37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 658924 |
Time | |
Date | 200505 |
Place | |
Locale Reference | airport : atl.airport |
State Reference | GA |
Altitude | msl single value : 11000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : a80.tracon |
Operator | common carrier : air carrier |
Make Model Name | MD-88 |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | descent : approach |
Route In Use | arrival star : erlin |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : private pilot : atp pilot : commercial pilot : flight engineer pilot : instrument pilot : multi engine |
Experience | flight time last 90 days : 200 flight time total : 10000 flight time type : 400 |
ASRS Report | 658924 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : instrument pilot : multi engine pilot : flight engineer pilot : cfi pilot : atp |
Experience | flight time last 90 days : 200 flight time total : 5000 flight time type : 600 |
ASRS Report | 659678 |
Events | |
Anomaly | altitude deviation : crossing restriction not met altitude deviation : excursion from assigned altitude conflict : airborne critical non adherence : clearance |
Independent Detector | aircraft equipment : tcas other controllera |
Resolutory Action | controller : issued new clearance controller : issued advisory flight crew : took evasive action |
Miss Distance | horizontal : 5000 vertical : 600 |
Supplementary | |
Problem Areas | Flight Crew Human Performance ATC Human Performance |
Primary Problem | Ambiguous |
Narrative:
The captain was the PF. The flight was descending on the erlin 1 RNAV arrival to atl. The clearance was; 'cross dalas at 14000 ft; descend to 12000 ft.' after crossing dalas at 14000 ft and while descending to 12000 ft in the vicinity of stutz; the flight received the clearance; 'cross nofiv at 210 KTS then descend to 7000 ft.' the copilot read back the clearance but the captain did not hear the word 'then.' the captain understood the clearance as; 'cross nofiv at 210 KTS; descend to 7000 ft.' the copilot apparently did not understand the stipulation 'then' and did not remember reading it back. Apparently ATC expected the flight to cross nofiv at 12000 ft; at 210 KIAS and 'then' descend to 7000 ft. The captain understood the clearance as an unrestr descent to 7000 ft with a speed restr at nofiv. While descending through approximately 11000 ft; TCAS activated with 'traffic; traffic.' the captain acknowledged the TCAS alert; sighted the alert aircraft and announced 'traffic in sight.' at approximately 10600 ft; TCAS activated with an RA and called for a climb. At about the same time; ATC instructed the flight to climb to 11000 ft. The captain disconnected the autoplt and returned the aircraft to 11000 ft. Some discussion then ensued between the crew and ATC regarding the clearance before further clearance was received and normal operations continued. Contributing factors: at no time did ATC stipulate an altitude crossing restr at nofiv in any other manner than with the word 'then.' I believe this is critical since this is not a profile descent and all altitudes are published as 'expect.' contrast the clearance received to what I consider a typical clearance for this situation -- 'cross nofiv at 12000 ft and 210 ks; then descend to 7000 ft.' ATC was very busy at the time and the frequency was near saturation. Fatigue: the captain was on the last leg of a 4 day trip. Pick-up that day was in norfolk at XA00 for an XB00 departure. This was the third leg flown that day and it was not yet XH00.
Original NASA ASRS Text
Title: MD88 FLT CREW WITH A80 EXPERIENCED TCAS RA WHEN XING ALT CLRNC WAS MISUNDERSTOOD AND AN EARLY DSCNT WAS INITIATED.
Narrative: THE CAPT WAS THE PF. THE FLT WAS DSNDING ON THE ERLIN 1 RNAV ARR TO ATL. THE CLRNC WAS; 'CROSS DALAS AT 14000 FT; DSND TO 12000 FT.' AFTER XING DALAS AT 14000 FT AND WHILE DSNDING TO 12000 FT IN THE VICINITY OF STUTZ; THE FLT RECEIVED THE CLRNC; 'CROSS NOFIV AT 210 KTS THEN DSND TO 7000 FT.' THE COPLT READ BACK THE CLRNC BUT THE CAPT DID NOT HEAR THE WORD 'THEN.' THE CAPT UNDERSTOOD THE CLRNC AS; 'CROSS NOFIV AT 210 KTS; DSND TO 7000 FT.' THE COPLT APPARENTLY DID NOT UNDERSTAND THE STIPULATION 'THEN' AND DID NOT REMEMBER READING IT BACK. APPARENTLY ATC EXPECTED THE FLT TO CROSS NOFIV AT 12000 FT; AT 210 KIAS AND 'THEN' DSND TO 7000 FT. THE CAPT UNDERSTOOD THE CLRNC AS AN UNRESTR DSCNT TO 7000 FT WITH A SPD RESTR AT NOFIV. WHILE DSNDING THROUGH APPROX 11000 FT; TCAS ACTIVATED WITH 'TFC; TFC.' THE CAPT ACKNOWLEDGED THE TCAS ALERT; SIGHTED THE ALERT ACFT AND ANNOUNCED 'TFC IN SIGHT.' AT APPROX 10600 FT; TCAS ACTIVATED WITH AN RA AND CALLED FOR A CLB. AT ABOUT THE SAME TIME; ATC INSTRUCTED THE FLT TO CLB TO 11000 FT. THE CAPT DISCONNECTED THE AUTOPLT AND RETURNED THE ACFT TO 11000 FT. SOME DISCUSSION THEN ENSUED BTWN THE CREW AND ATC REGARDING THE CLRNC BEFORE FURTHER CLRNC WAS RECEIVED AND NORMAL OPS CONTINUED. CONTRIBUTING FACTORS: AT NO TIME DID ATC STIPULATE AN ALT XING RESTR AT NOFIV IN ANY OTHER MANNER THAN WITH THE WORD 'THEN.' I BELIEVE THIS IS CRITICAL SINCE THIS IS NOT A PROFILE DSCNT AND ALL ALTS ARE PUBLISHED AS 'EXPECT.' CONTRAST THE CLRNC RECEIVED TO WHAT I CONSIDER A TYPICAL CLRNC FOR THIS SITUATION -- 'CROSS NOFIV AT 12000 FT AND 210 KS; THEN DSND TO 7000 FT.' ATC WAS VERY BUSY AT THE TIME AND THE FREQ WAS NEAR SATURATION. FATIGUE: THE CAPT WAS ON THE LAST LEG OF A 4 DAY TRIP. PICK-UP THAT DAY WAS IN NORFOLK AT XA00 FOR AN XB00 DEP. THIS WAS THE THIRD LEG FLOWN THAT DAY AND IT WAS NOT YET XH00.
Data retrieved from NASA's ASRS site as of January 2009 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.