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|
Attributes | |
ACN | 376236 |
Time | |
Date | 199707 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : gve |
State Reference | VA |
Altitude | msl bound lower : 18000 msl bound upper : 18000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : dca |
Operator | general aviation : corporate |
Make Model Name | Super King Air 300 |
Operating Under FAR Part | Part 91 |
Flight Phase | cruise other |
Route In Use | enroute other |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | B737 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | descent other |
Flight Plan | IFR |
Person 1 | |
Affiliation | Other |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp pilot : cfi |
Experience | flight time last 90 days : 60 flight time total : 4000 flight time type : 250 |
ASRS Report | 376236 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 121 flight time total : 4036 flight time type : 852 |
ASRS Report | 376227 |
Events | |
Anomaly | conflict : airborne less severe non adherence : published procedure non adherence : required legal separation other spatial deviation |
Independent Detector | aircraft equipment other aircraft equipment : unspecified other flight crewa |
Resolutory Action | flight crew : took evasive action |
Consequence | faa : reviewed incident with flight crew |
Miss Distance | horizontal : 8000 vertical : 400 |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error |
Narrative:
My copilot and I were flying along at FL180 on our way to gso about 50 mi northeast of gve VOR in a king air BE30 with several passenger. My copilot noticed traffic on the TCASII approaching from our 1 O'clock position out of FL190. She then was able to see the traffic visually and pointed out a B737. As the aircraft got closer, I realized I needed to take evasive action or he was going to hit us. I rolled into a 30 degree bank right turn and changed heading by 45 degrees. By our estimates the B737 got as close as 1.5 mi and 400 ft vertical. Also, the TCASII was directing us to descend, which I did not feel comfortable doing since the B737 was descending towards us. We also stated to the controller we took evasive action. We then asked the controller what happened and he said he did not talk to the B737, that he was being handled by 'national' center. We got a phone number to call to talk to the national TRACON supervisor. When we got on the ground at gso, I called and spoke with the national TRACON supervisor. He explained that he saw the whole thing happen. Apparently, the controller who was handling us electronically handed us off to national center, but never verbally switched us to a different frequency. Therefore, national center could not talk to us even though they were trying to. The supervisor admitted that ZDC 'screwed up' by not switching us. Although this is comforting to know that controllers are human too, it could have been disastrous. I contribute the controller's workload which was substantial at the time, along with a complex and confusing ATC system as factors which caused this problem. The diligent efforts by both crews to see and avoid and effective crew resource management, along with functional TCASII equipment are, in my opinion, the commanding elements that kept this occurrence from being an accident with the loss of lives.
Original NASA ASRS Text
Title: KING AIR CPR ACFT AT CRUISE LEVEL HAS NMAC WITH B737 DSNDING. CTR NEGLECTED TO HAVE KING AIR FLC CHANGE FREQ AND THE 2 ACFT WERE ON DIFFERENT FREQS. BOTH ACFT TOOK EVASIVE ACTION.
Narrative: MY COPLT AND I WERE FLYING ALONG AT FL180 ON OUR WAY TO GSO ABOUT 50 MI NE OF GVE VOR IN A KING AIR BE30 WITH SEVERAL PAX. MY COPLT NOTICED TFC ON THE TCASII APCHING FROM OUR 1 O'CLOCK POS OUT OF FL190. SHE THEN WAS ABLE TO SEE THE TFC VISUALLY AND POINTED OUT A B737. AS THE ACFT GOT CLOSER, I REALIZED I NEEDED TO TAKE EVASIVE ACTION OR HE WAS GOING TO HIT US. I ROLLED INTO A 30 DEG BANK R TURN AND CHANGED HDG BY 45 DEGS. BY OUR ESTIMATES THE B737 GOT AS CLOSE AS 1.5 MI AND 400 FT VERT. ALSO, THE TCASII WAS DIRECTING US TO DSND, WHICH I DID NOT FEEL COMFORTABLE DOING SINCE THE B737 WAS DSNDING TOWARDS US. WE ALSO STATED TO THE CTLR WE TOOK EVASIVE ACTION. WE THEN ASKED THE CTLR WHAT HAPPENED AND HE SAID HE DID NOT TALK TO THE B737, THAT HE WAS BEING HANDLED BY 'NATIONAL' CTR. WE GOT A PHONE NUMBER TO CALL TO TALK TO THE NATIONAL TRACON SUPVR. WHEN WE GOT ON THE GND AT GSO, I CALLED AND SPOKE WITH THE NATIONAL TRACON SUPVR. HE EXPLAINED THAT HE SAW THE WHOLE THING HAPPEN. APPARENTLY, THE CTLR WHO WAS HANDLING US ELECTRONICALLY HANDED US OFF TO NATIONAL CTR, BUT NEVER VERBALLY SWITCHED US TO A DIFFERENT FREQ. THEREFORE, NATIONAL CTR COULD NOT TALK TO US EVEN THOUGH THEY WERE TRYING TO. THE SUPVR ADMITTED THAT ZDC 'SCREWED UP' BY NOT SWITCHING US. ALTHOUGH THIS IS COMFORTING TO KNOW THAT CTLRS ARE HUMAN TOO, IT COULD HAVE BEEN DISASTROUS. I CONTRIBUTE THE CTLR'S WORKLOAD WHICH WAS SUBSTANTIAL AT THE TIME, ALONG WITH A COMPLEX AND CONFUSING ATC SYS AS FACTORS WHICH CAUSED THIS PROB. THE DILIGENT EFFORTS BY BOTH CREWS TO SEE AND AVOID AND EFFECTIVE CREW RESOURCE MGMNT, ALONG WITH FUNCTIONAL TCASII EQUIP ARE, IN MY OPINION, THE COMMANDING ELEMENTS THAT KEPT THIS OCCURRENCE FROM BEING AN ACCIDENT WITH THE LOSS OF LIVES.
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.