37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 94411 |
Time | |
Date | 198809 |
Day | Tue |
Local Time Of Day | 0601 To 1200 |
Place | |
Locale Reference | airport : bos |
State Reference | MA |
Altitude | agl bound lower : 0 agl bound upper : 0 |
Environment | |
Flight Conditions | Mixed |
Light | Daylight |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | Small Transport, Low Wing, 2 Recip Eng |
Flight Phase | climbout : takeoff |
Route In Use | enroute : on vectors |
Flight Plan | IFR |
Aircraft 2 | |
Operator | common carrier : air carrier |
Make Model Name | Medium Transport, Low Wing, 2 Turbojet Eng |
Flight Phase | ground other : taxi |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : instrument pilot : cfi pilot : atp |
Experience | controller military : 10 controller non radar : 7 controller radar : 3 controller supervisory : 3 flight time total : 1850 |
ASRS Report | 94411 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : commercial pilot : instrument |
Events | |
Anomaly | conflict : ground critical incursion : runway non adherence : clearance non adherence : far |
Independent Detector | other controllera |
Resolutory Action | none taken : anomaly accepted none taken : detected after the fact |
Consequence | faa : reviewed incident with flight crew |
Miss Distance | horizontal : 3000 vertical : 400 |
Supplementary | |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
We were #4 or 5 for takeoff on runway 22R bos. After a short wait of 4 or 5 mins, we were taxiied into position to hold, as another company flight was cleared for takeoff. The first officer was flying and I had the radios. We went into position to hold, and I set my heading bug for 290 degrees, which we had recently been receiving. As were going into position I heard the tower clear air carrier Y across runway 22R at the departure end. The next transmission from the tower was actually for company rso (according to the tower's tapes, which I haven't heard) and went something like this: 'company rso turn right 250, contact departure.' what we heard was: 'company gbo turn right heading 250, here we go,' or words to that effect. I reset my heading bug at the same time, so this is how I know I replied. However, that transmission wasn't on the tapes. In any case made a normal departure, and as we were passing midfield at an altitude of 200-300', I noticed an air carrier Z medium large transport crossing downfield, which I reported to the tower. Tower promptly advised me that I hadn't been cleared for takeoff, but to contact departure. I phoned my chief pilot and the FAA tower supervisor upon arrival in waterville, me, and was informed that the tower didn't think this was very serious because no real hazard actually occurred, but that because they were in the middle of an ATC evaluation, a report would be filed. I feel that this incident occurred due to my ineffective supervision of the first officer. Although I am a new ATP, I am very well at home in the ATC environment, having been a controller for almost 11 yrs (military and private contract), and the holder of a commercial pilot certificate for almost 10 yrs. We were rested, having reported XX15 XX30 the 2 days previous, with 36 hours off prior to that. On the day of this incident we reported early and this was our second leg of the morning. I feel everyone wants to be a helpful captain, and as such some people may be reluctant to criticize or correct subordinates. This may have been a factor. I now realize that no matter what the situation I, as the ATP captain, am in command of the flight and shall take whatever steps are necessary in the future to ensure its safe conduct (even if this means verifying ATC instructions when I'm not sure and looking foolish if I'm wrong).
Original NASA ASRS Text
Title: COMMUTER SMT UNAUTH TKOF. FLEW OVER ACR-MLG CROSSING RWY DOWN FIELD.
Narrative: WE WERE #4 OR 5 FOR TKOF ON RWY 22R BOS. AFTER A SHORT WAIT OF 4 OR 5 MINS, WE WERE TAXIIED INTO POS TO HOLD, AS ANOTHER COMPANY FLT WAS CLRED FOR TKOF. THE F/O WAS FLYING AND I HAD THE RADIOS. WE WENT INTO POS TO HOLD, AND I SET MY HDG BUG FOR 290 DEGS, WHICH WE HAD RECENTLY BEEN RECEIVING. AS WERE GOING INTO POS I HEARD THE TWR CLR ACR Y ACROSS RWY 22R AT THE DEP END. THE NEXT XMISSION FROM THE TWR WAS ACTUALLY FOR COMPANY RSO (ACCORDING TO THE TWR'S TAPES, WHICH I HAVEN'T HEARD) AND WENT SOMETHING LIKE THIS: 'COMPANY RSO TURN RIGHT 250, CONTACT DEP.' WHAT WE HEARD WAS: 'COMPANY GBO TURN RIGHT HDG 250, HERE WE GO,' OR WORDS TO THAT EFFECT. I RESET MY HDG BUG AT THE SAME TIME, SO THIS IS HOW I KNOW I REPLIED. HOWEVER, THAT XMISSION WASN'T ON THE TAPES. IN ANY CASE MADE A NORMAL DEP, AND AS WE WERE PASSING MIDFIELD AT AN ALT OF 200-300', I NOTICED AN ACR Z MLG XING DOWNFIELD, WHICH I RPTED TO THE TWR. TWR PROMPTLY ADVISED ME THAT I HADN'T BEEN CLRED FOR TKOF, BUT TO CONTACT DEP. I PHONED MY CHIEF PLT AND THE FAA TWR SUPVR UPON ARR IN WATERVILLE, ME, AND WAS INFORMED THAT THE TWR DIDN'T THINK THIS WAS VERY SERIOUS BECAUSE NO REAL HAZARD ACTUALLY OCCURRED, BUT THAT BECAUSE THEY WERE IN THE MIDDLE OF AN ATC EVALUATION, A RPT WOULD BE FILED. I FEEL THAT THIS INCIDENT OCCURRED DUE TO MY INEFFECTIVE SUPERVISION OF THE F/O. ALTHOUGH I AM A NEW ATP, I AM VERY WELL AT HOME IN THE ATC ENVIRONMENT, HAVING BEEN A CTLR FOR ALMOST 11 YRS (MIL AND PVT CONTRACT), AND THE HOLDER OF A COMMERCIAL PLT CERTIFICATE FOR ALMOST 10 YRS. WE WERE RESTED, HAVING RPTED XX15 XX30 THE 2 DAYS PREVIOUS, WITH 36 HRS OFF PRIOR TO THAT. ON THE DAY OF THIS INCIDENT WE RPTED EARLY AND THIS WAS OUR SECOND LEG OF THE MORNING. I FEEL EVERYONE WANTS TO BE A HELPFUL CAPT, AND AS SUCH SOME PEOPLE MAY BE RELUCTANT TO CRITICIZE OR CORRECT SUBORDINATES. THIS MAY HAVE BEEN A FACTOR. I NOW REALIZE THAT NO MATTER WHAT THE SITUATION I, AS THE ATP CAPT, AM IN COMMAND OF THE FLT AND SHALL TAKE WHATEVER STEPS ARE NECESSARY IN THE FUTURE TO ENSURE ITS SAFE CONDUCT (EVEN IF THIS MEANS VERIFYING ATC INSTRUCTIONS WHEN I'M NOT SURE AND LOOKING FOOLISH IF I'M WRONG).
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.