A SABRELINER CLBING OFF HWD ON AN ASSIGNED HDG AT A FAST SPD HAD LTSS OCCUR WITH AN ACR B737 INBOUND TO SFO. CTLR TRAINING IN PROGRESS AT THE TRACON AND NEITHER THE TRAINEE OR THE INSTRUCTOR CAUGHT THE IMPROPER READBACK ON AN AMENDED ALT CLRNC GIVEN TO THE SABRELINER. SABRELINER WAS ALLEGEDLY MAKING A NON STANDARD RATE TURN AND EXCEEDING THE SPD BELOW THE CLASS B AIRSPACE PER FAR 91 PT 117(C).

Date: 1997-10 · Aircraft: Sabreliner 265 · Phase: climb

Anomalies: atc-issue-all-types|conflict-airborne-conflict|deviation-discrepancy-procedural-far|deviation-discrepancy-procedural-published-material-policy

Synopsis

A SABRELINER CLBING OFF HWD ON AN ASSIGNED HDG AT A FAST SPD HAD LTSS OCCUR WITH AN ACR B737 INBOUND TO SFO. CTLR TRAINING IN PROGRESS AT THE TRACON AND NEITHER THE TRAINEE OR THE INSTRUCTOR CAUGHT THE IMPROPER READBACK ON AN AMENDED ALT CLRNC GIVEN TO THE SABRELINER. SABRELINER WAS ALLEGEDLY MAKING A NON STANDARD RATE TURN AND EXCEEDING THE SPD BELOW THE CLASS B AIRSPACE PER FAR 91 PT 117(C).

Narrative

THE INITIAL CLRNC WAS RWY HDG TO 400 FT THEN A L TURN TO HDG 160 DEGS. AFTER COMPLETING THIS; DEP SAID LTT X L TURN TO 060 DEGS AND CLB TO 3000 FT. AT 3000 FT AND PASSING ABOUT 110 DEG HDG; I SAW AN ACFT AT 12 O'CLOCK. I IMMEDIATELY STEEPENED MY TURN TO ABOUT 80 DEGS OF BANK; LET MY NOSE GO THROUGH THE HORIZON AND DSNDED TO 2000 FT. SIMULTANEOUSLY; A NEW CTLR SHOUTED FOR LTT X TO DSND TO 2000 FT. THE B737 PASSED ABOVE OUR R SIDE UNEVENTFULLY. AFTER TALKING WITH THE SUPVR FROM ATC; HE APOLOGIZED AND SAID I SHOULDN'T HEAR ANYTHING ELSE ABOUT THIS. THE ONLY THING I TAKE AWAY FROM THIS INCIDENT IS THE NEED FOR A SID FOR JET ACFT LEAVING HWD ARPT. IF NO SID WILL BE DEVELOPED SOME TRAINING AND PLANNING NEEDS TO BE DONE BY CTLRS TAKING INTO ACCOUNT LARGER TURN RADIUS FOR JET ACFT IN CLOSE PROX TO THE OAK APCH CORRIDOR. SUPPLEMENTAL INFO FROM ACN 381851: I WAS RECEIVING OJT ON AR1&2 COMBINED; AT BAY TRACON. I RELEASED AN IFR DEP FROM HWD ARPT; LTT X; AN N265; ON THE STANDARD DEP FROM HWD (TURN L HDG 160 DEGS; RADAR VECTORS TO THE FIRST FIX; LIN; CLB AND MAINTAIN 2000 FT). THE ACFT DEPARTED HWD AND CHKED IN WITH ME 'IN THE L TURN LEAVING 1500 FT.' LTT X WAS RADAR IDENTED AND MODE C VERIFIED. AS THE SABRELINER CONTINUED ITS CLB TO 2000 FT A VECTOR WAS ISSUED; TURN L HDG 060 DEGS; TFC WAS ISSUED AT 12 O'CLOCK; 4 MI; 3500 FT; ON FINAL TO SFO; ACR Y B737. IT APPEARED TO BOTH ME AND MY INSTRUCTOR THAT THE SABRELINER WAS MAKING A VERY WIDE (MAYBE A HALF STANDARD RATE) TURN. I INSTRUCTED THE ACFT TO CONTINUE THE L TURN HDG 010 DEGS; CLB AND MAINTAIN 3000 FT; THEN IN THE SAME XMISSION CORRECTED THE ALT TO MAINTAIN 2000 FT. THE SABRELINER RPTED THE TFC IN SIGHT; AND INDICATED HE WAS IN THE TURN; CLBING TO 3000 FT. BOTH MY INSTRUCTOR AND I WERE 'SCRAMBLING' TO POINT OUT THE SABRELINER TO THE SFO ARR SECTOR AND WE BOTH MISSED THE PLT'S READBACK. I OBSERVED THE SABRELINER'S MODE C ABOVE 2000 FT; HOWEVER; MY INSTRUCTOR INTERVENED AT THIS POINT AND ATTEMPTED TO RESOLVE THE SIT BY INSTRUCTING THE SABRELINER TO MAINTAIN 2000 FT. I WAS INFORMED THAT THE HWD DEP SHOULD HAVE BEEN RESTR TO 200 KTS OR 210 KTS; TO ASSIST IN KEEPING THE INITIAL TURN TIGHT. THE DEP PROC ITSELF IS INHERENTLY DANGEROUS. I BELIEVE IT IS DESIGNED AND WORKS WELL WITH SMALL SINGLE ENG ACFT AND MOST TWINS. IT IS NOT A PROC THAT WORKS WELL WITH HIGH PERFORMANCE TWINS AND JETS. THE BOTTOM LINE: THIS ERROR WAS CAUSED BY THE FOLLOWING FACTORS: 1) WE MISSED THE ALT READBACK. 2) A POORLY DESIGNED DEP PROC FOR JETS OFF OF HWD. 3) FAILURE TO RESTRICT THE DEP TO A SPD THAT APPEARS TO ME TO BE IN VIOLATION OF THE ATC HANDBOOK. 4) INSTRUCTOR'S FAILURE TO ADEQUATELY MONITOR A DEVELOPMENTAL'S ACTIONS. SUPPLEMENTAL INFO FROM ACN 382067: I INSTRUCTED THE DEVELOPMENTAL TO LEAVE ACFT AT 2000 FT. IN THE SAME CLRNC THAT LTT X WAS GIVEN 3000 FT IT WAS CORRECTED TO CLB AND MAINTAIN 2000 FT. THE PLT READ BACK '2 -- 3000.' THE DEVELOPMENTAL AND MYSELF BOTH MISSED THE PLT'S READBACK. THE TURN RATE AND SPD OF THE LTT X PUT IT IN CLOSE PROX TO THE SFO 095 DEG RADIAL; AN ACR Y B737 WAS ON FINAL AND DSNDING FOR APCH. APPROX ALT 3100 FT. WHAT I BELIEVE CAUSED THE ERROR: 1) MISSED READBACK BY CTLR (ME). 2) THE INITIAL ISSUANCE OF CLB AND MAINTAIN 3000 FT CORRECTION CLB AND MAINTAIN 2000 FT; SHOULD NEVER HAVE BEEN ISSUED; DUE TO LTT X LOCATION AND TURN RATE. 3) ANOTHER FACTOR; I BELIEVE LTT X WAS NOT COMPLYING WITH FAR 91.117. GND SPD INDICATED APPROX 250 KTS; THE CLEAN STALL SPD FOR LTT X IS 117 KTS -- WELL BELOW THE 200 KT RESTR WHILE FLYING UNDER CLASS B.

Source: NASA Aviation Safety Reporting System (public domain). Reports are voluntary submissions and are not verified by NASA.