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|
Attributes | |
ACN | 761819 |
Time | |
Date | 200711 |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : sna.airport |
State Reference | CA |
Altitude | msl single value : 2600 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : sct.tracon |
Operator | common carrier : air carrier |
Make Model Name | A320 |
Operating Under FAR Part | Part 121 |
Flight Phase | descent : approach |
Route In Use | arrival : on vectors |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | tracon : sct.tracon |
Operator | general aviation : personal |
Make Model Name | Golden Eagle 421 |
Operating Under FAR Part | Part 91 |
Flight Phase | climbout : initial |
Route In Use | departure : on vectors |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : approach instruction : trainee |
Qualification | controller : developmental |
Experience | controller limited radar : 8.5 controller military : 1 controller radar : 6 |
ASRS Report | 761819 |
Person 2 | |
Affiliation | government : faa |
Function | controller : approach instruction : instructor |
Events | |
Anomaly | conflict : airborne critical non adherence : required legal separation |
Independent Detector | atc equipment : conflict alert aircraft equipment : tcas other controllera |
Resolutory Action | controller : issued new clearance |
Consequence | faa : investigated |
Miss Distance | horizontal : 0 vertical : 600 |
Supplementary | |
Problem Areas | ATC Human Performance |
Primary Problem | ATC Human Performance |
Narrative:
This was a classic case of fatigue. Listening to the tape; and then analyzing the actions I took; I was convinced I had issued a 300 ft restr to the airbus. Since my instructor did not take any action; I assumed that all was well. I am fatigued and stressed to the point I cannot recall actions from mins and sometimes seconds before. When I wake up in the mornings; I do not remember most of the previous day's events; like what my wife and I planned for dinner; appointments; etc. In this case; I issued a vector to the C421 which crossed paths with the A320. I issued the lgb approach clearance to the A320 with a 1600 ft MSL restr (a direct conflict); and then got visual separation from the C421. This was a reversed sequence of how it should have been. Since I was receiving instruction; I could not understand why I was not overridden when the conflict was apparent. My instructor later apologized for not taking action. The A320 stopped descending due to the flight attendant; and I realized too late my error. The previous day; my primary instructor had discussed why 1600 ft is a bad altitude for the east arrs. This was the second near midair collision for me in training this week; and the fourth that I know of in the USA this week. When is someone going to realize that we are beginning to wear down and make more errors? Somebody is going to be killed; but no one is doing anything about it. Morale is in the toilet and lives are on the line; yet the FAA just keeps destroying the ranks. Why do people have to die to get anything done? In the meantime; we are painted as disgruntled. I disagree; we are doing the same work as before; just without any real rest or relaxation. I have had 6-DAY weeks for the past 6 months with a few exceptions. Most of my colleagues are in the same boat. I am going to break down soon and lose my career and retirement because of this situationuation. Yesterday; I wanted to quit and I just passed 20 yrs of government service.
Original NASA ASRS Text
Title: SCT DEV CTLR DESCRIBED CONFLICT; NO OPERROR RECORDED; BETWEEN LGB ACR ARR AND SMA; CITING FATIGUE/WORKING CONDITIONS AS CAUSAL FACTORS.
Narrative: THIS WAS A CLASSIC CASE OF FATIGUE. LISTENING TO THE TAPE; AND THEN ANALYZING THE ACTIONS I TOOK; I WAS CONVINCED I HAD ISSUED A 300 FT RESTR TO THE AIRBUS. SINCE MY INSTRUCTOR DID NOT TAKE ANY ACTION; I ASSUMED THAT ALL WAS WELL. I AM FATIGUED AND STRESSED TO THE POINT I CANNOT RECALL ACTIONS FROM MINS AND SOMETIMES SECONDS BEFORE. WHEN I WAKE UP IN THE MORNINGS; I DO NOT REMEMBER MOST OF THE PREVIOUS DAY'S EVENTS; LIKE WHAT MY WIFE AND I PLANNED FOR DINNER; APPOINTMENTS; ETC. IN THIS CASE; I ISSUED A VECTOR TO THE C421 WHICH CROSSED PATHS WITH THE A320. I ISSUED THE LGB APCH CLRNC TO THE A320 WITH A 1600 FT MSL RESTR (A DIRECT CONFLICT); AND THEN GOT VISUAL SEPARATION FROM THE C421. THIS WAS A REVERSED SEQUENCE OF HOW IT SHOULD HAVE BEEN. SINCE I WAS RECEIVING INSTRUCTION; I COULD NOT UNDERSTAND WHY I WAS NOT OVERRIDDEN WHEN THE CONFLICT WAS APPARENT. MY INSTRUCTOR LATER APOLOGIZED FOR NOT TAKING ACTION. THE A320 STOPPED DSNDING DUE TO THE FA; AND I REALIZED TOO LATE MY ERROR. THE PREVIOUS DAY; MY PRIMARY INSTRUCTOR HAD DISCUSSED WHY 1600 FT IS A BAD ALT FOR THE E ARRS. THIS WAS THE SECOND NMAC FOR ME IN TRAINING THIS WK; AND THE FOURTH THAT I KNOW OF IN THE USA THIS WEEK. WHEN IS SOMEONE GOING TO REALIZE THAT WE ARE BEGINNING TO WEAR DOWN AND MAKE MORE ERRORS? SOMEBODY IS GOING TO BE KILLED; BUT NO ONE IS DOING ANYTHING ABOUT IT. MORALE IS IN THE TOILET AND LIVES ARE ON THE LINE; YET THE FAA JUST KEEPS DESTROYING THE RANKS. WHY DO PEOPLE HAVE TO DIE TO GET ANYTHING DONE? IN THE MEANTIME; WE ARE PAINTED AS DISGRUNTLED. I DISAGREE; WE ARE DOING THE SAME WORK AS BEFORE; JUST WITHOUT ANY REAL REST OR RELAXATION. I HAVE HAD 6-DAY WKS FOR THE PAST 6 MONTHS WITH A FEW EXCEPTIONS. MOST OF MY COLLEAGUES ARE IN THE SAME BOAT. I AM GOING TO BREAK DOWN SOON AND LOSE MY CAREER AND RETIREMENT BECAUSE OF THIS SITUATIONUATION. YESTERDAY; I WANTED TO QUIT AND I JUST PASSED 20 YRS OF GOV SVC.
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.