37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 459379 |
Time | |
Date | 199901 |
Day | Sun |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | navaid : atl.vortac |
State Reference | GA |
Altitude | msl bound lower : 9000 msl bound upper : 10000 |
Environment | |
Flight Conditions | Mixed |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : atl.tracon tower : atl.tower |
Operator | common carrier : air carrier |
Make Model Name | B737 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : intermediate altitude climbout : vacating altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : departure |
Experience | controller military : 4 controller radar : 23 controller supervisory : 1 |
ASRS Report | 459379 |
Person 2 | |
Affiliation | government : faa |
Function | controller : clearance delivery |
Qualification | controller : radar |
Events | |
Anomaly | non adherence : clearance non adherence : published procedure other anomaly other |
Independent Detector | other controllera other flight crewa |
Resolutory Action | controller : issued advisory controller : issued new clearance |
Consequence | faa : reviewed incident with flight crew faa : investigated |
Supplementary | |
Problem Areas | ATC Human Performance Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
Aircraft was issued 10000 ft by clearance delivery, read back 14000 ft. Error was not detected. On initial contact with departure, aircraft said it was climbing to 14000 ft. No answer by departure. Departure was moderately busy with combined frequencys and position. Aircraft did not attempt contact with departure again. After 5 mi of flight, departure contacted aircraft and issued a turn. Aircraft acknowledged. 5 mi later, aircraft was issued another turn by departure and was told 'expect higher altitude in 2 mi.' aircraft acknowledged. Shortly afterward, aircraft asked to 'confirm assigned 14000 ft.' departure responded, 'negative, you only have 10000 ft.' (the altitude actually issued by clearance delivery and published on the SID.) the aircraft challenged that clearance and investigation revealed the pilot's error in not correctly copying the 10000 ft clearance from clearance delivery, and subsequent failures to detect the error. Separation was never lost and at the time of the detection of the error, another aircraft was within 2 mi of the departure aircraft at 12000 ft converging.
Original NASA ASRS Text
Title: ATL CTLR CHALLENGES PLT RESPONSE TO ASSIGNED ALT FROM ATL CLRNC DELIVERY.
Narrative: ACFT WAS ISSUED 10000 FT BY CLRNC DELIVERY, READ BACK 14000 FT. ERROR WAS NOT DETECTED. ON INITIAL CONTACT WITH DEP, ACFT SAID IT WAS CLBING TO 14000 FT. NO ANSWER BY DEP. DEP WAS MODERATELY BUSY WITH COMBINED FREQS AND POS. ACFT DID NOT ATTEMPT CONTACT WITH DEP AGAIN. AFTER 5 MI OF FLT, DEP CONTACTED ACFT AND ISSUED A TURN. ACFT ACKNOWLEDGED. 5 MI LATER, ACFT WAS ISSUED ANOTHER TURN BY DEP AND WAS TOLD 'EXPECT HIGHER ALT IN 2 MI.' ACFT ACKNOWLEDGED. SHORTLY AFTERWARD, ACFT ASKED TO 'CONFIRM ASSIGNED 14000 FT.' DEP RESPONDED, 'NEGATIVE, YOU ONLY HAVE 10000 FT.' (THE ALT ACTUALLY ISSUED BY CLRNC DELIVERY AND PUBLISHED ON THE SID.) THE ACFT CHALLENGED THAT CLRNC AND INVESTIGATION REVEALED THE PLT'S ERROR IN NOT CORRECTLY COPYING THE 10000 FT CLRNC FROM CLRNC DELIVERY, AND SUBSEQUENT FAILURES TO DETECT THE ERROR. SEPARATION WAS NEVER LOST AND AT THE TIME OF THE DETECTION OF THE ERROR, ANOTHER ACFT WAS WITHIN 2 MI OF THE DEP ACFT AT 12000 FT CONVERGING.
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.