37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 704473 |
Time | |
Date | 200607 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | navaid : boi.vortac |
State Reference | ID |
Altitude | msl single value : 4000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : boi.tracon |
Operator | general aviation : personal |
Make Model Name | Bonanza 35 |
Operating Under FAR Part | Part 91 |
Flight Phase | climbout : initial |
Route In Use | departure : on vectors |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | tracon : boi.tracon |
Operator | general aviation : corporate |
Make Model Name | Falcon 50 |
Operating Under FAR Part | Part 91 |
Flight Phase | descent : approach |
Route In Use | approach : traffic pattern arrival : vfr |
Flight Plan | VFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : approach |
Qualification | controller : radar |
Experience | controller limited radar : 15 controller non radar : 15 controller radar : 18 controller time certified in position1 : 3 |
ASRS Report | 704473 |
Person 2 | |
Affiliation | other |
Function | flight crew : single pilot |
Events | |
Anomaly | conflict : airborne less severe non adherence : clearance non adherence : published procedure |
Independent Detector | other controllera |
Resolutory Action | controller : issued new clearance |
Consequence | faa : investigated |
Miss Distance | horizontal : 2500 vertical : 500 |
Supplementary | |
Problem Areas | Flight Crew Human Performance ATC Human Performance |
Primary Problem | ATC Human Performance |
Narrative:
Aircraft #1; BE35; departed on IFR plan. Aircraft #2; DA50; inbound for landing VFR. Aircraft #2 was issued left traffic for runway 28R by radar controller. Tower controller called and said 'I have the falcon in sight; appreq left turn on aircraft #1; whatever you can give him.' radar controller approved a heading of 210 degrees for aircraft #1. Communications were xferred to tower on aircraft #2 at 4900 ft MSL. Aircraft #1 departed and was idented but was not flying the coordination heading and was in conflict with aircraft #2. Radar controller coordination with local controller to stop aircraft #2 at 4500 ft. Aircraft #1 was issued 4000 ft and turned sebound to avoid aircraft #2. Aircraft #1 was in an MVA of 4200 ft when issued 4000 ft and leveled at 4000 ft for approximately 2 mi. Area is also a diverse vectoring area south of boise. Radar controller had no choice but to assign 4000 ft to effect altitude separation. Factors: 1) local controller should never switch an aircraft to departure control unless aircraft is doing exactly as cleared. 2) pilot did not fly heading as issued. 3) subsequent headings issued to pilot indicated that aircraft's directional gyro and compass were not aligned. Controller questioned pilot about the directional gyro and compass and pilot stated 'sorry.' 4) radar controller initially thought #1 was VFR. Altitude assignment was ok VFR. 5) no aircraft separation was lost but aircraft #1 was assigned 4000 ft in an MVA of 4200 ft. Radar controller thought this was better than 2 aircraft colliding.
Original NASA ASRS Text
Title: BOI CTLR DESCRIBED INCIDENT AT 4000 FT WHEN ARR ENTERING DOWNWIND CONFLICTED WITH IFR DEP BECAUSE OF INTRAFAC COORD FAILURE AND PLT NON COMPLIANCE WITH HDG.
Narrative: ACFT #1; BE35; DEPARTED ON IFR PLAN. ACFT #2; DA50; INBOUND FOR LNDG VFR. ACFT #2 WAS ISSUED L TFC FOR RWY 28R BY RADAR CTLR. TWR CTLR CALLED AND SAID 'I HAVE THE FALCON IN SIGHT; APPREQ L TURN ON ACFT #1; WHATEVER YOU CAN GIVE HIM.' RADAR CTLR APPROVED A HDG OF 210 DEGS FOR ACFT #1. COMS WERE XFERRED TO TWR ON ACFT #2 AT 4900 FT MSL. ACFT #1 DEPARTED AND WAS IDENTED BUT WAS NOT FLYING THE COORD HDG AND WAS IN CONFLICT WITH ACFT #2. RADAR CTLR COORD WITH LCL CTLR TO STOP ACFT #2 AT 4500 FT. ACFT #1 WAS ISSUED 4000 FT AND TURNED SEBOUND TO AVOID ACFT #2. ACFT #1 WAS IN AN MVA OF 4200 FT WHEN ISSUED 4000 FT AND LEVELED AT 4000 FT FOR APPROX 2 MI. AREA IS ALSO A DIVERSE VECTORING AREA S OF BOISE. RADAR CTLR HAD NO CHOICE BUT TO ASSIGN 4000 FT TO EFFECT ALT SEPARATION. FACTORS: 1) LCL CTLR SHOULD NEVER SWITCH AN ACFT TO DEP CTL UNLESS ACFT IS DOING EXACTLY AS CLRED. 2) PLT DID NOT FLY HDG AS ISSUED. 3) SUBSEQUENT HDGS ISSUED TO PLT INDICATED THAT ACFT'S DIRECTIONAL GYRO AND COMPASS WERE NOT ALIGNED. CTLR QUESTIONED PLT ABOUT THE DIRECTIONAL GYRO AND COMPASS AND PLT STATED 'SORRY.' 4) RADAR CTLR INITIALLY THOUGHT #1 WAS VFR. ALT ASSIGNMENT WAS OK VFR. 5) NO ACFT SEPARATION WAS LOST BUT ACFT #1 WAS ASSIGNED 4000 FT IN AN MVA OF 4200 FT. RADAR CTLR THOUGHT THIS WAS BETTER THAN 2 ACFT COLLIDING.
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.