37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 546067 |
Time | |
Date | 200205 |
Day | Thu |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | navaid : roc.vortac |
State Reference | NY |
Altitude | msl single value : 2500 |
Environment | |
Flight Conditions | IMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : roc.tracon |
Operator | common carrier : air carrier |
Make Model Name | Beech 1900 |
Navigation In Use | ils localizer & glide slope : 28 |
Flight Phase | descent : approach |
Route In Use | arrival : on vectors |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | tracon : roc.tracon |
Make Model Name | Commercial Fixed Wing |
Flight Phase | descent : approach |
Route In Use | arrival : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : approach controller : departure |
Qualification | controller : radar |
Experience | controller radar : 6 |
ASRS Report | 546067 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | conflict : nmac non adherence : published procedure |
Independent Detector | atc equipment other atc equipment : radar other controllera other flight crewa other flight crewb |
Resolutory Action | flight crew : took evasive action |
Consequence | faa : investigated |
Supplementary | |
Problem Areas | ATC Human Performance |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error |
Narrative:
I sat down to work radar and after receiving my briefing, I turned air carrier X (a B190 who had been previously radar vectored to a 120 degree heading and descended to 2500 ft for ILS runway 28 approach) to a heading of 180 degrees. Air carrier Y was previously assigned 030 degree heading and descended to 2500 ft, however, I was briefed he was going to 4000 ft. As I was turning air carrier Z, CL64, onto the final, I realized air carrier Y had descended below 4000 ft and was head-on with air carrier X. Both received TCASII alerts and separation was lost.
Original NASA ASRS Text
Title: APCH CTLR AT ROC VECTORS 2 ACFT HEAD-ON TO EACH OTHER RESULTING IN AN OPERROR.
Narrative: I SAT DOWN TO WORK RADAR AND AFTER RECEIVING MY BRIEFING, I TURNED ACR X (A B190 WHO HAD BEEN PREVIOUSLY RADAR VECTORED TO A 120 DEG HDG AND DSNDED TO 2500 FT FOR ILS RWY 28 APCH) TO A HDG OF 180 DEGS. ACR Y WAS PREVIOUSLY ASSIGNED 030 DEG HDG AND DSNDED TO 2500 FT, HOWEVER, I WAS BRIEFED HE WAS GOING TO 4000 FT. AS I WAS TURNING ACR Z, CL64, ONTO THE FINAL, I REALIZED ACR Y HAD DSNDED BELOW 4000 FT AND WAS HEAD-ON WITH ACR X. BOTH RECEIVED TCASII ALERTS AND SEPARATION WAS LOST.
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.