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|
Attributes | |
ACN | 503883 |
Time | |
Date | 200103 |
Day | Sun |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : zzz.airport |
State Reference | MA |
Altitude | agl single value : 300 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : a90.tracon tower : zzz.tower |
Operator | general aviation : personal |
Make Model Name | Baron 58/58TC |
Operating Under FAR Part | Part 91 |
Navigation In Use | ils localizer & glide slope : zzz |
Flight Phase | descent : vacating altitude landing : go around |
Route In Use | approach : instrument precision |
Flight Plan | None |
Aircraft 2 | |
Controlling Facilities | tower : zzz.tower |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Flight Phase | climbout : initial climbout : takeoff |
Person 1 | |
Affiliation | other |
Function | instruction : trainee |
Qualification | pilot : instrument pilot : commercial pilot : multi engine |
Experience | flight time last 90 days : 30 flight time total : 1200 flight time type : 40 |
ASRS Report | 503883 |
Person 2 | |
Affiliation | other |
Function | instruction : instructor oversight : pic |
Qualification | pilot : cfi pilot : commercial pilot : instrument pilot : multi engine |
Events | |
Anomaly | conflict : airborne critical non adherence : far non adherence : published procedure non adherence : required legal separation other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : took evasive action flight crew : executed go around |
Consequence | faa : reviewed incident with flight crew |
Miss Distance | horizontal : 1000 vertical : 100 |
Supplementary | |
Problem Areas | Airspace Structure Flight Crew Human Performance ATC Human Performance Aircraft |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Inter Facility Coordination Failure Operational Error |
Narrative:
Was cleared for the ILS approach and handed off to tower control. PF looked up at decision ht and saw opposite direction traffic departing the landing runway approximately 1000 ft ahead and 100 ft below. No TCASII indication observed. Evasive action (right turn) to avoid traffic. Safety pilot unable to see traffic (blocked by nose of aircraft). No traffic call from tower before or after incident. Called tower on landline after landing and controller stated 'I blew the call. It's a good thing you looked up.' I have chosen not to identify the airport as I am confident that this was an honest mistake due, in part, to high controller workload.
Original NASA ASRS Text
Title: A BE58 TRAINING FLT AT DECISION HT PERFORMS A GAR TO AVOID OPPOSITE DIRECTION TFC DEPARTING FROM A TWRED ARPT AT ZZZ, MA.
Narrative: WAS CLRED FOR THE ILS APCH AND HANDED OFF TO TWR CTL. PF LOOKED UP AT DECISION HT AND SAW OPPOSITE DIRECTION TFC DEPARTING THE LNDG RWY APPROX 1000 FT AHEAD AND 100 FT BELOW. NO TCASII INDICATION OBSERVED. EVASIVE ACTION (R TURN) TO AVOID TFC. SAFETY PLT UNABLE TO SEE TFC (BLOCKED BY NOSE OF ACFT). NO TFC CALL FROM TWR BEFORE OR AFTER INCIDENT. CALLED TWR ON LANDLINE AFTER LNDG AND CTLR STATED 'I BLEW THE CALL. IT'S A GOOD THING YOU LOOKED UP.' I HAVE CHOSEN NOT TO IDENT THE ARPT AS I AM CONFIDENT THAT THIS WAS AN HONEST MISTAKE DUE, IN PART, TO HIGH CTLR WORKLOAD.
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.