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|
Attributes | |
ACN | 568751 |
Time | |
Date | 200212 |
Day | Fri |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | navaid : oak.ils |
State Reference | CA |
Altitude | msl bound lower : 2200 msl bound upper : 2500 |
Environment | |
Flight Conditions | IMC |
Weather Elements | Rain Turbulence |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tower : oak.tower |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Navigation In Use | ils localizer & glide slope : 11 other |
Flight Phase | descent : approach landing : go around |
Route In Use | approach : instrument precision |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | tower : oak.tower |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Flight Phase | cruise : level |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : flight engineer pilot : instrument pilot : multi engine pilot : atp pilot : cfi pilot : commercial |
Experience | flight time last 90 days : 60 flight time total : 8000 flight time type : 350 |
ASRS Report | 568751 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | conflict : airborne critical inflight encounter : weather non adherence : required legal separation non adherence : published procedure |
Independent Detector | other flight crewa |
Resolutory Action | controller : issued alert controller : issued new clearance flight crew : executed go around |
Supplementary | |
Problem Areas | Navigational Facility Weather Flight Crew Human Performance ATC Human Performance |
Primary Problem | ATC Human Performance |
Narrative:
We were cleared for the ILS ii at oak, maintain 160 KTS until plaza, cross plaza at or below 1800 ft. The approach was automatic coupled. We descended out of 3000 ft with glideslope capture. We were following an aircraft on short final for runway 11. After that traffic landed, the tower controller cleared a B767 into position and hold for runway 11. While descending on glideslope in IMC, the glideslope signal started +/- 2 DOT deflections due to interference of the aircraft on the runway. We initiated and announced our 'go around' at approximately 2200 ft. The tower controller announced, 'aircraft X, turn to 090 and climb to 1600 ft, now!' although we had initiated an automatic coupled climb out at 2200 ft, I immediately disconnected the automatic pilot and began to hand fly the 090 heading due to the urgent tone of the controllers voice. I began to sort out our situation (ie climb? To an altitude below me?), when the tower controller forcefully shouted out, 'traffic alert! Traffic alert! Aircraft X turn left immediately to 360 degree, climb maintain 2500 ft! The tower controller began continually announcing a closing altitude and distance. It was unclear if our traffic was above or below us. I judged our best chance of escape was the 360 degree heading, I initiated a steep bank to avert a collision while in IMC conditions. The closest traffic alert I recall was 400 ft and 1/2 mile. When collision was no longer a factor we were handed off to sierra approach. Sierra approach asked us the nature of our emergency (we never had time to declare one.) and intentions, at our request, we were vectored for another approach to ILS 11 at oak. On our hand off to oak tower, the controller apologized for the miscommunication and misdirection of our aircraft. The factors that contributed to this near mid air collision were: inclement WX at night, aircraft interference with the glide slope signal. This was due to the tight takeoff and departure sequence at oak. Aircraft shooting the VOR 9 approach simultaneously with the ILS 11 approach at oak. I would like to commend the quick supportive actions by my first officer. Without it, the results would have been tragically different.
Original NASA ASRS Text
Title: ACR X FLC ON OAK ILS-11, EXECUTES GAR DUE TO GS DEFLECTION. DURING GAR, ACR X ISSUED TFC ALERT BY OAK LC ON UNKNOWN TFC.
Narrative: WE WERE CLRED FOR THE ILS II AT OAK, MAINTAIN 160 KTS UNTIL PLAZA, CROSS PLAZA AT OR BELOW 1800 FT. THE APCH WAS AUTO COUPLED. WE DESCENDED OUT OF 3000 FT WITH GLIDESLOPE CAPTURE. WE WERE FOLLOWING AN ACFT ON SHORT FINAL FOR RWY 11. AFTER THAT TFC LANDED, THE TWR CTLR CLRED A B767 INTO POS AND HOLD FOR RWY 11. WHILE DESCENDING ON GLIDESLOPE IN IMC, THE GLIDESLOPE SIGNAL STARTED +/- 2 DOT DEFLECTIONS DUE TO INTERFERENCE OF THE ACFT ON THE RWY. WE INITIATED AND ANNOUNCED OUR 'GAR' AT APPROX 2200 FT. THE TWR CTLR ANNOUNCED, 'ACFT X, TURN TO 090 AND CLB TO 1600 FT, NOW!' ALTHOUGH WE HAD INITIATED AN AUTO COUPLED CLB OUT AT 2200 FT, I IMMEDIATELY DISCONNECTED THE AUTO PLT AND BEGAN TO HAND FLY THE 090 HEADING DUE TO THE URGENT TONE OF THE CTLRS VOICE. I BEGAN TO SORT OUT OUR SITUATION (IE CLB? TO AN ALTITUDE BELOW ME?), WHEN THE TWR CTLR FORCEFULLY SHOUTED OUT, 'TFC ALERT! TFC ALERT! ACFT X TURN L IMMEDIATELY TO 360 DEG, CLB MAINTAIN 2500 FT! THE TWR CTLR BEGAN CONTINUALLY ANNOUNCING A CLOSING ALTITUDE AND DISTANCE. IT WAS UNCLEAR IF OUR TFC WAS ABOVE OR BELOW US. I JUDGED OUR BEST CHANCE OF ESCAPE WAS THE 360 DEG HEADING, I INITIATED A STEEP BANK TO AVERT A COLLISION WHILE IN IMC CONDITIONS. THE CLOSEST TFC ALERT I RECALL WAS 400 FT AND 1/2 MILE. WHEN COLLISION WAS NO LONGER A FACTOR WE WERE HANDED OFF TO SIERRA APCH. SIERRA APCH ASKED US THE NATURE OF OUR EMER (WE NEVER HAD TIME TO DECLARE ONE.) AND INTENTIONS, AT OUR REQUEST, WE WERE VECTORED FOR ANOTHER APCH TO ILS 11 AT OAK. ON OUR HAND OFF TO OAK TWR, THE CTLR APOLOGIZED FOR THE MISCOMMUNICATION AND MISDIRECTION OF OUR ACFT. THE FACTORS THAT CONTRIBUTED TO THIS NEAR MID AIR COLLISION WERE: INCLEMENT WX AT NIGHT, ACFT INTERFERENCE WITH THE GLIDE SLOPE SIGNAL. THIS WAS DUE TO THE TIGHT TKOF AND DEP SEQUENCE AT OAK. ACFT SHOOTING THE VOR 9 APCH SIMULTANEOUSLY WITH THE ILS 11 APCH AT OAK. I WOULD LIKE TO COMMEND THE QUICK SUPPORTIVE ACTIONS BY MY FO. WITHOUT IT, THE RESULTS WOULD HAVE BEEN TRAGICALLY DIFFERENT.
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.