Narrative:

Arrival called and requested approval for a lifeguard [aircraft] to land on runway xx; we were landing and departing runway yy. The aircraft was very high [and] called me over ZZZ airport at 6;000 ft. At this time; satellite called and requested 'block ZZZ.' I figured they knew about the lifeguard from the arrival controller who was required to point out the aircraft since he would be descending into that airspace. I acknowledged the ZZZ block. The lifeguard said he was too high and needed to circle; I asked which way he would like to circle. He said through the final or he could take runway yyr; I said runway yyr was closed but he could have yyl. He wanted to stay with runway xx. I issued the lifeguard a right 270 turn after flying through the [runway] xx final and cleared him to land. At this point I called east departure and advised of what the lifeguard was doing and said; 'do you want to tell satellite also or should I?' they asked to block ZZZ. East departure said; 'I have nothing out there; point out approved; I will tell satellite.' the lifeguard was in a northeast turn; when satellite called and said they could not get contact the ZZZ departure. My supervisor said [to] ask if the lifeguard could cancel. I asked the lifeguard [if] he could cancel IFR [and] he responded that he could. I canceled the IFR services and re-cleared him VFR to runway xx and cleared him to land. Shortly after; I saw the transponder of the departing ZZZ departure and had to give a traffic [point out] to the lifeguard. He did not see the aircraft and I ended up giving the lifeguard a 'traffic alert' and an evasive turn until he saw the departing aircraft. I estimate 100 ft and 1/4 mile as their closest proximity. I believe that all 'off runway' arrivals and departures should not be allowed. This runway is a hazard and should never be used unless we are using it as the primary runway due to wind.

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Original NASA ASRS Text

Title: Approach Controller described a conflict when a Lifeguard aircraft was approved for other than the primary runway resulting in a circling maneuver to lose altitude and leading to the event.

Narrative: Arrival called and requested approval for a Lifeguard [aircraft] to land on Runway XX; we were landing and departing Runway YY. The aircraft was very high [and] called me over ZZZ airport at 6;000 FT. At this time; Satellite called and requested 'block ZZZ.' I figured they knew about the Lifeguard from the Arrival Controller who was required to point out the aircraft since he would be descending into that airspace. I acknowledged the ZZZ block. The Lifeguard said he was too high and needed to circle; I asked which way he would like to circle. He said through the final or he could take Runway YYR; I said Runway YYR was closed but he could have YYL. He wanted to stay with Runway XX. I issued the Lifeguard a right 270 turn after flying through the [Runway] XX final and cleared him to land. At this point I called East Departure and advised of what the Lifeguard was doing and said; 'Do you want to tell Satellite also or should I?' They asked to block ZZZ. East Departure said; 'I have nothing out there; point out approved; I will tell Satellite.' The Lifeguard was in a northeast turn; when Satellite called and said they could not get contact the ZZZ departure. My Supervisor said [to] ask if the Lifeguard could cancel. I asked the Lifeguard [if] he could cancel IFR [and] he responded that he could. I canceled the IFR services and re-cleared him VFR to Runway XX and cleared him to land. Shortly after; I saw the transponder of the departing ZZZ departure and had to give a traffic [point out] to the Lifeguard. He did not see the aircraft and I ended up giving the Lifeguard a 'traffic alert' and an evasive turn until he saw the departing aircraft. I estimate 100 FT and 1/4 mile as their closest proximity. I believe that all 'off runway' arrivals and departures should not be allowed. This runway is a hazard and should never be used unless we are using it as the primary runway due to wind.

Data retrieved from NASA's ASRS site as of April 2012 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.