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|
Attributes | |
ACN | 783610 |
Time | |
Date | 200804 |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | airport : bed.airport |
State Reference | MA |
Altitude | msl single value : 2000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tower : bed.tower |
Operator | general aviation : personal |
Make Model Name | PA-23-250 Aztec |
Operating Under FAR Part | Part 91 |
Flight Phase | climbout : intermediate altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | government : faa |
Function | controller : local |
Qualification | controller : radar |
Experience | controller military : 20 controller time certified in position1 : 2 |
ASRS Report | 783610 |
Person 2 | |
Affiliation | other |
Function | flight crew : single pilot |
Events | |
Anomaly | airspace violation : entry non adherence : published procedure non adherence : required legal separation |
Independent Detector | other controllera |
Resolutory Action | none taken : detected after the fact |
Supplementary | |
Problem Areas | ATC Human Performance |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Inter Facility Coordination Failure Operational Deviation Intra Facility Coordination Failure |
Narrative:
While on watch as controller in charge; supervisor performed OJT instruction on ground control with developmental ATC specialist. Aircraft taxied to runway 11 for departure. Aircraft on IFR flight plan. Ground control failed to coordination with local control IFR status. Aircraft calls local control for departure. Local control departed aircraft; assumed VFR; aircraft proceeded northbound IFR without coordination approach. Approach control A90 via shout line requested information from tower regarding aircraft on IFR transponder code; aircraft squawking wrong code for aircraft identification. Code corrected via local control frequency; approach control A90 issued heading 040 altitude climb 3000 ft via shout line to local control; assume aircraft below MVA for area. Aircraft frequency change A90. Training on ground control term; supervisor aware of situation informs controller in charge no loss of separation. Controller in charge called for meeting with atm and supervisor regarding other matters. No paper on error; no direction given with regard to error. ATC specialist concerned situation was operational deviation; afraid to question situation. Contributing factors: busy traffic on local control; attention focus on local control traffic; training ground control OJT instruction not attentive to developmental ATC specialist; controller in charge focus on cc duties and correction of local control phraseology and traffic calls. Performance factors: heavy volume traffic; lack of automation for departure coordination; non co-located approach control facility.
Original NASA ASRS Text
Title: BOS CTLR DESCRIBED OPDEV WHEN IFR STATUS OF DEP WAS NOT RELAYED TO TRACON; CLAIMING MGMNT TOOK NO FORMAL OPDEV ACTIONS.
Narrative: WHILE ON WATCH AS CIC; SUPVR PERFORMED OJT INSTRUCTION ON GND CTL WITH DEVELOPMENTAL ATC SPECIALIST. ACFT TAXIED TO RWY 11 FOR DEP. ACFT ON IFR FLT PLAN. GND CTL FAILED TO COORD WITH LCL CTL IFR STATUS. ACFT CALLS LCL CTL FOR DEP. LCL CTL DEPARTED ACFT; ASSUMED VFR; ACFT PROCEEDED NBOUND IFR WITHOUT COORD APCH. APCH CTL A90 VIA SHOUT LINE REQUESTED INFO FROM TWR REGARDING ACFT ON IFR XPONDER CODE; ACFT SQUAWKING WRONG CODE FOR ACFT ID. CODE CORRECTED VIA LCL CTL FREQ; APCH CTL A90 ISSUED HDG 040 ALT CLB 3000 FT VIA SHOUT LINE TO LCL CTL; ASSUME ACFT BELOW MVA FOR AREA. ACFT FREQ CHANGE A90. TRAINING ON GND CTL TERM; SUPVR AWARE OF SITUATION INFORMS CIC NO LOSS OF SEPARATION. CIC CALLED FOR MEETING WITH ATM AND SUPVR REGARDING OTHER MATTERS. NO PAPER ON ERROR; NO DIRECTION GIVEN WITH REGARD TO ERROR. ATC SPECIALIST CONCERNED SITUATION WAS OPDEV; AFRAID TO QUESTION SITUATION. CONTRIBUTING FACTORS: BUSY TFC ON LCL CTL; ATTN FOCUS ON LCL CTL TFC; TRAINING GND CTL OJT INSTRUCTION NOT ATTENTIVE TO DEVELOPMENTAL ATC SPECIALIST; CIC FOCUS ON CC DUTIES AND CORRECTION OF LCL CTL PHRASEOLOGY AND TFC CALLS. PERFORMANCE FACTORS: HVY VOLUME TFC; LACK OF AUTOMATION FOR DEP COORD; NON CO-LOCATED APCH CTL FACILITY.
Data retrieved from NASA's ASRS site as of May 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.