37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 371514 |
Time | |
Date | 199706 |
Day | Wed |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : phx |
State Reference | AZ |
Altitude | msl bound lower : 8000 msl bound upper : 9000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : phx tower : jfk |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Operating Under FAR Part | Part 121 |
Navigation In Use | Other Other |
Flight Phase | descent other |
Route In Use | arrival other |
Flight Plan | IFR |
Aircraft 2 | |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : initial |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : approach |
Qualification | controller : radar |
Experience | controller military : 4 controller non radar : 14 controller radar : 15 controller supervisory : 1 |
ASRS Report | 371514 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : cfi pilot : flight engineer |
Experience | flight time last 90 days : 250 flight time total : 14000 flight time type : 10000 |
ASRS Report | 371122 |
Events | |
Anomaly | conflict : airborne less severe non adherence : required legal separation other anomaly other |
Independent Detector | other controllera other flight crewa |
Resolutory Action | none taken : detected after the fact |
Consequence | Other |
Miss Distance | horizontal : 6660 vertical : 500 |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error |
Narrative:
I was the north arrival controller and was completing a heavy rush period. I inadvertently cleared a B737 to 8000 ft. This assigned altitude was 10000 ft below the protected altitude in my airspace and in conflict with departure traffic. The pilot read back the altitude correctly and I did not catch the error at that time. As the aircraft was descending out of 10000 ft I called traffic at 5 mi opposite direction restr below you at 8000 ft. The pilot replied, 'roger, he's in sight,' with no mention of the altitude in confliction. I noticed the descending B737 at 8800 ft and told him to maintain 9000 ft. He replied we have our traffic and were cleared to 8000 ft. I was 100% at fault in this incident, but as you can see, the readback hearback problem is alive and well. 3 separate opportunities to prevent this error were missed by both pilot and controller.
Original NASA ASRS Text
Title: TRACON CTLR RPT REGARDING WRONG ALT ISSUED FOR DSNDING ACFT WITH SAME ALT ASSIGNED TO DEP ACFT. TCASII AND VISUAL SIGHTING PREVENTED SERIOUS PROB.
Narrative: I WAS THE N ARR CTLR AND WAS COMPLETING A HVY RUSH PERIOD. I INADVERTENTLY CLRED A B737 TO 8000 FT. THIS ASSIGNED ALT WAS 10000 FT BELOW THE PROTECTED ALT IN MY AIRSPACE AND IN CONFLICT WITH DEP TFC. THE PLT READ BACK THE ALT CORRECTLY AND I DID NOT CATCH THE ERROR AT THAT TIME. AS THE ACFT WAS DSNDING OUT OF 10000 FT I CALLED TFC AT 5 MI OPPOSITE DIRECTION RESTR BELOW YOU AT 8000 FT. THE PLT REPLIED, 'ROGER, HE'S IN SIGHT,' WITH NO MENTION OF THE ALT IN CONFLICTION. I NOTICED THE DSNDING B737 AT 8800 FT AND TOLD HIM TO MAINTAIN 9000 FT. HE REPLIED WE HAVE OUR TFC AND WERE CLRED TO 8000 FT. I WAS 100% AT FAULT IN THIS INCIDENT, BUT AS YOU CAN SEE, THE READBACK HEARBACK PROB IS ALIVE AND WELL. 3 SEPARATE OPPORTUNITIES TO PREVENT THIS ERROR WERE MISSED BY BOTH PLT AND CTLR.
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.