YNG CTLR DESCRIBED PLT ATTEMPT TO DEPART IN THE WRONG DIRECTION; CLAIMING TIPH PROCS AS CONTRIBUTORY.
Synopsis
YNG CTLR DESCRIBED PLT ATTEMPT TO DEPART IN THE WRONG DIRECTION; CLAIMING TIPH PROCS AS CONTRIBUTORY.
Narrative
WX: GOOD NIGHTTIME VFR (ONLY SCATTERED LAYERS AT HIGH ALTS). BACKGND PERTINENT TO ACTUAL SIT THAT OCCURRED LATER IN THE EVENING: A PA28; A FEW HRS EARLIER; LANDED RWY 32; REQUESTED TO TAXI BACK TO REMAIN IN THE PATTERN FOR 10 TOUCH-AND-GOES AND 3 STOP-AND-GOES. THE LCL CTLR; ONCE THE ACFT WAS HOLDING SHORT OF THE RWY AT THE APCH END OF THE RWY; INSTRUCTED ACFT Y TO 'MAKE L TFC; RWY 32; CLRED FOR TKOF.' THE ACFT TURNED L ONTO THE RWY INSTEAD OF R AND ATTEMPTED TO TAKE OFF TOWARD THE APCH LIGHTS. THE LCL CTLR IMMEDIATELY TOOK CORRECTIVE ACTION. THE PLT REQUIRED NUMEROUS 'PROGRESSIVE' INSTRUCTIONS WHILE IN THE TFC PATTERN TO KEEP HIM FROM BECOMING A FACTOR FOR A MIL C130 CONDUCTING TRAINING. WHEN I RELIEVED THE CTLR FROM LCL CTL; ACFT Y WAS STILL IN THE PATTERN AND I WAS ADVISED OF HIS EARLIER ACTIONS. ACFT Y LANDED WITHOUT INCIDENT AND REQUIRED PROGRESSIVE TAXI INSTRUCTIONS TO THE RAMP TO GET FUEL. ACTUAL INCIDENT: CALLED FOR HIS IFR CLRNC TO ZZZ AND REQUESTED PROGRESSIVE TAXI INSTRUCTIONS TO RWY 32. THE RAMP AREA IS ONLY A FEW HUNDRED FT FROM THE APCH END OF THE RWY. ACFT Y HAD DIFFICULTY WITH THE INSTRUCTIONS ('TAXI SW AND TXWY M WILL BE THE FURTHEST TXWY ON YOUR L.'). WHEN THE ACFT CALLED READY; I CLRED IT FOR TKOF. MY NEXT XMISSION WAS 'STOP' AS ACFT Y WAS ROLLING SWBOUND AWAY FROM THE RWY. I INSTRUCTED THE ACFT TO MAKE A 180 DEG TURN AND TURN L ONTO RWY 32 AND AGAIN CLRED THE ACFT FOR TKOF. HE ATTEMPTED TO TAKE OFF IN THE WRONG DIRECTION AGAIN AND I STOPPED HIM. I THEN TURNED ALL THE LIGHTS ON THE FIELD OFF EXCEPT THE RWY 32 LIGHTS AND ATTEMPTED TO CLR HIM FOR TKOF AGAIN. HE WENT TOWARD THE SAME SW DIRECTION THAT WAS NOW UNLIGHTED. I AGAIN STOPPED HIM; TURNED THE RWY LIGHTS UP TO THEIR HIGHEST SETTING; AND INSTRUCTED HIM TO TAXI ONTO RWY 32; WITH WHITE LIGHTS ON HIS L- AND R-HAND SIDES AND TAXI SLOWLY ON A 320 DEG HDG TO ENSURE THAT HE WAS CORRECTLY LINED UP ON THE RWY. IT TOOK OVER 7 MINS FROM THE TIME ACFT Y CALLED READY FOR HIM TO GET AIRBORNE SAFELY. THE NEW TAXI INTO POS AND HOLD PROCS ATTEMPT TO ADDRESS WHAT ARE INDIVIDUAL PERFORMANCE ISSUES BY PLACING RESTRS ON THE ENTIRE WORK FORCE THAT CAN CONTRIBUTE AND/OR CAUSE OTHER UNSAFE SITS. TAXI INTO POS AND HOLD WAS NOT ONLY USED AS A CAPACITY TOOL; BUT AS A SAFETY TOOL; AS THIS SIT CLRLY ILLUSTRATES. I'VE PREVIOUSLY WORKED AT A FACILITY ZZZ2 WHERE AN INTXN DEP FOR ONE RWY WAS EXCEEDINGLY CLOSE TO ANOTHER RWY (RWY 22R/T AND RWY 15R) AND IT WAS STANDARD PROC TO TAXI INTO POS AND HOLD AT THE INTXN FIRST TO ENSURE THE ACFT LINED UP ON THE CORRECT RWY BEFORE ISSUING A TKOF CLRNC. MANY FACTORS ARE CONSIDERED BY A CTLR WHEN DECIDING TO USE TAXI INTO POS AND HOLD AND TFC ON FINAL IS ONLY ONE OF THEM. AN UNCERTAIN PLT; A PLT'S UNUSUAL ACTIONS; ETC; ALSO COME INTO PLAY WHEN MAKING A DECISION TO TAXI INTO POS AND HOLD. IN MY OPINION; THE NEW TAXI INTO POS AND HOLD PROCS CONTRIBUTED TO THIS SIT. BY VIRTUE OF THE FACT THAT I WAS ALONE IN THE OPERATIONAL ENVIRONMENT; I WAS PROHIBITED FROM USING A USEFUL AND; IN THIS SIT; A CRITICAL TOO. EVEN HAD I NOT BEEN BRIEFED ON THE ACFT'S EARLIER PERFORMANCE; THE FACT THAT HE HAD DIFFICULTY FINDING THE RWY FROM THE RAMP WOULD HAVE PROMPTED ME TO ISSUE A TAXI INTO POS AND HOLD CLRNC INITIALLY INSTEAD OF A TKOF CLRNC TO ENSURE HE WAS WHERE HE NEEDED TO BE. KNOWING THE DIFFICULTIES THE PLT HAD EXPERIENCED EARLIER WOULD HAVE ENSURED THAT I ONLY ISSUED A TAXI INTO POS AND HOLD INSTRUCTION; NOT A TKOF CLRNC. I HONESTLY DON'T KNOW IF MY CORRECTIVE ACTIONS TO ENSURE THE SAFETY OF THAT TKOF VIOLATED THE NEW TAXI INTO POS AND HOLD PROCS OR NOT. I HAD AN ARPT VEHICLE STANDING BY TO HAVE THE ACFT FOLLOW HIM INTO POS ON THE RWY AS A LAST RESORT; WHICH I AM SURE WOULD'VE BEEN A VIOLATION OF THE NEW RULES.
Source: NASA Aviation Safety Reporting System (public domain). Reports are voluntary submissions and are not verified by NASA.