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|
Attributes | |
ACN | 690335 |
Time | |
Date | 200603 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | navaid : tnv.vortac |
State Reference | TX |
Altitude | msl single value : 37000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zau.artcc |
Operator | common carrier : air carrier |
Make Model Name | EMB ERJ 145 ER&LR |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise : level |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | artcc : zau.artcc |
Operator | common carrier : air carrier |
Make Model Name | A319 |
Operating Under FAR Part | Part 121 |
Flight Phase | cruise : level |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : radar |
Experience | controller limited radar : 2 controller military : 3 controller non radar : 8 controller radar : 13 controller time certified in position1 : 6 |
ASRS Report | 690335 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Events | |
Anomaly | conflict : airborne less severe non adherence : required legal separation |
Independent Detector | atc equipment : conflict alert other controllera |
Resolutory Action | controller : issued new clearance controller : issued alert |
Consequence | faa : investigated |
Miss Distance | horizontal : 15000 vertical : 500 |
Supplementary | |
Problem Areas | ATC Human Performance |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error |
Narrative:
Aircraft #1 was sbound at FL370. Aircraft #2 was nebound also at FL370. Aircraft #1's route turned sharply eastbound at tnv; 10 mi west of the path of aircraft #2. I was aware the 2 aircraft were a potential conflict; but after evaluation; I felt aircraft #1 would pass behind aircraft #2 with no action taken. As aircraft #1 began the turn I realized I would lose separation. I issued a clearance to aircraft #1 to descend but did not use the word 'immediately' and additionally; I used the wrong call sign. After the pilot asked if the clearance was for him; I reissued the clearance to descend immediately using the correct call sign. The delay in descending aircraft #1 caused separation to be lost. There were several factors contributing to the error. I was at the sector for over 1 hour and had worked very complex traffic the whole time. Dfw departure traffic was routed over houston; taking many more aircraft through my airspace than usual and on non-standard rtes. As a result; I was feeling fatigued at the time of the incident. I was so convinced the 2 aircraft were going to be separated. I waited until it was too late to do anything to prevent the error. There were also several distracting situations that may not have allowed me to give the conflict more attention.
Original NASA ASRS Text
Title: ZAU CTLR EXPERIENCED OPERROR AT FL370 WHEN EXPECTED SEPARATION BTWN 2 ENRTE ACFT FAILED AND ACTION TAKEN WAS TOO LATE.
Narrative: ACFT #1 WAS SBOUND AT FL370. ACFT #2 WAS NEBOUND ALSO AT FL370. ACFT #1'S RTE TURNED SHARPLY EBOUND AT TNV; 10 MI W OF THE PATH OF ACFT #2. I WAS AWARE THE 2 ACFT WERE A POTENTIAL CONFLICT; BUT AFTER EVALUATION; I FELT ACFT #1 WOULD PASS BEHIND ACFT #2 WITH NO ACTION TAKEN. AS ACFT #1 BEGAN THE TURN I REALIZED I WOULD LOSE SEPARATION. I ISSUED A CLRNC TO ACFT #1 TO DSND BUT DID NOT USE THE WORD 'IMMEDIATELY' AND ADDITIONALLY; I USED THE WRONG CALL SIGN. AFTER THE PLT ASKED IF THE CLRNC WAS FOR HIM; I REISSUED THE CLRNC TO DSND IMMEDIATELY USING THE CORRECT CALL SIGN. THE DELAY IN DSNDING ACFT #1 CAUSED SEPARATION TO BE LOST. THERE WERE SEVERAL FACTORS CONTRIBUTING TO THE ERROR. I WAS AT THE SECTOR FOR OVER 1 HR AND HAD WORKED VERY COMPLEX TFC THE WHOLE TIME. DFW DEP TFC WAS ROUTED OVER HOUSTON; TAKING MANY MORE ACFT THROUGH MY AIRSPACE THAN USUAL AND ON NON-STANDARD RTES. AS A RESULT; I WAS FEELING FATIGUED AT THE TIME OF THE INCIDENT. I WAS SO CONVINCED THE 2 ACFT WERE GOING TO BE SEPARATED. I WAITED UNTIL IT WAS TOO LATE TO DO ANYTHING TO PREVENT THE ERROR. THERE WERE ALSO SEVERAL DISTRACTING SITUATIONS THAT MAY NOT HAVE ALLOWED ME TO GIVE THE CONFLICT MORE ATTN.
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.