37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 516358 |
Time | |
Date | 200106 |
Day | Thu |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : mke.airport |
State Reference | WI |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : mke.tower tower : swf.tower |
Operator | general aviation : corporate |
Make Model Name | Gulfstream III |
Operating Under FAR Part | Part 135 |
Flight Phase | ground : taxi |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | tower : mke.tower |
Operator | general aviation : personal |
Make Model Name | Twin Beech 18 |
Operating Under FAR Part | Part 91 |
Flight Phase | climbout : takeoff |
Flight Plan | VFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : ground |
Qualification | controller : radar pilot : private |
Experience | controller radar : 10 controller time certified in position1 : 11 flight time total : 100 |
ASRS Report | 516358 |
Person 2 | |
Affiliation | company : corporate |
Function | flight crew : captain observation : company check pilot oversight : pic |
Events | |
Anomaly | conflict : ground critical incursion : runway non adherence : far non adherence : clearance |
Independent Detector | other controllera |
Resolutory Action | controller : issued alert controller : issued new clearance flight crew : took evasive action |
Consequence | faa : reviewed incident with flight crew faa : investigated |
Miss Distance | horizontal : 50 vertical : 0 |
Supplementary | |
Problem Areas | ATC Human Performance Airport Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
Runway 25L&right were active. Twin beech was taxied to runway 25R for departure. Gulfstream called ground control for taxi. Ground controller instructed G3 to taxi to runway 25L via taxiway F and taxiway east, hold short of runway 25R. G3 read back correct taxi route and hold short of runway 25R. A short time later the G3 called ground control to verify taxi via taxiway F, taxiway H, taxiway K. Ground controller verified his position on the field, and again very explicitly issued taxi instructions. The G3 acknowledged and taxied via taxiway F and taxiway Z (not correct). The twin beech was cleared for takeoff on runway 25R as ground controller observed the G3 encroaching the runway. Ground controller instructed the G3 to hold short of runway 25R 'it's the next intersection.' ground controller received no response. Ground controller went back and told the G3 to stop! The G3 continued to roll finally coming to a stop on runway 25R. The twin beech took evasive action to miss the G3. Possible causes: confusion from the get go on the part of the G3 pilot. There was a check ride going on in the G3. Maybe they were busy with other things. Ground controller could have reiterated the hold short instruction when issuing explicit taxi instructions. The G3 pilot could have become confused when he wrongly taxied on taxiway Z. By taxiing on taxiway Z the intersection near runway 25R is confusing. A lot of concrete comes together at that point. Not listening was a problem.
Original NASA ASRS Text
Title: A G3 AND A TWIN BEECH ALMOST COLLIDE WHEN THE G3 TAXIES ONTO RWY 25R AS THE BE18 WAS ROLLING ON SAME RWY AT MKE, WI.
Narrative: RWY 25L&R WERE ACTIVE. TWIN BEECH WAS TAXIED TO RWY 25R FOR DEP. GULFSTREAM CALLED GND CTL FOR TAXI. GND CTLR INSTRUCTED G3 TO TAXI TO RWY 25L VIA TXWY F AND TXWY E, HOLD SHORT OF RWY 25R. G3 READ BACK CORRECT TAXI RTE AND HOLD SHORT OF RWY 25R. A SHORT TIME LATER THE G3 CALLED GND CTL TO VERIFY TAXI VIA TXWY F, TXWY H, TXWY K. GND CTLR VERIFIED HIS POS ON THE FIELD, AND AGAIN VERY EXPLICITLY ISSUED TAXI INSTRUCTIONS. THE G3 ACKNOWLEDGED AND TAXIED VIA TXWY F AND TXWY Z (NOT CORRECT). THE TWIN BEECH WAS CLRED FOR TKOF ON RWY 25R AS GND CTLR OBSERVED THE G3 ENCROACHING THE RWY. GND CTLR INSTRUCTED THE G3 TO HOLD SHORT OF RWY 25R 'IT'S THE NEXT INTXN.' GND CTLR RECEIVED NO RESPONSE. GND CTLR WENT BACK AND TOLD THE G3 TO STOP! THE G3 CONTINUED TO ROLL FINALLY COMING TO A STOP ON RWY 25R. THE TWIN BEECH TOOK EVASIVE ACTION TO MISS THE G3. POSSIBLE CAUSES: CONFUSION FROM THE GET GO ON THE PART OF THE G3 PLT. THERE WAS A CHK RIDE GOING ON IN THE G3. MAYBE THEY WERE BUSY WITH OTHER THINGS. GND CTLR COULD HAVE REITERATED THE HOLD SHORT INSTRUCTION WHEN ISSUING EXPLICIT TAXI INSTRUCTIONS. THE G3 PLT COULD HAVE BECOME CONFUSED WHEN HE WRONGLY TAXIED ON TXWY Z. BY TAXIING ON TXWY Z THE INTXN NEAR RWY 25R IS CONFUSING. A LOT OF CONCRETE COMES TOGETHER AT THAT POINT. NOT LISTENING WAS A PROB.
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.