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Attributes | |
ACN | 418800 |
Time | |
Date | 199811 |
Day | Sun |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | atc facility : bos airport : bos |
State Reference | MA |
Altitude | msl bound lower : 5000 msl bound upper : 5000 |
Environment | |
Flight Conditions | Mixed |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tracon : bos |
Operator | common carrier : air carrier |
Make Model Name | B737-200 |
Flight Phase | descent : approach |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Aircraft 2 | |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Flight Phase | landing other |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 160 flight time total : 16000 flight time type : 5000 |
ASRS Report | 418800 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 180 flight time total : 13000 flight time type : 5000 |
ASRS Report | 418796 |
Events | |
Anomaly | conflict : airborne less severe non adherence : required legal separation non adherence : clearance other spatial deviation |
Independent Detector | other controllera other flight crewa |
Resolutory Action | controller : issued new clearance flight crew : exited adverse environment other |
Consequence | faa : reviewed incident with flight crew |
Miss Distance | horizontal : 10000 vertical : 500 |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
On heading of 210 degrees for downwind leg of runway 4R ILS, controller issued heading of 200 degrees to widen downwind leg. I heard '300 degrees,' and read that back, thinking this was a turn to base leg. After turn, corrective headings were issued immediately before serious traffic conflict occurred. We had visual contact with the traffic on the ILS. Contributing factors: high traffic volume, rapid clrncs being issued, rapid readbacks, in and out of clouds, high workload in cockpit. I discussed the situation with a controller supervisor and he concurred with this report.
Original NASA ASRS Text
Title: B737 DEVIATES FROM ASSIGNED HDG ON APCH TO BOS.
Narrative: ON HDG OF 210 DEGS FOR DOWNWIND LEG OF RWY 4R ILS, CTLR ISSUED HDG OF 200 DEGS TO WIDEN DOWNWIND LEG. I HEARD '300 DEGS,' AND READ THAT BACK, THINKING THIS WAS A TURN TO BASE LEG. AFTER TURN, CORRECTIVE HDGS WERE ISSUED IMMEDIATELY BEFORE SERIOUS TFC CONFLICT OCCURRED. WE HAD VISUAL CONTACT WITH THE TFC ON THE ILS. CONTRIBUTING FACTORS: HIGH TFC VOLUME, RAPID CLRNCS BEING ISSUED, RAPID READBACKS, IN AND OUT OF CLOUDS, HIGH WORKLOAD IN COCKPIT. I DISCUSSED THE SIT WITH A CTLR SUPVR AND HE CONCURRED WITH THIS RPT.
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.