1997-09 · NASA ASRS report 381444
AN ACR DC9 FLC CROSS AN ACTIVE RWY WITHOUT AUTH WHEN THEY MISUNDERSTAND THE CLRNC AND FINALLY MISREAD THE ARPT MAP. NO APPARENT CONFLICT.
DURING FLT FOR MY ACR ON SEP/SAT/97; FROM MILWAUKEE; WI; TO ST LOUIS; MO; I WAS THE FO OF THE DC9 WHICH WAS INVOLVED IN AN INCIDENT. WE WERE CLRED TO TAXI TO RWY 19R TO HOLD SHORT OF RWY 13 VIA TXWY G. I BELIEVED THE CAPT WAS AWARE OF THE HOLD SHORT INSTRUCTION. AS I WAS COMPLETING THE TKOF DATA WITH THE FINAL LOAD NUMBERS (NORMAL FOR TAXI OPS); I LOOKED UP AND NOTICED WE WERE APCHING A RWY AND I SAID TO THE CAPT 'YOU KNOW YOU HAVE TO HOLD SHORT.' THE CAPT STOPPED THE ACFT AND SAID 'I DID NOT HEAR THE HOLD SHORT INSTRUCTION.' THE ACFT CAME TO A STOP A FEW FT PAST THE HOLD SHORT LINE. THE CAPT THEN ASKED 'WHICH RWY?' I INFORMED THE CAPT IT WAS FOR RWY 13. SINCE WE WERE PAST THE HOLD SHORT LINE; WE BOTH LOOKED TO THE SIDES TO MAKE SURE THE RWY WAS CLR AND IT WAS. THE CAPT ASKED WHICH RWY (SINCE THERE ARE 2 RWYS WHICH YOU MUST CROSS TO GET TO RWY 19R ON TXWY G FROM THE GATES); WHILE BEING PAST THE HOLD SHORT LINE; IN MY HASTE I LOOKED AT THE RWY DIAGRAM AND NOTED THE NUMBER 13 N OF RWY 7L AND SAID TO THE CAPT 'IT IS THE NEXT ONE.' AS THE ACFT WAS MOVING OVER THE RWY ON TXWY G I LOOKED AT THE ARPT DIAGRAM AGAIN AND REALIZED THAT RWYS 13 AND 7L CROSS PRIOR TO RWY 19R AND THAT RWY 13 WAS THE RWY THAT WE WERE XING. AS I REALIZED THIS; THE GND CTLR INFORMED US THAT WE WERE TO HOLD SHORT OF RWY 13. WE ACKNOWLEDGED THE XMISSION. THE GND CTLR THEN CLRED US TO TAXI TO RWY 19R. I BELIEVE THAT THE FOLLOWING CONTRIBUTED TO THIS INCIDENT: THE DIFFERENCE OF THE 2 PLTS UNDERSTANDING TWO DIFFERENT TAXI CLRNCS AND NOT CONFIRMING THE INSTRUCTIONS DURING THE HIGH WORKLOAD PHASE WITH THE STARTING OF THE ENGS; READING THE AFTER START CHKLIST; MOVING IN CLOSE QUARTERS AT THE GATE; THE INTERPHONE COMS WITH RAMP PERSONNEL AND THE CLRNC WITH GND CTL. THE FO'S DUTY OF FINISHING THE TKOF DATA WORKSHEET WHILE THE ACFT TAXIES WITH ONLY 2 CREW MEMBERS. THE COMPLEXITY OF THE MILWAUKEE ARPT LAYOUT WITH MULTIPLE RWYS XING AT VARIOUS PLACES. SUPPLEMENTAL INFO FROM ACN 381275: WHILE TAXIING TO RWY 19 FOR TKOF; WE WERE GIVEN THE CLRNC TO RWY 19; HOLD SHORT OF RWY 13. I ORIGINALLY MISSED THE HOLD SHORT PORTION AND THE FO REMINDED ME JUST SHORT OF THE RWY 13 AND TXWY INTXN. WHILE HOLDING SHORT OF THE RWY; THE FO SAID THAT RWY 13 WAS THE NEXT RWY ALONG OUR TAXI RTE. (IT WAS RWY 7/25 THAT HE WAS ACTUALLY LOOKING AT; THINKING IT WAS RWY 13/31). WITHOUT CHKING MY CHART; I TAXIED ACROSS RWY 13/31 SINCE I DIDN'T SEE ANY TFC ASSOCIATED WITH THAT RWY. THE GND CTLR INFORMED US THAT WE WERE TO HOLD SHORT OF RWY 13/31. I ACKNOWLEDGED THAT AND SWITCHED TO TWR FREQ. THE TWR CTLR SAID THERE WAS NO CONFLICT. THE FLT CONTINUED TO STL WITH NO FURTHER INCIDENTS.
Source: NASA Aviation Safety Reporting System (public domain). Reports are voluntary submissions and are not verified by NASA.
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