNING AT ACR X - - BOTH AT FL300 AND DSNDING. I IMMEDIATELY TURNED BOTH ACFT AWAY FROM EACH OTHER. AFTER REVIEWING THE AUDIO TAPE RECORDING I WAS SHOCKED TO HEAR THAT IT WAS ACR Y WHO READ BACK THE 020 DEG HDG AND NOT ACR X. HE DID NOT USE THE 'ACR Y' IN HIS CALL SIGN. IT WAS A CLR XMISSION TO ACR X, AND THEY DID NOT EVEN QUESTION IF THE CLRNC WAS FOR THEM. I BELIEVE THE CLASSIC HEAR WHAT YOU WANT TO HEAR IS WHY I MISSED THE READBACK, BUT IF ACR Y ANSWERED THE TURN FOR ACR X BY SAYING ACR Y, I MIGHT HAVE HAD A BETTER CHANCE TO HEAR THE MISTAKE AND IMMEDIATELY CORRECT IT. I WAS ONLY WORKING 4 ACFT ON THAT FREQ.
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.