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Attributes | |
ACN | 516019 |
Time | |
Date | 200106 |
Day | Wed |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : hnl.airport |
State Reference | HI |
Altitude | msl single value : 1500 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : hnl.tracon tower : hnl.tower |
Operator | general aviation : personal |
Make Model Name | PA-23 Apache (& Geronimo Apache) |
Operating Under FAR Part | Part 91 |
Flight Phase | climbout : intermediate altitude |
Flight Plan | None |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | DC-10 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : takeoff |
Flight Plan | IFR |
Person 1 | |
Affiliation | other |
Function | flight crew : single pilot |
Qualification | pilot : flight engineer pilot : atp pilot : cfi |
Experience | flight time last 90 days : 75 flight time total : 9800 flight time type : 6 |
ASRS Report | 516019 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | conflict : airborne critical non adherence : clearance other anomaly other |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | flight crew : took evasive action none taken : detected after the fact other |
Miss Distance | horizontal : 100 vertical : 500 |
Supplementary | |
Problem Areas | Flight Crew Human Performance ATC Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
The following describes the event of an near midair collision which occurred on jun/wed/01 between 2 aircraft operating within class B airspace at the hnl airport. Event: clearance delivery cleared us to depart hnl class B airspace via the standard VFR 'shoreline 4' departure which reads as follows: 'departing runways 4, maintain runway heading to the H-1 freeway. Departing runway 8L maintain runway heading to nimitz highway. Turn right (T0) parallel nimitz highway proceeding direct to the center of honolulu harbor. Fly 1 mi offshore passing abeam kewalo basin thence direct to 1 mi due south of diamond head. Turn left and resume own navigation, remaining within 2 mi of the shoreline until departing the class B airspace. Maintain 1500 ft while within class B airspace. Departure control frequency will be 124.8/317.6. Intended for twin engine aircraft.' our departure runway was runway 4R. Once takeoff clearance was received from hnl tower, takeoff was commenced. After liftoff, we understood further instructions from the tower to follow the shoreline and to contact departure control. Although his (tower's) transmission was slightly garbled, I acknowledged by replying that we would follow the shoreline and contact departure. As we made our initial climb and turn to follow the shoreline, I noticed a DC10 lifting off of runway 8R. I contacted departure control and was acknowledged with radar contact. In addition, departure pointed out the DC10 traffic. I acknowledged that I had the traffic in sight. I steered left slightly to ensure separation from the DC10 and in doing so, my visual with the DC10 became obscured by my aircraft's right wing and right side fuselage. Upon leveling off at 1500 ft and rolling wings level, I saw the DC10 diverging away from my aircraft at an estimated altitude of 500-600 ft below my aircraft. I heard a transmission from the DC10 aircraft indicating that he had to level off at 800 ft to avoid any further conflict (with my aircraft). It was approximately at this time that the departure controller stated to me that the tower's instructions were for me to proceed to punchbowl (cemetery) and then to resume the shoreline departure. In my acknowledgement to this transmission, I stated that we understood the tower's instructions were to resume/fly the 'shoreline' and that this is what we had indeed acknowledged to the tower prior to contacting departure control. It is unclr how close the 2 aircraft actually came to one another, but in conversation I had with some members of that DC10's flight crew, it was clear that evasive action had to be taken in some form. It is apparent that there were several chains of events that led to this situation. The following are some of the events I believe contributed to the situation: 1) the design of the 'shoreline 4' departure is flawed in that it allows, in some sits, VFR aircraft departing via this procedure to conflict with departing aircraft from runway 8R. 2) communications between ATC and departing aircraft were garbled and/or could have been more clearly stated so as to eliminate any confusion during the sequencing of departures off separate runways with procedures that have the potential to result in a conflict between aircraft. 3) situational awareness between ATC and departing aircraft could have been a contributing factor. 4) complacency/human factors. Hawaii enjoys excellent flying conditions the majority of the time and it is easy to be lulled into a false sense of security on both sides of the equation -- both ATC and pilot. It should be emphasized that, although ATC normally provides separation between IFR/IFR and IFR/VFR aircraft in class B airspace, the see and avoid concept must be adhered to at all times when operating in VMC. Had this not been the case in this situation, the outcome may have been less than desirable. It is also important to note that see and avoid can have limitations. I believe the root cause of the situation described above was mainly caused by poor communication between ATC and the 2 departing aircraft involved. I suggest correcting the shoreline 4 departure procedure to emphasize strict radio discipline and phraseology in pilot/controller communications as it relates to deviations from the established procedures. Also, the ATC procedures for sequencing between aircraft on the shoreline 4 departure and those departing runway 8R should be reviewed since there is a potential for conflict.
Original NASA ASRS Text
Title: PA23 AND DC10 HAD LESS THAN LEGAL SPACING DEPARTING HNL.
Narrative: THE FOLLOWING DESCRIBES THE EVENT OF AN NMAC WHICH OCCURRED ON JUN/WED/01 BTWN 2 ACFT OPERATING WITHIN CLASS B AIRSPACE AT THE HNL ARPT. EVENT: CLRNC DELIVERY CLRED US TO DEPART HNL CLASS B AIRSPACE VIA THE STANDARD VFR 'SHORELINE 4' DEP WHICH READS AS FOLLOWS: 'DEPARTING RWYS 4, MAINTAIN RWY HDG TO THE H-1 FREEWAY. DEPARTING RWY 8L MAINTAIN RWY HDG TO NIMITZ HWY. TURN R (T0) PARALLEL NIMITZ HWY PROCEEDING DIRECT TO THE CTR OF HONOLULU HARBOR. FLY 1 MI OFFSHORE PASSING ABEAM KEWALO BASIN THENCE DIRECT TO 1 MI DUE S OF DIAMOND HEAD. TURN L AND RESUME OWN NAV, REMAINING WITHIN 2 MI OF THE SHORELINE UNTIL DEPARTING THE CLASS B AIRSPACE. MAINTAIN 1500 FT WHILE WITHIN CLASS B AIRSPACE. DEP CTL FREQ WILL BE 124.8/317.6. INTENDED FOR TWIN ENG ACFT.' OUR DEP RWY WAS RWY 4R. ONCE TKOF CLRNC WAS RECEIVED FROM HNL TWR, TKOF WAS COMMENCED. AFTER LIFTOFF, WE UNDERSTOOD FURTHER INSTRUCTIONS FROM THE TWR TO FOLLOW THE SHORELINE AND TO CONTACT DEP CTL. ALTHOUGH HIS (TWR'S) XMISSION WAS SLIGHTLY GARBLED, I ACKNOWLEDGED BY REPLYING THAT WE WOULD FOLLOW THE SHORELINE AND CONTACT DEP. AS WE MADE OUR INITIAL CLB AND TURN TO FOLLOW THE SHORELINE, I NOTICED A DC10 LIFTING OFF OF RWY 8R. I CONTACTED DEP CTL AND WAS ACKNOWLEDGED WITH RADAR CONTACT. IN ADDITION, DEP POINTED OUT THE DC10 TFC. I ACKNOWLEDGED THAT I HAD THE TFC IN SIGHT. I STEERED L SLIGHTLY TO ENSURE SEPARATION FROM THE DC10 AND IN DOING SO, MY VISUAL WITH THE DC10 BECAME OBSCURED BY MY ACFT'S R WING AND R SIDE FUSELAGE. UPON LEVELING OFF AT 1500 FT AND ROLLING WINGS LEVEL, I SAW THE DC10 DIVERGING AWAY FROM MY ACFT AT AN ESTIMATED ALT OF 500-600 FT BELOW MY ACFT. I HEARD A XMISSION FROM THE DC10 ACFT INDICATING THAT HE HAD TO LEVEL OFF AT 800 FT TO AVOID ANY FURTHER CONFLICT (WITH MY ACFT). IT WAS APPROX AT THIS TIME THAT THE DEP CTLR STATED TO ME THAT THE TWR'S INSTRUCTIONS WERE FOR ME TO PROCEED TO PUNCHBOWL (CEMETERY) AND THEN TO RESUME THE SHORELINE DEP. IN MY ACKNOWLEDGEMENT TO THIS XMISSION, I STATED THAT WE UNDERSTOOD THE TWR'S INSTRUCTIONS WERE TO RESUME/FLY THE 'SHORELINE' AND THAT THIS IS WHAT WE HAD INDEED ACKNOWLEDGED TO THE TWR PRIOR TO CONTACTING DEP CTL. IT IS UNCLR HOW CLOSE THE 2 ACFT ACTUALLY CAME TO ONE ANOTHER, BUT IN CONVERSATION I HAD WITH SOME MEMBERS OF THAT DC10'S FLC, IT WAS CLR THAT EVASIVE ACTION HAD TO BE TAKEN IN SOME FORM. IT IS APPARENT THAT THERE WERE SEVERAL CHAINS OF EVENTS THAT LED TO THIS SIT. THE FOLLOWING ARE SOME OF THE EVENTS I BELIEVE CONTRIBUTED TO THE SIT: 1) THE DESIGN OF THE 'SHORELINE 4' DEP IS FLAWED IN THAT IT ALLOWS, IN SOME SITS, VFR ACFT DEPARTING VIA THIS PROC TO CONFLICT WITH DEPARTING ACFT FROM RWY 8R. 2) COMS BTWN ATC AND DEPARTING ACFT WERE GARBLED AND/OR COULD HAVE BEEN MORE CLRLY STATED SO AS TO ELIMINATE ANY CONFUSION DURING THE SEQUENCING OF DEPS OFF SEPARATE RWYS WITH PROCS THAT HAVE THE POTENTIAL TO RESULT IN A CONFLICT BTWN ACFT. 3) SITUATIONAL AWARENESS BTWN ATC AND DEPARTING ACFT COULD HAVE BEEN A CONTRIBUTING FACTOR. 4) COMPLACENCY/HUMAN FACTORS. HAWAII ENJOYS EXCELLENT FLYING CONDITIONS THE MAJORITY OF THE TIME AND IT IS EASY TO BE LULLED INTO A FALSE SENSE OF SECURITY ON BOTH SIDES OF THE EQUATION -- BOTH ATC AND PLT. IT SHOULD BE EMPHASIZED THAT, ALTHOUGH ATC NORMALLY PROVIDES SEPARATION BTWN IFR/IFR AND IFR/VFR ACFT IN CLASS B AIRSPACE, THE SEE AND AVOID CONCEPT MUST BE ADHERED TO AT ALL TIMES WHEN OPERATING IN VMC. HAD THIS NOT BEEN THE CASE IN THIS SIT, THE OUTCOME MAY HAVE BEEN LESS THAN DESIRABLE. IT IS ALSO IMPORTANT TO NOTE THAT SEE AND AVOID CAN HAVE LIMITATIONS. I BELIEVE THE ROOT CAUSE OF THE SIT DESCRIBED ABOVE WAS MAINLY CAUSED BY POOR COM BTWN ATC AND THE 2 DEPARTING ACFT INVOLVED. I SUGGEST CORRECTING THE SHORELINE 4 DEP PROC TO EMPHASIZE STRICT RADIO DISCIPLINE AND PHRASEOLOGY IN PLT/CTLR COMS AS IT RELATES TO DEVS FROM THE ESTABLISHED PROCS. ALSO, THE ATC PROCS FOR SEQUENCING BTWN ACFT ON THE SHORELINE 4 DEP AND THOSE DEPARTING RWY 8R SHOULD BE REVIEWED SINCE THERE IS A POTENTIAL FOR CONFLICT.
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.