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|
Attributes | |
ACN | 765007 |
Time | |
Date | 200712 |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : igm.airport |
State Reference | AZ |
Altitude | msl single value : 28600 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zla.artcc |
Operator | common carrier : air carrier |
Make Model Name | Regional Jet CL65 Undifferentiated or Other Model |
Operating Under FAR Part | Part 121 |
Flight Phase | descent : vacating altitude ground : preflight |
Flight Plan | IFR |
Aircraft 2 | |
Controlling Facilities | artcc : zla.artcc |
Make Model Name | Beechcraft Twin Turboprop Jet Undifferentiated or Other Model |
Flight Phase | cruise : level |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Qualification | controller : radar |
Experience | controller radar : 17 controller time certified in position1 : 15 |
ASRS Report | 765077 |
Events | |
Anomaly | conflict : airborne less severe non adherence : required legal separation |
Independent Detector | other controllera |
Resolutory Action | none taken : detected after the fact |
Consequence | faa : investigated |
Miss Distance | horizontal : 30000 vertical : 600 |
Supplementary | |
Problem Areas | ATC Human Performance FAA Flight Crew Human Performance Maintenance Human Performance |
Primary Problem | Ambiguous |
Air Traffic Incident | Operational Error |
Narrative:
Working R-53 with approximately 6 aircraft on frequency. The frequency has an unsatisfactory condition report (ucr) outstanding for poor quality. 10 mi in-trail to phx with 4 of the aircraft landing phx and on vectors. Air carrier X #2 in line and on a 145 vector for spacing. I issued FL290 and air carrier X pilot read back; 'two nine zero; air carrier X.' the king air was wbound at FL280. I then issued; 'air carrier X fly heading 060; expect direct wotro in about a min.' pilot responded; 'zero six zero; air carrier X.' (it was later determined that the pilot read back two six zero; but the poor radio quality required 3 replays to determine that.) conflict alert activated as air carrier X's mode C indicated FL286. I cleared air carrier X to maintain FL290 and the pilot stated he was cleared to FL260. Contributory to this event: poor radio quality. If I had clearly heard the pilot's readback of 'two six zero' instead of 'zero six zero;' I could have reissued the heading of 060 degrees to alleviate the pilot's confusion. Poor phraseology by the pilot. The pilot's readback of 'two-six-zero' gave me no indication that the clearance was understood to be an altitude versus a heading. If he had said 'descend to 260' or 'FL260;' I may have had an opportunity to correct it. As it was; the 'two-six-zero' readback gave me no chance at all. I find this incident quite unsettling. Controllers are up against it now with ever increasing traffic levels and reduced staffing levels. Add in radios that don't perform and pilots that don't use proper phraseology and you can bet that it's just a matter of time before we see something catastrophic.
Original NASA ASRS Text
Title: ZLA CTLR EXPERIENCED OPERROR AT FL286 WHEN READBACK FROM PLT WAS NOT CLEAR AND DSCNT WAS INITIATED. FREQ HAS UCR PENDING.
Narrative: WORKING R-53 WITH APPROX 6 ACFT ON FREQ. THE FREQ HAS AN UNSATISFACTORY CONDITION RPT (UCR) OUTSTANDING FOR POOR QUALITY. 10 MI IN-TRAIL TO PHX WITH 4 OF THE ACFT LNDG PHX AND ON VECTORS. ACR X #2 IN LINE AND ON A 145 VECTOR FOR SPACING. I ISSUED FL290 AND ACR X PLT READ BACK; 'TWO NINE ZERO; ACR X.' THE KING AIR WAS WBOUND AT FL280. I THEN ISSUED; 'ACR X FLY HDG 060; EXPECT DIRECT WOTRO IN ABOUT A MIN.' PLT RESPONDED; 'ZERO SIX ZERO; ACR X.' (IT WAS LATER DETERMINED THAT THE PLT READ BACK TWO SIX ZERO; BUT THE POOR RADIO QUALITY REQUIRED 3 REPLAYS TO DETERMINE THAT.) CONFLICT ALERT ACTIVATED AS ACR X'S MODE C INDICATED FL286. I CLRED ACR X TO MAINTAIN FL290 AND THE PLT STATED HE WAS CLRED TO FL260. CONTRIBUTORY TO THIS EVENT: POOR RADIO QUALITY. IF I HAD CLRLY HEARD THE PLT'S READBACK OF 'TWO SIX ZERO' INSTEAD OF 'ZERO SIX ZERO;' I COULD HAVE REISSUED THE HDG OF 060 DEGS TO ALLEVIATE THE PLT'S CONFUSION. POOR PHRASEOLOGY BY THE PLT. THE PLT'S READBACK OF 'TWO-SIX-ZERO' GAVE ME NO INDICATION THAT THE CLRNC WAS UNDERSTOOD TO BE AN ALT VERSUS A HDG. IF HE HAD SAID 'DSND TO 260' OR 'FL260;' I MAY HAVE HAD AN OPPORTUNITY TO CORRECT IT. AS IT WAS; THE 'TWO-SIX-ZERO' READBACK GAVE ME NO CHANCE AT ALL. I FIND THIS INCIDENT QUITE UNSETTLING. CTLRS ARE UP AGAINST IT NOW WITH EVER INCREASING TFC LEVELS AND REDUCED STAFFING LEVELS. ADD IN RADIOS THAT DON'T PERFORM AND PLTS THAT DON'T USE PROPER PHRASEOLOGY AND YOU CAN BET THAT IT'S JUST A MATTER OF TIME BEFORE WE SEE SOMETHING CATASTROPHIC.
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.