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|
Attributes | |
ACN | 445635 |
Time | |
Date | 199908 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : sns.airport |
State Reference | CA |
Altitude | msl bound lower : 29000 msl bound upper : 29700 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zoa.artcc |
Operator | common carrier : air carrier |
Make Model Name | B737-300 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other other vortac |
Flight Phase | climbout : vacating altitude |
Route In Use | enroute : direct |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | artcc : zoa.artcc |
Operator | common carrier : air carrier |
Make Model Name | MD-80 Series (DC-9-80) Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise : level |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 210 flight time total : 8100 flight time type : 2000 |
ASRS Report | 445635 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : multi engine pilot : commercial pilot : atp pilot : flight engineer |
Experience | flight time last 90 days : 140 flight time total : 12000 flight time type : 2700 |
ASRS Report | 445631 |
Events | |
Anomaly | aircraft equipment problem : less severe conflict : airborne less severe non adherence : far non adherence : published procedure non adherence : required legal separation |
Independent Detector | aircraft equipment : tcas other controllera |
Resolutory Action | flight crew : took precautionary avoidance action |
Consequence | faa : reviewed incident with flight crew |
Miss Distance | horizontal : 24000 vertical : 1500 |
Supplementary | |
Problem Areas | ATC Human Performance Company Flight Crew Human Performance |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error |
Narrative:
I was first officer and PF. Autoplt was engaged. Aircraft climbing in relatively shallow, high speed climb profile. We were climbing to assigned FL330 which was in altitude window. At approximately FL293 ATC queries 'aircraft X verify level at FL290?' before we could respond another company aircraft jumped in: 'that's affirmative, FL290, aircraft Y.' ATC: 'I show you a couple hundred ft high.' aircraft Y, 'negative sir, we're level here at FL290.' ATC: 'am I talking to aircraft X?' meanwhile, during this confusing interchange, I've clicked off the autoplt and initiated a descent as I've noticed an opposite direction MD80 which is obviously a potential threat and the reason for the controller's concern. We reach approximately FL297 during the pushover from climb to descent and receive a 'traffic' callout from our TCASII system (no RA). After several radio blocks from our company flight # aircraft Y, the captain was finally able to respond and report level at FL290, and that was the first time we had ever read back FL290. That was the end of the incident and the beginning of a miserable evening of flying, wondering what happened and what would come of it. In hindsight I can see several errors. The captain and I both agree that we never read back any clearance to FL290. My suspicion is that when ATC originally asked us to level at FL290 rather than FL330 it was replied to by aircraft Y. This mistake should have been caught by us or ATC, but it was not. Better radio situational awareness on our part would have solved the problem. I will say, however, that I don't recall common ATC practice used whereby they alert crews to similar sounding call signs. This should have been done, especially with the similarity of aircraft Y and aircraft X. This is a real problem for our air carrier. You may have 6 call signs in as many hours and all our flts on frequency are similar. I'm surprised this doesn't happen more often.
Original NASA ASRS Text
Title: B737 CREW HAD CTLR, PLT FLT NUMBER MIX-UP.
Narrative: I WAS FO AND PF. AUTOPLT WAS ENGAGED. ACFT CLBING IN RELATIVELY SHALLOW, HIGH SPD CLB PROFILE. WE WERE CLBING TO ASSIGNED FL330 WHICH WAS IN ALT WINDOW. AT APPROX FL293 ATC QUERIES 'ACFT X VERIFY LEVEL AT FL290?' BEFORE WE COULD RESPOND ANOTHER COMPANY ACFT JUMPED IN: 'THAT'S AFFIRMATIVE, FL290, ACFT Y.' ATC: 'I SHOW YOU A COUPLE HUNDRED FT HIGH.' ACFT Y, 'NEGATIVE SIR, WE'RE LEVEL HERE AT FL290.' ATC: 'AM I TALKING TO ACFT X?' MEANWHILE, DURING THIS CONFUSING INTERCHANGE, I'VE CLICKED OFF THE AUTOPLT AND INITIATED A DSCNT AS I'VE NOTICED AN OPPOSITE DIRECTION MD80 WHICH IS OBVIOUSLY A POTENTIAL THREAT AND THE REASON FOR THE CTLR'S CONCERN. WE REACH APPROX FL297 DURING THE PUSHOVER FROM CLB TO DSCNT AND RECEIVE A 'TFC' CALLOUT FROM OUR TCASII SYS (NO RA). AFTER SEVERAL RADIO BLOCKS FROM OUR COMPANY FLT # ACFT Y, THE CAPT WAS FINALLY ABLE TO RESPOND AND RPT LEVEL AT FL290, AND THAT WAS THE FIRST TIME WE HAD EVER READ BACK FL290. THAT WAS THE END OF THE INCIDENT AND THE BEGINNING OF A MISERABLE EVENING OF FLYING, WONDERING WHAT HAPPENED AND WHAT WOULD COME OF IT. IN HINDSIGHT I CAN SEE SEVERAL ERRORS. THE CAPT AND I BOTH AGREE THAT WE NEVER READ BACK ANY CLRNC TO FL290. MY SUSPICION IS THAT WHEN ATC ORIGINALLY ASKED US TO LEVEL AT FL290 RATHER THAN FL330 IT WAS REPLIED TO BY ACFT Y. THIS MISTAKE SHOULD HAVE BEEN CAUGHT BY US OR ATC, BUT IT WAS NOT. BETTER RADIO SITUATIONAL AWARENESS ON OUR PART WOULD HAVE SOLVED THE PROB. I WILL SAY, HOWEVER, THAT I DON'T RECALL COMMON ATC PRACTICE USED WHEREBY THEY ALERT CREWS TO SIMILAR SOUNDING CALL SIGNS. THIS SHOULD HAVE BEEN DONE, ESPECIALLY WITH THE SIMILARITY OF ACFT Y AND ACFT X. THIS IS A REAL PROB FOR OUR ACR. YOU MAY HAVE 6 CALL SIGNS IN AS MANY HRS AND ALL OUR FLTS ON FREQ ARE SIMILAR. I'M SURPRISED THIS DOESN'T HAPPEN MORE OFTEN.
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.