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|
Attributes | |
ACN | 700291 |
Time | |
Date | 200606 |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | navaid : sgf.vortac |
State Reference | MO |
Altitude | msl single value : 45000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zkc.artcc |
Operator | general aviation : corporate |
Make Model Name | Gulfstream IV |
Operating Under FAR Part | Part 91 |
Flight Phase | cruise : level |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | artcc : zkc.artcc |
Operator | general aviation : corporate |
Make Model Name | Learjet 45 |
Operating Under FAR Part | Part 91 |
Flight Phase | cruise : enroute altitude change |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : radar |
Qualification | controller : developmental pilot : instrument |
Experience | controller non radar : 1 controller time certified in position2 : 3 flight time total : 650 |
ASRS Report | 700291 |
Person 2 | |
Affiliation | government : faa |
Function | controller : radar |
Events | |
Anomaly | conflict : airborne less severe non adherence : required legal separation |
Independent Detector | atc equipment : conflict alert other controllera |
Resolutory Action | controller : issued alert controller : issued new clearance |
Consequence | faa : investigated |
Miss Distance | horizontal : 18000 vertical : 1000 |
Supplementary | |
Problem Areas | ATC Human Performance |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error |
Narrative:
At XA00Z; I was instructed to go to sector 31D. I informed the supervisor I would do so at my shift start time of XA06Z. When I sat down at the sector; the right controller was very busy with several pending situations. I received a short briefing; and turned my focus to a negative rvsm aircraft's route. Aircraft Y (LJ45) was esebound at FL390 requesting FL450. The r-side issued a climb to FL450. The uret indicated a possible confliction between aircraft Y and another aircraft. I questioned the right controller and he issued vectors to both aircraft as a result. However; by turning aircraft Y to the north; another confliction arose with aircraft X (GLF4) already at FL450. The r-side attempted to turn aircraft Y back right and descend aircraft X but not before separation was lost. Both aircraft called visual and indicated traffic was no factor. The radar controller indicated that he was not feeling well and had worked several overtime shifts in the last 3 weeks. This; complicated by a busy sector that needed a d-side prior to my arrival has a significant bearing in my mind as a contributing factor. That can be seen by the oversight of traffic that caused this error. The main factor was pure oversight of all traffic.
Original NASA ASRS Text
Title: ZKC ASSOCIATE CTLR DESCRIBED OPERROR A FL450 WHEN RADAR CTLR FAILED TO RECOGNIZE DEVELOPING LOSS OF SEPARATION.
Narrative: AT XA00Z; I WAS INSTRUCTED TO GO TO SECTOR 31D. I INFORMED THE SUPVR I WOULD DO SO AT MY SHIFT START TIME OF XA06Z. WHEN I SAT DOWN AT THE SECTOR; THE R CTLR WAS VERY BUSY WITH SEVERAL PENDING SITUATIONS. I RECEIVED A SHORT BRIEFING; AND TURNED MY FOCUS TO A NEGATIVE RVSM ACFT'S RTE. ACFT Y (LJ45) WAS ESEBOUND AT FL390 REQUESTING FL450. THE R-SIDE ISSUED A CLB TO FL450. THE URET INDICATED A POSSIBLE CONFLICTION BTWN ACFT Y AND ANOTHER ACFT. I QUESTIONED THE R CTLR AND HE ISSUED VECTORS TO BOTH ACFT AS A RESULT. HOWEVER; BY TURNING ACFT Y TO THE N; ANOTHER CONFLICTION AROSE WITH ACFT X (GLF4) ALREADY AT FL450. THE R-SIDE ATTEMPTED TO TURN ACFT Y BACK R AND DSND ACFT X BUT NOT BEFORE SEPARATION WAS LOST. BOTH ACFT CALLED VISUAL AND INDICATED TFC WAS NO FACTOR. THE RADAR CTLR INDICATED THAT HE WAS NOT FEELING WELL AND HAD WORKED SEVERAL OVERTIME SHIFTS IN THE LAST 3 WKS. THIS; COMPLICATED BY A BUSY SECTOR THAT NEEDED A D-SIDE PRIOR TO MY ARR HAS A SIGNIFICANT BEARING IN MY MIND AS A CONTRIBUTING FACTOR. THAT CAN BE SEEN BY THE OVERSIGHT OF TFC THAT CAUSED THIS ERROR. THE MAIN FACTOR WAS PURE OVERSIGHT OF ALL TFC.
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.