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|
Attributes | |
ACN | 549223 |
Time | |
Date | 200205 |
Day | Thu |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : phl.airport |
State Reference | PA |
Altitude | agl single value : 0 |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Beech 1900 |
Operating Under FAR Part | Part 119 |
Flight Phase | ground : holding |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | tower : phl.tower |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Flight Phase | ground : holding |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : multi engine pilot : instrument pilot : cfi pilot : atp |
Experience | flight time last 90 days : 260 flight time total : 2865 flight time type : 2100 |
ASRS Report | 549223 |
Person 2 | |
Function | flight crew : first officer |
Events | |
Anomaly | incursion : runway non adherence : published procedure non adherence : clearance |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance controller : issued advisory flight crew : became reoriented |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | ATC Human Performance Flight Crew Human Performance |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error |
Narrative:
My first officer and I were leaving phl on an unplanned ferry flight at the end of what was otherwise a normal shift. It was XA50. We were still facing several more hours of duty ferrying our aircraft from phl to duj, waiting for repairs, and repositioning to rdg where we would have normally finished our shift. Ground control cleared us to taxi to runway 35 intersection K, which is the most common departure point on that runway. Once reaching the hold short line, I completed several before takeoff checklist items while my first officer reviewed our cleared route, as it was one we were not accustomed to. I was working the radios while he had his head down in his charts. Another aircraft was holding short at the end of runway 35 ready for departure. Shortly after arriving at the runway, I believe I heard the tower controller say 'air carrier X, runway 35 intersection K, cleared for takeoff.' I read back the instruction and began to taxi into position. Shortly after that, the aircraft at the end of runway 35 asked tower who it was at intersection K. Tower repeated the question to us, and I replied 'this is air carrier X, you just cleared us for takeoff.' at that point tower replied, 'I cleared (the other aircraft call sign) for takeoff, but stated intersection K instead of full length.' tower apologized and cleared us for takeoff. Although tower admitted fault, it was obviously both of our mistakes that led to the incursion. I thought I heard our call sign, but certainly can't attest to that with any certainty. I am sure he said intersection K and, since we were the only aircraft holding short at that intersection, I assumed it had to be us. The factors involved in this incursion are probably all of the most standard ones: fatigue, haste, deviating from our normal flow (working the radios and taxiing while my first officer reviewed the route), darkness (tower couldn't identify us positively) and, of course, complacency. Removing any one of these factors would have prevented the incursion.
Original NASA ASRS Text
Title: BEECH 1900 CAPT BELIEVED THAT HE HEARD HIS CALL SIGN CLRED FOR TKOF AND REPEATED BACK SAME AS HE TAXIED INTO POS TO TKOF.
Narrative: MY FO AND I WERE LEAVING PHL ON AN UNPLANNED FERRY FLT AT THE END OF WHAT WAS OTHERWISE A NORMAL SHIFT. IT WAS XA50. WE WERE STILL FACING SEVERAL MORE HRS OF DUTY FERRYING OUR ACFT FROM PHL TO DUJ, WAITING FOR REPAIRS, AND REPOSITIONING TO RDG WHERE WE WOULD HAVE NORMALLY FINISHED OUR SHIFT. GND CTL CLRED US TO TAXI TO RWY 35 INTXN K, WHICH IS THE MOST COMMON DEP POINT ON THAT RWY. ONCE REACHING THE HOLD SHORT LINE, I COMPLETED SEVERAL BEFORE TKOF CHKLIST ITEMS WHILE MY FO REVIEWED OUR CLRED RTE, AS IT WAS ONE WE WERE NOT ACCUSTOMED TO. I WAS WORKING THE RADIOS WHILE HE HAD HIS HEAD DOWN IN HIS CHARTS. ANOTHER ACFT WAS HOLDING SHORT AT THE END OF RWY 35 READY FOR DEP. SHORTLY AFTER ARRIVING AT THE RWY, I BELIEVE I HEARD THE TWR CTLR SAY 'ACR X, RWY 35 INTXN K, CLRED FOR TKOF.' I READ BACK THE INSTRUCTION AND BEGAN TO TAXI INTO POS. SHORTLY AFTER THAT, THE ACFT AT THE END OF RWY 35 ASKED TWR WHO IT WAS AT INTXN K. TWR REPEATED THE QUESTION TO US, AND I REPLIED 'THIS IS ACR X, YOU JUST CLRED US FOR TKOF.' AT THAT POINT TWR REPLIED, 'I CLRED (THE OTHER ACFT CALL SIGN) FOR TKOF, BUT STATED INTXN K INSTEAD OF FULL LENGTH.' TWR APOLOGIZED AND CLRED US FOR TKOF. ALTHOUGH TWR ADMITTED FAULT, IT WAS OBVIOUSLY BOTH OF OUR MISTAKES THAT LED TO THE INCURSION. I THOUGHT I HEARD OUR CALL SIGN, BUT CERTAINLY CAN'T ATTEST TO THAT WITH ANY CERTAINTY. I AM SURE HE SAID INTXN K AND, SINCE WE WERE THE ONLY ACFT HOLDING SHORT AT THAT INTXN, I ASSUMED IT HAD TO BE US. THE FACTORS INVOLVED IN THIS INCURSION ARE PROBABLY ALL OF THE MOST STANDARD ONES: FATIGUE, HASTE, DEVIATING FROM OUR NORMAL FLOW (WORKING THE RADIOS AND TAXIING WHILE MY FO REVIEWED THE RTE), DARKNESS (TWR COULDN'T IDENT US POSITIVELY) AND, OF COURSE, COMPLACENCY. REMOVING ANY ONE OF THESE FACTORS WOULD HAVE PREVENTED THE INCURSION.
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.