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|
Attributes | |
ACN | 87689 |
Time | |
Date | 198805 |
Day | Thu |
Local Time Of Day | 1801 To 2400 |
Place | |
Locale Reference | airport : mci |
State Reference | MO |
Altitude | msl bound lower : 12000 msl bound upper : 12300 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Controlling Facilities | artcc : zkc |
Operator | common carrier : air carrier |
Make Model Name | Medium Large Transport, Low Wing, 2 Turbojet Eng |
Flight Phase | cruise other descent other |
Route In Use | enroute airway : zkc |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | Any Unknown or Unlisted Aircraft Manufacturer |
Flight Phase | climbout : intermediate altitude cruise other |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
Experience | flight time last 90 days : 240 flight time total : 6000 flight time type : 1000 |
ASRS Report | 87689 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
Experience | flight time last 90 days : 120 flight time total : 9500 flight time type : 7000 |
ASRS Report | 87604 |
Events | |
Anomaly | altitude deviation : excursion from assigned altitude conflict : airborne less severe non adherence : required legal separation other anomaly other |
Independent Detector | other controllera |
Resolutory Action | none taken : unable none taken : anomaly accepted |
Consequence | faa : reviewed incident with flight crew faa : investigated |
Miss Distance | horizontal : 24000 vertical : 300 |
Supplementary | |
Primary Problem | ATC Human Performance |
Air Traffic Incident | Operational Error |
Situations | |
Publication | Unspecified |
Narrative:
On descent into mci we were clrd to descend to 13000' and held there due to departing traffic. While we were level at 13000' ZKC pointed out traffic at our 11 O'clock position. A short time later kansas city again pointed out traffic at our 11 O'clock and in the same sentence said what we understood was clrd to 12000'. I read back 'our identify, down to 12000' with no further comments from the controller. We started a descent and at about 12300-12400' kansas city asked us what we were doing. I told him we were descending to 12000' and he said he had not clrd us out of 13000'. I then told him he had clrd us to 12000' and that I had read it back to him and he did not say anything to us. At that time the discussion stopped and he clrd us to 10000' since the traffic was no longer a factor. The captain did talk to kansas city by phone at mci, however, nothing was resolved. On the next day the captain talked to kansas city again. By this time kansas city had reviewed their tapes and they told my captain that we had read back that we were clrd to 12000' and that the controller had failed to correct us. They did not say what the controller's exact instructions were, but it seems that he was trying to tell us that the traffic was at 11 O'clock at 12000 and we misunderstood him to clear us to 12000'. Of note, we did have the traffic in sight from the time it was first pointed out until it passed off our left wing and a midair was never a possibility. Also, we did have an FAA air traffic controller riding our jumpseat and was listening to the radios. He told us that he understood the same clearance to 12000. Miscom or misunderstood communications was the problem here. Two things can be done to prevent this situation. As crewmembers, we can read back the departing altitude and the clrd altitude, especially, when altitude changes take place around conflicting traffic. The controller can point out traffic by giving his position and altitude and telling the aircraft to 'maintain' a particular altitude i.e., traffic at 11 O'clock at 12000 maintain 13000. Supplemental information from acn 87604: apparently he meant our traffic was at 12000' but we understood him to mean we were clrd to 12000'. How did it happen? I feel we misunderstood the controller and he didn't catch it when we read back our misunderstanding. Had he said 'the traffic is at 12000 maintain 13000' and had we stated 'leaving 13000' for 12000'', maybe we could have prevented it. Clear communications are still our biggest problem.
Original NASA ASRS Text
Title: LESS THAN STANDARD SEPARATION BETWEEN TWO ACR ACFT. OPERATIONAL ERROR.
Narrative: ON DSCNT INTO MCI WE WERE CLRD TO DSND TO 13000' AND HELD THERE DUE TO DEPARTING TFC. WHILE WE WERE LEVEL AT 13000' ZKC POINTED OUT TFC AT OUR 11 O'CLOCK POSITION. A SHORT TIME LATER KANSAS CITY AGAIN POINTED OUT TFC AT OUR 11 O'CLOCK AND IN THE SAME SENTENCE SAID WHAT WE UNDERSTOOD WAS CLRD TO 12000'. I READ BACK 'OUR IDENT, DOWN TO 12000' WITH NO FURTHER COMMENTS FROM THE CTLR. WE STARTED A DSCNT AND AT ABOUT 12300-12400' KANSAS CITY ASKED US WHAT WE WERE DOING. I TOLD HIM WE WERE DSNDING TO 12000' AND HE SAID HE HAD NOT CLRD US OUT OF 13000'. I THEN TOLD HIM HE HAD CLRD US TO 12000' AND THAT I HAD READ IT BACK TO HIM AND HE DID NOT SAY ANYTHING TO US. AT THAT TIME THE DISCUSSION STOPPED AND HE CLRD US TO 10000' SINCE THE TFC WAS NO LONGER A FACTOR. THE CAPT DID TALK TO KANSAS CITY BY PHONE AT MCI, HOWEVER, NOTHING WAS RESOLVED. ON THE NEXT DAY THE CAPT TALKED TO KANSAS CITY AGAIN. BY THIS TIME KANSAS CITY HAD REVIEWED THEIR TAPES AND THEY TOLD MY CAPT THAT WE HAD READ BACK THAT WE WERE CLRD TO 12000' AND THAT THE CTLR HAD FAILED TO CORRECT US. THEY DID NOT SAY WHAT THE CTLR'S EXACT INSTRUCTIONS WERE, BUT IT SEEMS THAT HE WAS TRYING TO TELL US THAT THE TFC WAS AT 11 O'CLOCK AT 12000 AND WE MISUNDERSTOOD HIM TO CLEAR US TO 12000'. OF NOTE, WE DID HAVE THE TFC IN SIGHT FROM THE TIME IT WAS FIRST POINTED OUT UNTIL IT PASSED OFF OUR LEFT WING AND A MIDAIR WAS NEVER A POSSIBILITY. ALSO, WE DID HAVE AN FAA AIR TFC CTLR RIDING OUR JUMPSEAT AND WAS LISTENING TO THE RADIOS. HE TOLD US THAT HE UNDERSTOOD THE SAME CLRNC TO 12000. MISCOM OR MISUNDERSTOOD COMMUNICATIONS WAS THE PROBLEM HERE. TWO THINGS CAN BE DONE TO PREVENT THIS SITUATION. AS CREWMEMBERS, WE CAN READ BACK THE DEPARTING ALT AND THE CLRD ALT, ESPECIALLY, WHEN ALT CHANGES TAKE PLACE AROUND CONFLICTING TFC. THE CTLR CAN POINT OUT TFC BY GIVING HIS POSITION AND ALT AND TELLING THE ACFT TO 'MAINTAIN' A PARTICULAR ALT I.E., TFC AT 11 O'CLOCK AT 12000 MAINTAIN 13000. SUPPLEMENTAL INFO FROM ACN 87604: APPARENTLY HE MEANT OUR TFC WAS AT 12000' BUT WE UNDERSTOOD HIM TO MEAN WE WERE CLRD TO 12000'. HOW DID IT HAPPEN? I FEEL WE MISUNDERSTOOD THE CTLR AND HE DIDN'T CATCH IT WHEN WE READ BACK OUR MISUNDERSTANDING. HAD HE SAID 'THE TFC IS AT 12000 MAINTAIN 13000' AND HAD WE STATED 'LEAVING 13000' FOR 12000'', MAYBE WE COULD HAVE PREVENTED IT. CLEAR COMMUNICATIONS ARE STILL OUR BIGGEST PROBLEM.
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.