RWY INCURSION RESULTED IN CRITICAL NMAC BETWEEN 2 ACR ACFT. PLT DEVIATION. SEE MULTIPLE REPORT #85210 AND 85363.

1988-04 · NASA ASRS report 85206

Date: 1988-04 · Aircraft: Medium Large Transport; Low Wing; 2 Turbojet Eng

Anomalies: atc-issue-all-types|conflict-ground-conflict|less-severe|deviation-discrepancy-procedural-clearance|ground-incursion-runway

Synopsis

RWY INCURSION RESULTED IN CRITICAL NMAC BETWEEN 2 ACR ACFT. PLT DEVIATION. SEE MULTIPLE REPORT #85210 AND 85363.

Narrative

A RWY INCURSION OCCURRED AT SDF ARPT. BOTH CREW MEMBERS HAD GREATER THAN 72 HRS REST PREVIOUS TO COMING ON DUTY; SO CREW REST AND ON DUTY TIME WERE NO FACTOR. WE; ACR X; RECEIVED AND ACKNOWLEDGED 'TAXI DOWN RWY 11 EBND AND HOLD SHORT OF RWY 1' CLRNC FROM GND CTLR. OUR ACFT THEN ENCROACHED ONTO RWY 1 WHILE ACR Y HAD BEEN GIVEN TKOF CLRNC. THE F/O WAS ACTIVELY ENGAGED (HEADS DOWN) IN RETRIEVING AND ENTERING ACARS CRT WT AND BALANCE DISPLAY SEQUENCED BY MANUALLY COPYING THE ACARS DATA ON THE WT AND BALANCE FORM 101 AND THEN ENTERING THE COPIED DATA ZFW ON THE ACFT PERFORMANCE PAGE OF THE CDU TO THEN BE VERIFIED AND EXECUTED. HIS DUTIES THEN CONTINUE TO ENTER THE TKOF PERFORMANCE PAGE AND MANUALLY ENTER THE V1 VR AND V2 SPD COMPUTER REDUCED TKOF THRUST N1 REDUCTION. WHILE TAXIING DOWN RWY 11 TOWARDS THE INTXN OF 11 AND 1I VIEWED (HEADS DOWN) THE ACARS ZFW DISPLAYED THAT WAS WASHED BY COCKPIT SUNLIGHT OF THE ACARS AND CONFIRMED THE ZFW ENTRY IN THE PERFORMANCE PAGE OF THE CDU PRIOR TO EXECUTION. I THEN LOOKED UP AND ASCERTAINED THAT I HAD PARTIALLY ENCROACHED UPON THE ACTIVE RWY AND OBSERVED ACR Y WITH LIGHTS ON APPROX 3000' DOWN RWY 1 ON TKOF ROLL. I THEN ELECTED TO CROSS THE ACTIVE RWY RATHER THAN BLOCK THE ACTIVE RWY FORCING EITHER AN ABORT OR COLLISION. TO AVOID POTENTIAL PROBS IN THE FUTURE I RECOMMEND: NO PROLONGED HEADS DOWN DATA RETRIEVAL OR ENTRY FROM CRT'S ACARS OR CDU'S TO OCCUR WHILE THE ACFT IS IN MOTION ON THE GND OR BELOW 10000'; IE STERILE COCKPIT CONCEPT; WITH THE EXCEPTION OF THE ZFW ENTRY AND EXECUTION IN THE CDU AND THE MANUAL DISPLAY OF THE APPROPRIATE V SPD FLIP CHART PAGE. IT IS OBVIOUS THAT THE 2-M SAFETY CREW CONCEPT WAS VOIDED BY THE PROLONGED DATA RETRIEVAL AND DISPLAY AS BOTH HEADS WERE DOWN IN THE COCKPIT DURING AN EXTREMELY CRITICAL PHASE OF TAXI. NO ACFT SHOULD BE CLRED TO TAXI ON A RWY WHEN PARALLEL TXWYS ARE AVAILABLE UNLESS HOLD SHORT LINES; PROMINENT MARKINGS AND SIGNS ARE DISPLAYED ON INTERSECTING RWYS; AS ARE ALWAYS DISPLAYED ON TXWYS. I HAVE REFLECTED UPON AND REVIEWED THE CHAIN OF EVENTS; CAUSATIVE FACTORS AND PREVENTIVE ACTIONS THAT WOULD INHIBIT A RECURRENCE OF THIS TYPE OF INCIDENT AND WILL MOST LIKELY DO SO FOR THE REMAINDER OF MY LIFE. THE SAFETY CONCERNS OF THE INCREASED COCKPIT WORKLOAD (PARTICULARLY IN THE 2-M ACFT) CANNOT BE EMPHASIZED ENOUGH. DON'T LET THE ACARS/SELCAL OR RADIO CALLS DISTRACT YOU FROM THE MORE IMPORTANT JOB OF STARTING/MONITORING THE ENGS; TAXIING THE ACFT AND ACCOMPLISHING THE CHKLIST. ACCOMPLISH THE 101 DATA ENTRY CALCULATIONS SAFELY AND AT THE APPROPRIATE TIME. SUPPLEMENTAL INFO FROM ACN 85210: WELL INTO THE TKOF ROLL; IT WAS EVIDENT THAT ACR X WAS NOT GOING TO HOLD SHORT OF OUR RWY. WE WERE NEAR V1 WHEN X ENTERED OUR RWY. ROTATION WAS AT VR AND WE WERE AIRBORNE ABOUT 200' AS WE PASSED X; WHO WAS JUST CLRING OUR RWY. THERE WAS NO REFERENCE TO ACR X BY GND OR TWR. CALLBACK CONVERSATION WITH RPTR REVEALED THE FOLLOWING: VERY BRIEF CALL TO VERIFY THAT ACR Y WAS INDEED AN MLG TYPE.

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

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