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|
Attributes | |
ACN | 618633 |
Time | |
Date | 200405 |
Day | Tue |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | navaid : sxc.vortac |
State Reference | CA |
Altitude | msl bound lower : 24000 msl bound upper : 25000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zla.artcc |
Operator | common carrier : air carrier |
Make Model Name | B737 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : vacating altitude cruise : level |
Route In Use | departure : on vectors |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | artcc : zla.artcc |
Operator | common carrier : air carrier |
Make Model Name | Commercial Fixed Wing |
Operating Under FAR Part | Part 121 |
Route In Use | arrival star : n/a |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : developmental |
Experience | controller military : 4 controller radar : 5 |
ASRS Report | 618633 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | conflict : airborne less severe non adherence : published procedure non adherence : required legal separation |
Independent Detector | atc equipment : conflict alert |
Resolutory Action | none taken : detected after the fact |
Consequence | faa : investigated |
Miss Distance | horizontal : 24000 vertical : 0 |
Supplementary | |
Problem Areas | Environmental Factor ATC Human Performance |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error |
Narrative:
Air carrier X at FL240 requested higher altitude due to light to moderate turbulence. I told him to expect higher shortly and inadvertently issued 'maintain FL250,' and issued traffic 10 mi west of his position (an air carrier Y jet) descending to FL250. My intent was to have him maintain FL240, but said 'FL250' probably, because I looked at the air carrier Y data block. I thought I was saying FL240. The traffic was average, I had other things to accomplish, but it was not overly complex or busy. I believe if I was a bit more conscientious and slower in my clearance, I would have been cognizant of what I said and what he read back.
Original NASA ASRS Text
Title: ZLA CTLR EXPERIENCED OPERROR AT FL250 WHEN ISSUING INCORRECT ALT ASSIGNMENT TO ENRTE ACFT AND MISSING READBACK.
Narrative: ACR X AT FL240 REQUESTED HIGHER ALT DUE TO LIGHT TO MODERATE TURB. I TOLD HIM TO EXPECT HIGHER SHORTLY AND INADVERTENTLY ISSUED 'MAINTAIN FL250,' AND ISSUED TFC 10 MI W OF HIS POS (AN ACR Y JET) DSNDING TO FL250. MY INTENT WAS TO HAVE HIM MAINTAIN FL240, BUT SAID 'FL250' PROBABLY, BECAUSE I LOOKED AT THE ACR Y DATA BLOCK. I THOUGHT I WAS SAYING FL240. THE TFC WAS AVERAGE, I HAD OTHER THINGS TO ACCOMPLISH, BUT IT WAS NOT OVERLY COMPLEX OR BUSY. I BELIEVE IF I WAS A BIT MORE CONSCIENTIOUS AND SLOWER IN MY CLRNC, I WOULD HAVE BEEN COGNIZANT OF WHAT I SAID AND WHAT HE READ BACK.
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.