37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 82926 |
Time | |
Date | 198803 |
Day | Wed |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | atc facility : sea |
State Reference | WA |
Altitude | msl bound lower : 37000 msl bound upper : 37000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zoa |
Operator | common carrier : air carrier |
Make Model Name | Widebody, Low Wing, 4 Turbojet Eng |
Navigation In Use | Other |
Flight Phase | cruise other |
Route In Use | enroute : direct enroute : other oceanic enroute : pacific |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : commercial pilot : atp pilot : instrument |
Experience | flight time last 90 days : 240 flight time total : 22100 flight time type : 6500 |
ASRS Report | 82926 |
Person 2 | |
Function | other personnel other |
Events | |
Anomaly | other spatial deviation |
Independent Detector | other controllera |
Resolutory Action | none taken : detected after the fact other |
Consequence | faa : reviewed incident with flight crew |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | other |
Narrative:
Subject: ATC communication error with commercial radio causing an oceanic navigation error. Flight cleared per original ICAO routing on bottom of flight plan. At mid ocean clearance was changed to '47N/140W direct 48N/130W direct dolff intersection direct tatoosh direct sea.' just after 150 west clearance was further changed to 'present position direct dolff intersection direct tofino direct tatoosh direct sea.' fix map shows the initial route, second route and third route. I deduce that the third clearance was meant to be only 'dolff intersection direct tofino direct tatoosh direct sea.' all clrncs were accepted and read back per company procedures, as was reprogramming and checking of the instruments. Aircraft flew as cleared. Arinc (ATC) questioned our 140W position (48 degrees north/140W), which was where the direct routing took us. This was apparently where their misunderstanding came to light. Aircraft proceeded as cleared. Parenthetically vancouver center noted we were 10 mi north of dolff intersection terminal offset readouts on instruments were 20, 3, 3. Apparently #1 pulled 2 and 3 north in 'triple mix.' after arrival I called FAA oak oac and spoke with supervisor. He stated that company aircraft was out of the picture, the problem was a communication breakdown between ATC and commercial radio. Fix? Find and fix the spot where communication broke down between the center and commercial radio.
Original NASA ASRS Text
Title: ACR WDB DEVIATED FROM CLRNC ROUTE ON EXTENDED OVERWATER OPERATION. AMENDED CLRNC ROUTE WAS FOLLOWED AS RECEIVED, BUT APPARENTLY MESSAGE WAS GARBLED BETWEEN CTLR AND COMMERCIAL RADIO.
Narrative: SUBJECT: ATC COM ERROR WITH COMMERCIAL RADIO CAUSING AN OCEANIC NAVIGATION ERROR. FLT CLRED PER ORIGINAL ICAO ROUTING ON BOTTOM OF FLT PLAN. AT MID OCEAN CLRNC WAS CHANGED TO '47N/140W DIRECT 48N/130W DIRECT DOLFF INTXN DIRECT TATOOSH DIRECT SEA.' JUST AFTER 150 W CLRNC WAS FURTHER CHANGED TO 'PRESENT POS DIRECT DOLFF INTXN DIRECT TOFINO DIRECT TATOOSH DIRECT SEA.' FIX MAP SHOWS THE INITIAL ROUTE, SECOND ROUTE AND THIRD ROUTE. I DEDUCE THAT THE THIRD CLRNC WAS MEANT TO BE ONLY 'DOLFF INTXN DIRECT TOFINO DIRECT TATOOSH DIRECT SEA.' ALL CLRNCS WERE ACCEPTED AND READ BACK PER COMPANY PROCS, AS WAS REPROGRAMMING AND CHKING OF THE INSTRUMENTS. ACFT FLEW AS CLRED. ARINC (ATC) QUESTIONED OUR 140W POS (48 DEGS N/140W), WHICH WAS WHERE THE DIRECT ROUTING TOOK US. THIS WAS APPARENTLY WHERE THEIR MISUNDERSTANDING CAME TO LIGHT. ACFT PROCEEDED AS CLRED. PARENTHETICALLY VANCOUVER CENTER NOTED WE WERE 10 MI N OF DOLFF INTXN TERMINAL OFFSET READOUTS ON INSTRUMENTS WERE 20, 3, 3. APPARENTLY #1 PULLED 2 AND 3 N IN 'TRIPLE MIX.' AFTER ARR I CALLED FAA OAK OAC AND SPOKE WITH SUPVR. HE STATED THAT COMPANY ACFT WAS OUT OF THE PICTURE, THE PROB WAS A COM BREAKDOWN BTWN ATC AND COMMERCIAL RADIO. FIX? FIND AND FIX THE SPOT WHERE COM BROKE DOWN BTWN THE CENTER AND COMMERCIAL RADIO.
Data retrieved from NASA's ASRS site as of August 2007 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.