37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 566399 |
Time | |
Date | 200211 |
Day | Tue |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : cle.airport |
State Reference | OH |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tower : oma.tower |
Operator | general aviation : corporate |
Make Model Name | BAe 125 Series 800 |
Operating Under FAR Part | Part 91 |
Flight Phase | ground : taxi |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : corporate |
Function | flight crew : first officer |
Qualification | pilot : multi engine pilot : atp |
Experience | flight time last 90 days : 55 flight time total : 12350 flight time type : 50 |
ASRS Report | 566399 |
Person 2 | |
Affiliation | company : corporate |
Function | flight crew : captain oversight : pic |
Qualification | pilot : multi engine pilot : instrument pilot : commercial pilot : atp |
Experience | flight time last 90 days : 65 flight time total : 7500 flight time type : 3000 |
ASRS Report | 566108 |
Events | |
Anomaly | incursion : taxiway incursion : runway non adherence : published procedure non adherence : far |
Independent Detector | other controllera |
Resolutory Action | controller : issued alert |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Problem Areas | Flight Crew Human Performance ATC Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
Flight crew arrived at ramp of cle FBO 15 mins after sunset for refuel quick turn. When ready to taxi, it was about 45 mins after sunset but ramp was flooded with light from poles. Before moving out of parking, PNF had to call ground twice for taxi clearance. Both pilots were using headsets. When ground control gave clearance, it was read back but not written down as '...taxi to runway 24C via taxiway L2, taxiway left, hold short of taxiway west.' there was no correction or response from ground. PF began taxi while PNF assured PF of good ramp obstacle clearance off the right side. When clear of ramp, PNF had attention inside for taxi checklist. Ground called while aircraft was on taxiway left, past taxiway H, to say he had cleared us to hold short of taxiway K, 2 txwys behind. PNF looked up and outside to see an aircraft rolling out on runway 24L, parallel to taxiway left. PF stated to PNF that we were cleared to hold short of taxiway T, so PNF relayed that to ground. Without further comment, ground gave clearance to taxi 'taxiway left, taxiway V, hold short of taxiway west.' the PNF's readback again went unconfirmed by ground and rest of taxi was uneventful. The contributing factors and flight crew corrective actions for the future are: 1) PNF not writing down taxi clearance. 2) ground control not confirming readbacks. 3) ground control not stating reason for holding short. Doing so would increase pilot situational awareness, creating extra 'buy-in' from flight crew members. 4) flight crew should slow down taxi checklist to minimize distraction when holding short at unfamiliar, busy airports at night. 5) flight crew should confirm with each other any hold short point, doublechk taxi chart, and if a question exists, get it clarified with ATC. 6) current ATIS at cle reminds pilots to read back runway assignments and hold shorts, indicating that cle has a problem with taxi miscues. Supplemental information from acn 566108: the ground controller was talking very fast with little time to reply. We feel if hold short operations are to be used then the controllers need to slow down and be more specific. This is only the second time in my 20+ yr career I have flown into cle.
Original NASA ASRS Text
Title: H25B CREW HAD A TXWY AND RWY INCURSION AT CLE.
Narrative: FLC ARRIVED AT RAMP OF CLE FBO 15 MINS AFTER SUNSET FOR REFUEL QUICK TURN. WHEN READY TO TAXI, IT WAS ABOUT 45 MINS AFTER SUNSET BUT RAMP WAS FLOODED WITH LIGHT FROM POLES. BEFORE MOVING OUT OF PARKING, PNF HAD TO CALL GND TWICE FOR TAXI CLRNC. BOTH PLTS WERE USING HEADSETS. WHEN GND CTL GAVE CLRNC, IT WAS READ BACK BUT NOT WRITTEN DOWN AS '...TAXI TO RWY 24C VIA TXWY L2, TXWY L, HOLD SHORT OF TXWY W.' THERE WAS NO CORRECTION OR RESPONSE FROM GND. PF BEGAN TAXI WHILE PNF ASSURED PF OF GOOD RAMP OBSTACLE CLRNC OFF THE R SIDE. WHEN CLR OF RAMP, PNF HAD ATTN INSIDE FOR TAXI CHKLIST. GND CALLED WHILE ACFT WAS ON TXWY L, PAST TXWY H, TO SAY HE HAD CLRED US TO HOLD SHORT OF TXWY K, 2 TXWYS BEHIND. PNF LOOKED UP AND OUTSIDE TO SEE AN ACFT ROLLING OUT ON RWY 24L, PARALLEL TO TXWY L. PF STATED TO PNF THAT WE WERE CLRED TO HOLD SHORT OF TXWY T, SO PNF RELAYED THAT TO GND. WITHOUT FURTHER COMMENT, GND GAVE CLRNC TO TAXI 'TXWY L, TXWY V, HOLD SHORT OF TXWY W.' THE PNF'S READBACK AGAIN WENT UNCONFIRMED BY GND AND REST OF TAXI WAS UNEVENTFUL. THE CONTRIBUTING FACTORS AND FLC CORRECTIVE ACTIONS FOR THE FUTURE ARE: 1) PNF NOT WRITING DOWN TAXI CLRNC. 2) GND CTL NOT CONFIRMING READBACKS. 3) GND CTL NOT STATING REASON FOR HOLDING SHORT. DOING SO WOULD INCREASE PLT SITUATIONAL AWARENESS, CREATING EXTRA 'BUY-IN' FROM FLC MEMBERS. 4) FLC SHOULD SLOW DOWN TAXI CHKLIST TO MINIMIZE DISTR WHEN HOLDING SHORT AT UNFAMILIAR, BUSY ARPTS AT NIGHT. 5) FLC SHOULD CONFIRM WITH EACH OTHER ANY HOLD SHORT POINT, DOUBLECHK TAXI CHART, AND IF A QUESTION EXISTS, GET IT CLARIFIED WITH ATC. 6) CURRENT ATIS AT CLE REMINDS PLTS TO READ BACK RWY ASSIGNMENTS AND HOLD SHORTS, INDICATING THAT CLE HAS A PROB WITH TAXI MISCUES. SUPPLEMENTAL INFO FROM ACN 566108: THE GND CTLR WAS TALKING VERY FAST WITH LITTLE TIME TO REPLY. WE FEEL IF HOLD SHORT OPS ARE TO BE USED THEN THE CTLRS NEED TO SLOW DOWN AND BE MORE SPECIFIC. THIS IS ONLY THE SECOND TIME IN MY 20+ YR CAREER I HAVE FLOWN INTO CLE.
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.