37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 677547 |
Time | |
Date | 200511 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : rhv.airport |
State Reference | CA |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Dusk |
Aircraft 1 | |
Operator | general aviation : personal |
Make Model Name | Cardinal 177/177RG |
Operating Under FAR Part | Part 91 |
Flight Phase | ground : taxi |
Aircraft 2 | |
Controlling Facilities | tower : rhv.tower |
Operator | general aviation : personal |
Make Model Name | Cessna 152 |
Operating Under FAR Part | Part 91 |
Flight Phase | landing : roll |
Person 1 | |
Affiliation | government : faa |
Function | controller : local |
Qualification | controller : non radar |
Experience | controller non radar : 2.5 controller time certified in position1 : 2.5 |
ASRS Report | 677547 |
Person 2 | |
Affiliation | government : faa |
Function | controller : local |
Events | |
Anomaly | conflict : ground less severe |
Independent Detector | other controllera |
Resolutory Action | none taken : detected after the fact |
Miss Distance | horizontal : 3000 vertical : 0 |
Supplementary | |
Problem Areas | ATC Human Performance |
Primary Problem | ATC Human Performance |
Narrative:
During a position relief briefing; controller #1 issued hold short instructions to aircraft #1 who had landed runway 31L. Aircraft #2 was short final for runway 31R. After assuming the local control #1 position; it was noticed that aircraft #1 had crossed the runway. Upon review; it was found that controller #1 had missed an incorrect readback and aircraft #1 had stated his intentions to cross runway 31R. Controller receiving the briefing was not aware that the readback had not been given correctly. I believe that the cause of the runway crossing was due to the distraction of issuing a relief briefing. Possible corrective action: critical instructions needing readback verification not be given during relief briefings.
Original NASA ASRS Text
Title: RHV CTLR DESCRIBED POS RELIEF BRIEFING WHEN READBACK WAS MISSED AND LNDG ACFT CROSSED PARALLEL RWY.
Narrative: DURING A POS RELIEF BRIEFING; CTLR #1 ISSUED HOLD SHORT INSTRUCTIONS TO ACFT #1 WHO HAD LANDED RWY 31L. ACFT #2 WAS SHORT FINAL FOR RWY 31R. AFTER ASSUMING THE LCL CTL #1 POS; IT WAS NOTICED THAT ACFT #1 HAD CROSSED THE RWY. UPON REVIEW; IT WAS FOUND THAT CTLR #1 HAD MISSED AN INCORRECT READBACK AND ACFT #1 HAD STATED HIS INTENTIONS TO CROSS RWY 31R. CTLR RECEIVING THE BRIEFING WAS NOT AWARE THAT THE READBACK HAD NOT BEEN GIVEN CORRECTLY. I BELIEVE THAT THE CAUSE OF THE RWY XING WAS DUE TO THE DISTR OF ISSUING A RELIEF BRIEFING. POSSIBLE CORRECTIVE ACTION: CRITICAL INSTRUCTIONS NEEDING READBACK VERIFICATION NOT BE GIVEN DURING RELIEF BRIEFINGS.
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.