AN MD80 FLC EXPERIENCES AN NMAC WHILE IN A L-HAND HOLDING PATTERN AT 14000 FT; 48 MI N OF ZQA; NASSAU; FO. AN AIRLINE B727 OVERSHOT ITS ASSIGNED ALT OF 16000 FT AND CREATED THE NMAC WHICH OCCURRED BTWN 12300 FT AND 14000 FT. LATER; ENSUING TFC DELAYS CREATED THE NEED FOR THE MD80 TO DIVERT TO MIA FOR FUEL.

1999-02 · NASA ASRS report 429433

Date: 1999-02 · Aircraft: MD-80 Series (DC-9-80) Undifferentiated or Other Model

Anomalies: conflict-nmac|deviation-altitude-overshoot|deviation-discrepancy-procedural-published-material-policy|deviation-discrepancy-procedural-far|other-unspecified

Synopsis

AN MD80 FLC EXPERIENCES AN NMAC WHILE IN A L-HAND HOLDING PATTERN AT 14000 FT; 48 MI N OF ZQA; NASSAU; FO. AN AIRLINE B727 OVERSHOT ITS ASSIGNED ALT OF 16000 FT AND CREATED THE NMAC WHICH OCCURRED BTWN 12300 FT AND 14000 FT. LATER; ENSUING TFC DELAYS CREATED THE NEED FOR THE MD80 TO DIVERT TO MIA FOR FUEL.

Narrative

WE WERE FLYING FLT FROM JFK TO NAS. FLT WAS NORMAL UNTIL WE WERE APPROX 50 NM NW OF NAS. AT THAT TIME; ZMA (125.7) GAVE US A SPD REDUCTION FOLLOWED BY A RADAR VECTOR FOR DELAY PURPOSES. WE HEARD THE ACFT AHEAD OF US GET A HOLDING CLRNC WITH THE EXPLANATION THAT NAS WAS NOT ACCEPTING TFC DUE TO HVY QUANTITY OF ACFT ARRIVING AT NAS. WE WERE SUBSEQUENTLY GIVEN A HOLDING CLRNC AT THE HANKX INTXN. DISTURBING PORTIONS TO THIS CLRNC ARE: 1) WE HAD BEEN GIVEN RADAR VECTORS FOLLOWED BY DIRECT TO THE ZQA VOR SO WE WERE NOT ON AN AIRWAY LEADING TO HANKX; 2) HOLDING CLRNC WAS NOT IN THE PROPER FORMAT; AND 3) WE WERE GIVEN AN 'AS PUBLISHED' HOLDING CLRNC EVEN THOUGH THERE WERE NOT ANY HOLDING PATTERNS DEPICTED ON THE CHARTS WE WERE USING. THIS LAST POINT MAY HAVE BEEN A CONTRIBUTING EVENT TO THE NEAR MISS. IN ANY EVENT; WE MANEUVERED OURSELVES OVER TO THE AIRWAY JUST AS WE ARRIVED AT HANKX AND BEGAN HOLDING AT THE ZMA APPROVED ALT OF 14000 FT WITH L TURNS AND 20 NM LEGS. DURING THE THIRD OR FOURTH ORBIT ON THE OUTBOUND LEG (NBOUND) OUR TCASII GAVE 'TFC' ALERTS; BOTH AURALLY AND VISUALLY WITH A YELLOW ROUND DOT ON THE IVSI. THE 'TFC' ALERT SOUNDED NO MORE THAN TWICE BEFORE IT CHANGED TO 'DSND' WITH A RED SQUARE/DIAMOND ON THE IVSI. I DISCONNECTED THE AUTOPLT/AUTOTHROTTLES AND BEGAN A DSCNT. THE AURAL COMMAND OF 'DSND' CONTINUED UNTIL I CONSIDERABLY INCREASED THE DSCNT RATE AS THE GREEN ARC WAS NOW AT APPROX 4000 FPM. MY RECOLLECTION IS THAT I ATTEMPTED TO SHALLOW THE DSCNT AFTER LOSING APPROX 800 FT BUT THE WARNING EITHER CAME BACK ON OR WAS CONTINUING. I CAN'T REMEMBER WHICH! WE DID NOT GET A 'MONITOR VERT SPD' UNTIL WE WERE AT APPROX 12300 FT MSL. DURING THIS MANEUVER; I HEARD ATC IN THE BACKGND SAYING 'ACR X; CLB; CLB.' HOWEVER; SINCE MY TCASII WAS GIVING ME RESOLUTION AND I COULD ONLY ASSUME THAT ATC MAY HAVE BEEN THE ONE TO CREATE THE PROB; I ELECTED TO GO WITH TCASII. I LATER FOUND OUT THE CTLR REASONING; WHICH MAY HAVE SEEMED LOGICAL TO HIM AT THE TIME; BUT A CLB WOULD HAVE MOST LIKELY RESULTED IN A HEAD-TO-HEAD MIDAIR COLLISION. DURING THE INITIAL PART OF THE DSCNT I BROADCAST (125.7) THAT FLT WAS MAKING A TCASII DSCNT FROM 14000 FT. AFTER THE CONFLICT WAS PAST I ASKED ATC WHAT ALT THEY WANTED US AT AND BEGAN A CLB BACK TO 14000 FT. WE WERE THEN TURNED OVER TO NAS APCH TO WHOM WE ANNOUNCED A MINIMUM FUEL ADVISORY. THEIR RESPONSE WAS TO GIVE US A VECTOR TO THE E; SLOW US SO AS TO REQUIRE FLAPS AND INFORMED US THAT WE WERE #25 FOR THE ARPT. I REPEATED OUR MINIMUM FUEL ADVISORY BUT WAS MADE TO UNDERSTAND THAT WE WOULD STILL BE NUMBER #25 FOR THE ARPT. AFTER ANOTHER 5 MINS I ASKED FOR A CLRNC TO MIA AND WAS TOLD THAT MIA WAS NOT ACCEPTING ANY TFC. I THEN DEMANDED A TURN TO THE W TOWARD MIA; ADVISED THEM THAT I WAS ACCELERATING AND THAT I WOULD DEAL WITH MIA AS I APCHED THEIR AIRSPACE. WE WERE SUBSEQUENTLY GIVEN CLRNC FOR CLB AND CLRNC TO THE MIA ARPT WHERE WE REFUELED AND COMPLETED THE ORIGINAL JFK-NAS MISSION. DURING THE MIA GND TIME; I COMPLIED WITH ZMA'S REQUEST THAT I CALL THEM. A MR X WAS 1 OF 2 SUPVRS I SPOKE TO REGARDING THIS NEAR MISS. HE STATED THAT THE INVESTIGATION HAD ALREADY DETERMINED THAT THE TFC; A B727; WAS TWICE GIVEN AN ALT ASSIGNMENT OF 16000 FT. THE CAPT OF THE FLT HAD ALREADY ACKNOWLEDGED THAT THEY INDEED DID BUST THEIR ALT AND WENT THROUGH OUR ALT. THE CAPT FURTHER STATED THAT HE LOOKED UP AND SAW OUR TAIL RIGHT IN FRONT OF HIM AT WHICH POINT HE PULLED UP AND JUST MISSED HITTING OUR TAIL. THIS AGREES WITH OUR TCASII AND ATC'S SEPARATION OF APPROX 100 FT VERTLY. THE VISUAL PICTURE THAT I HAVE OF WHY WE CONTINUED TO HAVE AND/OR REACQUIRED THE 'DSND' TCASII COMMAND IS THAT THE B727 WAS ABOVE US AND DSNDING WITH US UNTIL WE WERE BELOW 13000 FT. AT THAT POINT HE PASSED OVER US AND WAS THEN BELOW AND BEHIND OUR POS. I DID NOT SEE THE B727 ACFT WHEN HE WAS IN FRONT OF US. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING INFO: WHEN THE FLT WAS CLRED TO HANKX FIX FOR HOLDING; THE CREW EVENTUALLY TOLD THE CTLR THAT THEY WERE GOING TO DO A L PATTERN; 20 MI LEGS SINCE THEY COULD NOT FIND THE 'AS PUBLISHED.' THE CTLR REPLIED; IN A STRESSFUL VOICE; 'JUST GO AHEAD AND HOLD.' THEIR ACFT DID NOT HAVE ANY OTHER NAV EQUIP EXCEPT VOR/DME. THE CREW BOTH HAD THEIR HEADS DOWN LOOKING FOR THE HOLDING PATTERN IN EVERY CHART AVAILABLE. NO TA WAS ISSUED SINCE THE CTLR APPEARED TO BE OVERLY STRESSED AND BURDENED WITH TFC. IT WAS STATED TO THE CAPT; WHEN FINALLY ARRIVING AT NASSAU ARPT; THAT THE TFC DELAY WAS CREATED BY THE APCH CTLR'S UNION WHO HAD CREATED A SLOW DOWN AS A POLITICAL ACTION AGAINST THE MINISTER OF TRANSPORT WHO WAS ABOUT TO 'PULL A RONALD REAGAN.' A TA WOULD HAVE BEEN HELPFUL TO THE CREW BUT THE CAPT SAID THE CTLR WAS BARELY MAKING IT WITH THE SHORTEST OF RADIO CONTACTS. THE INFLT VISIBILITY WAS OBSTRUCTED BY CLOUDS AND THEY WERE BASICALLY WITHIN A SET OF CLOUDS AT THE TIME. THE SUPVR IN ZMA SAID THAT THE B727 CREW; WITH A NEW START-UP FOREIGN AIRLINE; HAD ACKNOWLEDGED THE 16000 FT ALT ASSIGNMENT. THE PIC FELT; DUE TO THE HIGH RATE OF DSCNT OF THE B727; THAT THE OTHER CREW MUST HAVE MISSED THEIR ALT ALERT AT 16000 FT. THE B727 WAS OF AN OLDER MODEL AND PROBABLY DID NOT HAVE TCASII ON BOARD; THUS NO ALERT ON THEIR PART. SINCE NASSAU IS A FOREIGN ARPT; THE ACFT WAS NOT REQUIRED TO HAVE THAT EQUIP BY THE FARS. AS TO ACFT VERT SEPARATION PROBS AND DSCNT RATES; THE PIC SAID THAT HE WAS INITIALLY WORKING ON OLD; PAST EXPERIENCES WITH TCASII RA'S AND SLOWLY STARTED THE DSCNT AND EXPECTED THE RA TO CEASE AT 300-400 FT. IT WASN'T UNTIL HE NOTED THE CLOSURE RATE OF THE B727 THAT HE REALIZED THERE WAS A REAL PROB OF A GROSS OVERSHOOT COMING DOWN AT A HIGH RATE. THE ANALYST TALKED THE PLT THROUGH THE REASONING OF THE ZMA CTLR ON THE CLB CLRNC. THERE IS A 12 SECOND 'RADAR SWEEP' DELAY ON AREA RADAR; WITH THE PRESENTATION OF ACFT POS REALLY BEING '2 SWEEPS' BEHIND. THESE 2 ACFT WERE CLOSING AT APPROX 520 KTS WHICH EQUATES TO 762 FT PER SECOND. THE CTLR HAD INFO THAT SHOWED THE ACFT TO BE A FALSE 3.5 MI FURTHER APART THAN WHAT THE 'REAL TIME' TCASII INDICATED. THAT IS WHY THE CTLR SAID TO 'CLB.' HE BELIEVED THE B727 WAS DSNDING IN FRONT OF THE MD80. THE ZMA SUPVR STATED THAT THE CTLR KNEW HE HAD ERRED IN ADVISING THE MD80 TO 'CLB; CLB' BUT IT WAS HIGH BELIEF THAT THE B727 WAS MUCH FURTHER AWAY THAN IT WAS IN ACTUALITY. THE 2 ACFT PASSED SO CLOSE THAT ZMA THOUGHT THE 2 ACFT HAD HIT WHEN THE RADAR PICTURE SHOWED A MERGER OF THE 2 TARGETS. IT TOOK A RATE OF OVER 4000 FPM FOR THE MD80 TO AVOID THE B727 AND A LAST MOMENT PULL-UP OF THE B727 TO AVOID THE TAIL OF THE MD80. UPON RETURN TO DOMICILE THE PIC FELT IN NEED OF GOING OFF SCHEDULE DUE TO TRAUMA FROM THE INCIDENT.

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

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