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|
Attributes | |
ACN | 637880 |
Time | |
Date | 200411 |
Day | Thu |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : zdc.artcc |
Altitude | msl single value : 35000 |
Environment | |
Flight Conditions | VMC |
Light | Dusk |
Aircraft 1 | |
Controlling Facilities | artcc : zdc.artcc |
Operator | common carrier : air carrier |
Make Model Name | B767-400 and 400 ER |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise : level |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | artcc : zdc.artcc |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : radar |
Experience | controller radar : 15 controller time certified in position1 : 4 |
ASRS Report | 637880 |
Person 2 | |
Affiliation | government : faa |
Function | controller : radar |
Events | |
Anomaly | conflict : airborne critical non adherence : required legal separation non adherence : published procedure |
Independent Detector | atc equipment other atc equipment : radar mode c other controllera other controllerb |
Resolutory Action | none taken : detected after the fact |
Miss Distance | horizontal : 15000 vertical : 1300 |
Supplementary | |
Problem Areas | ATC Human Performance |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Intra Facility Coordination Failure Operational Error |
Narrative:
I was providing OJT and did not notice that my trainee handed off an aircraft to the wrong sector. She apparently thought she had handed off to the correct sector as evidenced by her communications xfer to the proper sector. Unfortunately, the sector that received the common change did not ascertain that the aircraft belonged to him. Also unfortunate was the fact that the sector that accepted the handoff was next to receive the aircraft, although not for another 130 mi. I had 42 seconds to notice the aircraft in handoff status to the incorrect sector and was busy with other traffic sits in the sector. Once that opportunity was gone, there were several ways the error still could have been prevented: 1) the sector receiving the communication xfer could have requested a data block, rather than, or in addition to, asking the computer which sector had track control. 2) that same sector, staffed by right&D position, could have noticed the intruder's target. 3) the sector that accepted the handoff 130 mi early could have thought it unusual to be receiving such an early handoff and 'quick-looked' the previous sector. 4) the same sector, if accepting an early handoff, should have provided TA's, and could possibly have seen the traffic.
Original NASA ASRS Text
Title: LOSS OF SEPARATION OCCURRED WHEN A ZDC ARTCC RADAR TRAINEE CTLR HANDED OFF A B767 TO THE WRONG SECTOR.
Narrative: I WAS PROVIDING OJT AND DID NOT NOTICE THAT MY TRAINEE HANDED OFF AN ACFT TO THE WRONG SECTOR. SHE APPARENTLY THOUGHT SHE HAD HANDED OFF TO THE CORRECT SECTOR AS EVIDENCED BY HER COMS XFER TO THE PROPER SECTOR. UNFORTUNATELY, THE SECTOR THAT RECEIVED THE COMMON CHANGE DID NOT ASCERTAIN THAT THE ACFT BELONGED TO HIM. ALSO UNFORTUNATE WAS THE FACT THAT THE SECTOR THAT ACCEPTED THE HDOF WAS NEXT TO RECEIVE THE ACFT, ALTHOUGH NOT FOR ANOTHER 130 MI. I HAD 42 SECONDS TO NOTICE THE ACFT IN HDOF STATUS TO THE INCORRECT SECTOR AND WAS BUSY WITH OTHER TFC SITS IN THE SECTOR. ONCE THAT OPPORTUNITY WAS GONE, THERE WERE SEVERAL WAYS THE ERROR STILL COULD HAVE BEEN PREVENTED: 1) THE SECTOR RECEIVING THE COM XFER COULD HAVE REQUESTED A DATA BLOCK, RATHER THAN, OR IN ADDITION TO, ASKING THE COMPUTER WHICH SECTOR HAD TRACK CTL. 2) THAT SAME SECTOR, STAFFED BY R&D POS, COULD HAVE NOTICED THE INTRUDER'S TARGET. 3) THE SECTOR THAT ACCEPTED THE HDOF 130 MI EARLY COULD HAVE THOUGHT IT UNUSUAL TO BE RECEIVING SUCH AN EARLY HDOF AND 'QUICK-LOOKED' THE PREVIOUS SECTOR. 4) THE SAME SECTOR, IF ACCEPTING AN EARLY HDOF, SHOULD HAVE PROVIDED TA'S, AND COULD POSSIBLY HAVE SEEN THE TFC.
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.