ATCT local controller failed to reissue missed approach instructions to pilots of a T38 training flight causing a conflict with a beech A36 on a cross runway climb out heading. Both aircraft pilots observed the other and adjusted their course accordingly.

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Attributes
ACN	470202
Time
Date	200004
Day	Thu
Local Time Of Day	1201 To 1800
Place
Locale Reference	airport : mgm.airport
State Reference	AL
Altitude	msl single value : 2000
Environment
Flight Conditions	VMC
Light	Daylight
Aircraft 1
Controlling Facilities	tower : mgm.tower
Operator	general aviation : personal
Make Model Name	Bonanza 36
Operating Under FAR Part	Part 91
Flight Phase	climbout : initial
Route In Use	departure : on vectors
Flight Plan	IFR
Aircraft 2
Controlling Facilities	tower : mgm.tower
Make Model Name	Talon
Operating Under FAR Part	Part 91
Navigation In Use	ils localizer & glide slope : 28 ils localizer only : 10
Flight Phase	landing : missed approach
Route In Use	approach : instrument precision
Person 1
Affiliation	government : faa
Function	controller : local
Qualification	controller : radar
Experience	flight time total : 100
ASRS Report	470202
Person 2
Affiliation	other
Function	flight crew : single pilot
Qualification	pilot : private pilot : instrument
Events
Anomaly	non adherence : published procedure other anomaly other other spatial deviation
Independent Detector	other flight crewa
Resolutory Action	controller : issued new clearance
Consequence	faa : reviewed incident with flight crew
Miss Distance	horizontal : 5900 vertical : 200
Supplementary
Problem Areas	ATC Human Performance Flight Crew Human Performance
Primary Problem	ATC Human Performance
Air Traffic Incident	Operational Error

Narrative:

Failure to issue alternate missed approach instructions, accompanied with controller fatigue during times with busy traffic was a contributing factor for this event. The T38 first conducted an opposite direction approach with a standard missed approach of 180 degree heading maintain 2000 ft, with no problems. Next approach was with the flow of traffic on an ILS. Missed approach instructions of fly runway heading maintain 2000 ft is the norm for ILS to runway 28. Failure to issue these instructions for the new approach caused the T38 to think heading 180 degrees maintain 2000 ft is the same missed instructions. The bonanza was launched on an approved heading of 210 degree heading and switching to departure control. His climb was stopped at 2000 ft in anticipation that the T38 would be straight out and top the bonanza. Instead or switching the T38, the plane executed it previous instructions issued by radar of 180 degrees, 2000 ft and got too close behind the BE36. They both ended up seeing each other at about 1 mi. Staffing and fatigue continue to be a problem at mgm. The facility needs more controllers and less time on position.

Original NASA ASRS Text

Title: ATCT LCL CTLR FAILED TO REISSUE MISSED APCH INSTRUCTIONS TO PLTS OF A T38 TRAINING FLT CAUSING A CONFLICT WITH A BEECH A36 ON A CROSS RWY CLBOUT HDG. BOTH ACFT PLTS OBSERVED THE OTHER AND ADJUSTED THEIR COURSE ACCORDINGLY.

Narrative: FAILURE TO ISSUE ALTERNATE MISSED APCH INSTRUCTIONS, ACCOMPANIED WITH CTLR FATIGUE DURING TIMES WITH BUSY TFC WAS A CONTRIBUTING FACTOR FOR THIS EVENT. THE T38 FIRST CONDUCTED AN OPPOSITE DIRECTION APCH WITH A STANDARD MISSED APCH OF 180 DEG HDG MAINTAIN 2000 FT, WITH NO PROBS. NEXT APCH WAS WITH THE FLOW OF TFC ON AN ILS. MISSED APCH INSTRUCTIONS OF FLY RWY HDG MAINTAIN 2000 FT IS THE NORM FOR ILS TO RWY 28. FAILURE TO ISSUE THESE INSTRUCTIONS FOR THE NEW APCH CAUSED THE T38 TO THINK HDG 180 DEGS MAINTAIN 2000 FT IS THE SAME MISSED INSTRUCTIONS. THE BONANZA WAS LAUNCHED ON AN APPROVED HDG OF 210 DEG HDG AND SWITCHING TO DEP CTL. HIS CLB WAS STOPPED AT 2000 FT IN ANTICIPATION THAT THE T38 WOULD BE STRAIGHT OUT AND TOP THE BONANZA. INSTEAD OR SWITCHING THE T38, THE PLANE EXECUTED IT PREVIOUS INSTRUCTIONS ISSUED BY RADAR OF 180 DEGS, 2000 FT AND GOT TOO CLOSE BEHIND THE BE36. THEY BOTH ENDED UP SEEING EACH OTHER AT ABOUT 1 MI. STAFFING AND FATIGUE CONTINUE TO BE A PROB AT MGM. THE FACILITY NEEDS MORE CTLRS AND LESS TIME ON POS.

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.