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|
Attributes | |
ACN | 432431 |
Time | |
Date | 199902 |
Day | Sat |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | atc facility : zny.artcc |
State Reference | NY |
Altitude | msl bound lower : 31000 msl bound upper : 33000 |
Aircraft 1 | |
Controlling Facilities | artcc : zny.artcc |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Route In Use | enroute : atlantic |
Flight Plan | IFR |
Person 1 | |
Affiliation | other |
Function | other personnel other |
Experience | controller non radar : 2 |
ASRS Report | 432431 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude non adherence : clearance non adherence : far non adherence : required legal separation |
Independent Detector | other controllera other other : 1 |
Resolutory Action | none taken : detected after the fact |
Supplementary | |
Problem Areas | Flight Crew Human Performance ATC Human Performance Airspace Structure |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Operational Error Pilot Deviation |
Narrative:
At XA11Z, aircraft X requested a change of altitude from FL310 to FL350. 14 mins later, ZNY issued this clearance: 'atcc ctam F320 rr unable requested altitude due traffic.' the ro delivered the clearance verbatim, but the readback was incorrect. The flight read back: 'aircraft X leaving 310, climbing 330 report reaching.' the ro responded with: 'leaving FL310 climbing to FL330 you will report level.' at XA35Z, the flight reported: '...lvl 330.' when the flight reported lvl at FL330, the ro acknowledged seeing FL320 in the ATC clearance that appeared in the lower portion of the display. She said that she saw the difference but she thought that she had made a typing error. Instead of typing the words that she heard through the headset (as verified by the audio tape), she then typed 'lvl FL320.' (it was later reported to new york management by new york ARTCC, that the controller was getting ready to ask about why the readback showed FL330 instead of FL320, but upon receiving the 'lvl FL320 report, he/she decided to not call.) aircraft X continued a FL330 without adequate separation from other flts for 1 hour and 9 mins.
Original NASA ASRS Text
Title: INTL FLC MISUNDERSTOOD CLRNC.
Narrative: AT XA11Z, ACFT X REQUESTED A CHANGE OF ALT FROM FL310 TO FL350. 14 MINS LATER, ZNY ISSUED THIS CLRNC: 'ATCC CTAM F320 RR UNABLE REQUESTED ALT DUE TFC.' THE RO DELIVERED THE CLRNC VERBATIM, BUT THE READBACK WAS INCORRECT. THE FLT READ BACK: 'ACFT X LEAVING 310, CLBING 330 RPT REACHING.' THE RO RESPONDED WITH: 'LEAVING FL310 CLBING TO FL330 YOU WILL RPT LEVEL.' AT XA35Z, THE FLT RPTED: '...LVL 330.' WHEN THE FLT RPTED LVL AT FL330, THE RO ACKNOWLEDGED SEEING FL320 IN THE ATC CLRNC THAT APPEARED IN THE LOWER PORTION OF THE DISPLAY. SHE SAID THAT SHE SAW THE DIFFERENCE BUT SHE THOUGHT THAT SHE HAD MADE A TYPING ERROR. INSTEAD OF TYPING THE WORDS THAT SHE HEARD THROUGH THE HEADSET (AS VERIFIED BY THE AUDIO TAPE), SHE THEN TYPED 'LVL FL320.' (IT WAS LATER RPTED TO NEW YORK MGMNT BY NEW YORK ARTCC, THAT THE CTLR WAS GETTING READY TO ASK ABOUT WHY THE READBACK SHOWED FL330 INSTEAD OF FL320, BUT UPON RECEIVING THE 'LVL FL320 RPT, HE/SHE DECIDED TO NOT CALL.) ACFT X CONTINUED A FL330 WITHOUT ADEQUATE SEPARATION FROM OTHER FLTS FOR 1 HR AND 9 MINS.
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.