37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 419261 |
Time | |
Date | 199811 |
Day | Fri |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : ewr airport : ewr |
State Reference | NJ |
Altitude | msl bound lower : 10000 msl bound upper : 10000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zny tracon : n90 |
Operator | common carrier : air carrier |
Make Model Name | Embraer Undifferentiated or Other Model |
Navigation In Use | Other Other |
Flight Phase | climbout : intermediate altitude cruise other |
Route In Use | departure other enroute : on vectors |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | A320 |
Navigation In Use | Other Other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 45 flight time total : 5000 flight time type : 50 |
ASRS Report | 419261 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 210 flight time total : 2700 flight time type : 350 |
ASRS Report | 419556 |
Events | |
Anomaly | conflict : airborne less severe non adherence : clearance non adherence : required legal separation other anomaly other |
Independent Detector | aircraft equipment other aircraft equipment : unspecified |
Resolutory Action | flight crew : took evasive action |
Consequence | faa : investigated |
Miss Distance | horizontal : 13620 vertical : 600 |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation Operational Error |
Narrative:
The event took place approximately 5 mins after departure while on radar vectors with new york departure frequency 119.2. First officer (PF) was experiencing an ear block and was in great discomfort. I was managing the radios and had received a frequency change to 120.85. I placed the frequency in standby and did not switch radio frequency as I questioned the first officer about altitude choices with his ear condition. Shortly afterwards, a TCASII alert with RA guidance occurred. ATC was advised of other aircraft 'in sight' and our descent in following prescribed RA guidance. The situation was not discovered until TCASII response. Human performance failures occurred at both ends: ATC (receiving) did not query ATC (providing handoff) with regard to no contact of our aircraft entering new controling airspace. PNF allowed cockpit distraction to interfere with required radio communication with controller. Both failures allowed aircraft to be placed in a potentially dangerous profile. Contributing factor: lack of situational awareness. Personal findings: 1) do not release hand from press-to- talk until frequency handover is complete. 2) do not surrender aircraft to ATC and maintain situational awareness, through progress on navigation charts and share information as to expected next ATC action (ie, turn for outbound course). Supplemental information from acn 419556: after takeoff from ewr runway 4L we were assigned heading 270 degrees and 10000 ft. We were given a frequency change and the captain put the new frequency in standby but did not switch it over. Soon after we were given an RA from TCASII. We began a descent and informed ATC. The controller was not aware of our position and told us to again switch to the new frequency. Once ATC confirmed our position we were issued a 360 degree turn and were then vectored back on course.
Original NASA ASRS Text
Title: AN EMB145 DEP EWR FAILS TO CHANGE FREQS TO ZNY AND EXPERIENCES A POTENTIAL CONFLICT WITH AN A320.
Narrative: THE EVENT TOOK PLACE APPROX 5 MINS AFTER DEP WHILE ON RADAR VECTORS WITH NEW YORK DEP FREQ 119.2. FO (PF) WAS EXPERIENCING AN EAR BLOCK AND WAS IN GREAT DISCOMFORT. I WAS MANAGING THE RADIOS AND HAD RECEIVED A FREQ CHANGE TO 120.85. I PLACED THE FREQ IN STANDBY AND DID NOT SWITCH RADIO FREQ AS I QUESTIONED THE FO ABOUT ALT CHOICES WITH HIS EAR CONDITION. SHORTLY AFTERWARDS, A TCASII ALERT WITH RA GUIDANCE OCCURRED. ATC WAS ADVISED OF OTHER ACFT 'IN SIGHT' AND OUR DSCNT IN FOLLOWING PRESCRIBED RA GUIDANCE. THE SIT WAS NOT DISCOVERED UNTIL TCASII RESPONSE. HUMAN PERFORMANCE FAILURES OCCURRED AT BOTH ENDS: ATC (RECEIVING) DID NOT QUERY ATC (PROVIDING HDOF) WITH REGARD TO NO CONTACT OF OUR ACFT ENTERING NEW CTLING AIRSPACE. PNF ALLOWED COCKPIT DISTR TO INTERFERE WITH REQUIRED RADIO COM WITH CTLR. BOTH FAILURES ALLOWED ACFT TO BE PLACED IN A POTENTIALLY DANGEROUS PROFILE. CONTRIBUTING FACTOR: LACK OF SITUATIONAL AWARENESS. PERSONAL FINDINGS: 1) DO NOT RELEASE HAND FROM PRESS-TO- TALK UNTIL FREQ HANDOVER IS COMPLETE. 2) DO NOT SURRENDER ACFT TO ATC AND MAINTAIN SITUATIONAL AWARENESS, THROUGH PROGRESS ON NAV CHARTS AND SHARE INFO AS TO EXPECTED NEXT ATC ACTION (IE, TURN FOR OUTBOUND COURSE). SUPPLEMENTAL INFO FROM ACN 419556: AFTER TKOF FROM EWR RWY 4L WE WERE ASSIGNED HDG 270 DEGS AND 10000 FT. WE WERE GIVEN A FREQ CHANGE AND THE CAPT PUT THE NEW FREQ IN STANDBY BUT DID NOT SWITCH IT OVER. SOON AFTER WE WERE GIVEN AN RA FROM TCASII. WE BEGAN A DSCNT AND INFORMED ATC. THE CTLR WAS NOT AWARE OF OUR POS AND TOLD US TO AGAIN SWITCH TO THE NEW FREQ. ONCE ATC CONFIRMED OUR POS WE WERE ISSUED A 360 DEG TURN AND WERE THEN VECTORED BACK ON COURSE.
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.