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|
Attributes | |
ACN | 666158 |
Time | |
Date | 200507 |
Place | |
Locale Reference | airport : ord.airport |
State Reference | IL |
Altitude | agl single value : 200 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | tower : ord.tower |
Operator | other |
Make Model Name | Super King Air 200 HDC |
Flight Phase | other |
Aircraft 2 | |
Controlling Facilities | tower : ord.tower |
Operator | common carrier : air carrier |
Make Model Name | A310 |
Operating Under FAR Part | Part 121 |
Flight Phase | descent : approach |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : local |
Qualification | controller : radar pilot : instrument |
Experience | controller radar : 11 controller time certified in position1 : 3 flight time total : 350 |
ASRS Report | 666158 |
Person 2 | |
Affiliation | government : faa |
Function | flight crew : single pilot |
Events | |
Anomaly | non adherence : published procedure |
Independent Detector | other controllera |
Resolutory Action | flight crew : executed go around |
Miss Distance | horizontal : 6000 vertical : 100 |
Supplementary | |
Problem Areas | ATC Human Performance |
Primary Problem | ATC Human Performance |
Narrative:
I was assigned south local control (post #14); working runway 9R arrs and occasional runway 14R and runway 9R departures. I was advised by my operational supervisor that we were to initiate an arrival/airspace confign change in order to accommodate the FAA flight check to runway 27R; and the city of chicago's request to close runway 9R for routine maintenance. The new confign was arriving runway 32L; departing runway 32R; and low approachs to runway 27R with the FAA king air. In addition; I was reassigned to another operating position (#10) and told to combine the 2 local control position to only 1. As I was opening position #10; ground control taxied 8-9 aircraft to runway 32L at T10 and multiple aircraft to runway 32R; arrs started in for runway 32L; and aircraft X called inbound for runway 27R. Although we were advised that aircraft X would be making recorded runs to runway 27R; I was never advised what his intentions were after completing the low approach (right traffic; left traffic; DME arc; vectors back to final; etc). I wasted several mins trying to question aircraft X as to what exactly his plans were while attempting to keep normal operations flowing. Aircraft X initiated his second run and was vectored to runway 27R in direct conflict with air carrier Y (A310) on final for runway 32L. I decided that sending air carrier Y around was not an option due to a possible fly-over with aircraft X low approach to runway 27R; so instead I pulled aircraft X off the approach to be vectored back to the final. As air carrier Y rolled out on runway 32L; I taxied an air carrier Z (A310) into position at T10 with air carrier west on a 2.5 NM final. When air carrier Y vacated the runway; I cleared air carrier Z for an immediate takeoff with air carrier west on a 1 NM final. It appeared that I would have the proper runway separation; so I committed myself to letting air carrier west land. As air carrier west crossed the threshold; I observed the flight crew initiate a go around and issued missed approach instructions. I continued to depart aircraft from T10 without taking into account that the normal departure point for runway 32L had now become an intersection at night on the primary arrival runway. Approximately 15 mins later; I conducted a position relief briefing; during which I realized my error. Upon finishing my briefing; I informed the operational supervisor what had occurred and the mistake that I had made. Although routine; runway/confign changes are usually chaotic and complex. Add that to a lack of needed information; poor planning; and preoccupation with other separation issues; it's easy to see the chain of events unfold. As a facility; we should have pre-coordination with aircraft X his intentions prior to him entering the airspace. The approach controller should have known that vectored ties to runway 27R and runway 32L don't work. We should not have closed runway 9R until the arrival/departure rush was finished for the night. We could have postponed aircraft X runs on runway 27R until XA30 or later to accommodate the last of the evening rush. The operational supervisor could have left the local control position de-combined to spread out the overall workload. The ground controller should have avoided using T10 for departure with arrs inbound for runway 32L. I should have realized that the departure gap I was trying to hit with air carrier Z wasn't there. I should not have let the various comments from the flight crews (what's our sequence? When are we going to go? How much longer for us? Etc) factor into my decision making. I should not have let my ingrained ord 'let's get it done' attitude and ego get in the way of good decisions. I had the opportunity to break the chain and I didn't.
Original NASA ASRS Text
Title: ORD LCL CTLR CHRONICLES BUSY COMPLEX TFC PERIOD RESULTING IN ACR GAR AND HIS OR HER NON COMPLIANCE WITH FAA DIRECTIVES CONCERNING TKOF PROCS.
Narrative: I WAS ASSIGNED S LC (POST #14); WORKING RWY 9R ARRS AND OCCASIONAL RWY 14R AND RWY 9R DEPS. I WAS ADVISED BY MY OPERATIONAL SUPVR THAT WE WERE TO INITIATE AN ARR/AIRSPACE CONFIGN CHANGE IN ORDER TO ACCOMMODATE THE FAA FLT CHK TO RWY 27R; AND THE CITY OF CHICAGO'S REQUEST TO CLOSE RWY 9R FOR ROUTINE MAINT. THE NEW CONFIGN WAS ARRIVING RWY 32L; DEPARTING RWY 32R; AND LOW APCHS TO RWY 27R WITH THE FAA KING AIR. IN ADDITION; I WAS REASSIGNED TO ANOTHER OPERATING POS (#10) AND TOLD TO COMBINE THE 2 LC POS TO ONLY 1. AS I WAS OPENING POS #10; GND CTL TAXIED 8-9 ACFT TO RWY 32L AT T10 AND MULTIPLE ACFT TO RWY 32R; ARRS STARTED IN FOR RWY 32L; AND ACFT X CALLED INBOUND FOR RWY 27R. ALTHOUGH WE WERE ADVISED THAT ACFT X WOULD BE MAKING RECORDED RUNS TO RWY 27R; I WAS NEVER ADVISED WHAT HIS INTENTIONS WERE AFTER COMPLETING THE LOW APCH (R TFC; L TFC; DME ARC; VECTORS BACK TO FINAL; ETC). I WASTED SEVERAL MINS TRYING TO QUESTION ACFT X AS TO WHAT EXACTLY HIS PLANS WERE WHILE ATTEMPTING TO KEEP NORMAL OPS FLOWING. ACFT X INITIATED HIS SECOND RUN AND WAS VECTORED TO RWY 27R IN DIRECT CONFLICT WITH ACR Y (A310) ON FINAL FOR RWY 32L. I DECIDED THAT SENDING ACR Y AROUND WAS NOT AN OPTION DUE TO A POSSIBLE FLY-OVER WITH ACFT X LOW APCH TO RWY 27R; SO INSTEAD I PULLED ACFT X OFF THE APCH TO BE VECTORED BACK TO THE FINAL. AS ACR Y ROLLED OUT ON RWY 32L; I TAXIED AN ACR Z (A310) INTO POS AT T10 WITH ACR W ON A 2.5 NM FINAL. WHEN ACR Y VACATED THE RWY; I CLRED ACR Z FOR AN IMMEDIATE TKOF WITH ACR W ON A 1 NM FINAL. IT APPEARED THAT I WOULD HAVE THE PROPER RWY SEPARATION; SO I COMMITTED MYSELF TO LETTING ACR W LAND. AS ACR W CROSSED THE THRESHOLD; I OBSERVED THE FLT CREW INITIATE A GAR AND ISSUED MISSED APCH INSTRUCTIONS. I CONTINUED TO DEPART ACFT FROM T10 WITHOUT TAKING INTO ACCOUNT THAT THE NORMAL DEP POINT FOR RWY 32L HAD NOW BECOME AN INTXN AT NIGHT ON THE PRIMARY ARR RWY. APPROX 15 MINS LATER; I CONDUCTED A POS RELIEF BRIEFING; DURING WHICH I REALIZED MY ERROR. UPON FINISHING MY BRIEFING; I INFORMED THE OPERATIONAL SUPVR WHAT HAD OCCURRED AND THE MISTAKE THAT I HAD MADE. ALTHOUGH ROUTINE; RWY/CONFIGN CHANGES ARE USUALLY CHAOTIC AND COMPLEX. ADD THAT TO A LACK OF NEEDED INFO; POOR PLANNING; AND PREOCCUPATION WITH OTHER SEPARATION ISSUES; IT'S EASY TO SEE THE CHAIN OF EVENTS UNFOLD. AS A FACILITY; WE SHOULD HAVE PRE-COORD WITH ACFT X HIS INTENTIONS PRIOR TO HIM ENTERING THE AIRSPACE. THE APCH CTLR SHOULD HAVE KNOWN THAT VECTORED TIES TO RWY 27R AND RWY 32L DON'T WORK. WE SHOULD NOT HAVE CLOSED RWY 9R UNTIL THE ARR/DEP RUSH WAS FINISHED FOR THE NIGHT. WE COULD HAVE POSTPONED ACFT X RUNS ON RWY 27R UNTIL XA30 OR LATER TO ACCOMMODATE THE LAST OF THE EVENING RUSH. THE OPERATIONAL SUPVR COULD HAVE LEFT THE LCL CTL POS DE-COMBINED TO SPREAD OUT THE OVERALL WORKLOAD. THE GND CTLR SHOULD HAVE AVOIDED USING T10 FOR DEP WITH ARRS INBOUND FOR RWY 32L. I SHOULD HAVE REALIZED THAT THE DEP GAP I WAS TRYING TO HIT WITH ACR Z WASN'T THERE. I SHOULD NOT HAVE LET THE VARIOUS COMMENTS FROM THE FLT CREWS (WHAT'S OUR SEQUENCE? WHEN ARE WE GOING TO GO? HOW MUCH LONGER FOR US? ETC) FACTOR INTO MY DECISION MAKING. I SHOULD NOT HAVE LET MY INGRAINED ORD 'LET'S GET IT DONE' ATTITUDE AND EGO GET IN THE WAY OF GOOD DECISIONS. I HAD THE OPPORTUNITY TO BREAK THE CHAIN AND I DIDN'T.
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.