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-   -   Midway MDW incident averted (https://www.pprune.org/rumours-news/563152-midway-mdw-incident-averted.html)

IBMJunkman 18th Jun 2015 01:18

Midway MDW incident averted
 
FAA: Two Planes At Midway Began Takeoffs At Same Time « CBS Chicago

Chicklets 18th Jun 2015 01:30

Flight numbers 1328 and 3828, hmmm.

skyhighfallguy 18th Jun 2015 01:35

call signs too close
 
the call signs are too close. but an interesting read, thanks for posting.

westhawk 18th Jun 2015 03:03


Flight numbers 1328 and 3828, hmmm.
And they way they say it, thirteen-twenty-eight and thirty-eight-twenty-eight. Hmm indeed! The pace of ops at MDW can get such that people start stepping on each others radio transmissions all too often. Is it possible that an airline pilot has to concentrate on the flight number since it changes all the time and since the company call sign is always the same, maybe some don't even hear it?

Whatever the reason, it's a cheap lesson for everyone.

skyhighfallguy 18th Jun 2015 03:43

yes, and if we said: Flight WUN THUREE TWO EIGHT instead of thirteen twenty eight

hmmmmm

westhawk 18th Jun 2015 03:58

Definitely not the first time similar sounding call signs have resulted in pilots executing someone else's clearance. There isn't a surefire solution to every problem, but this one requires more attention to detect than many other problems do. In my experience, ATC is usually really on the ball about issuing warnings for similar sounding call signs on the frequency, but nobody can be expected to recognize it every time. Perhaps it IS time to require all call signs to be spoken alphanumerically one character at a time. That would take some time for pilots and controllers to get used to. Seems worth talking about at least...

Squawk7777 18th Jun 2015 04:28

i have never understood why the FAA has not adopted the EU system of callsign modification, e.g. SWA1328 could have used the callsign SWA132H and SWA3828 could have used the callsign SWA382J. Risk reduced. I loved the callsign mod when I flew contract in Europe.:ok:

737er 18th Jun 2015 05:57

Takes more readback brain power to say each digit seperately. That increases the chance of error. The letter at the end is better.

Denti 18th Jun 2015 06:04


Takes more readback brain power to say each digit seperately.
Really, works well all over the world, except in the USA. Does your statement describe the underlying problem?

bloom 18th Jun 2015 06:18

US lets you modify your call sign at will. Try It !

172_driver 18th Jun 2015 06:18

Reading each digit separately or using letters is no guarantee either. I've had very similar and even identical callsigns of different airlines on the same frequency. One time an altitude bust was marginally avoided by an attentive controller. Perhaps if the system was a bit smarter and could update callsigns in real time when two similar sounding callsigns are about to enter the same sector.

jmmilner 18th Jun 2015 07:04

Both the ground and tower conversations are already up on LiveATC.

Before pushing back, these two flights stepped on each other's transmissions to ground. That's a clue. While still on ground frequency, ATC directly advised both flights of the similar numbers on the frequency. Both flights acknowledged.

Delta somehow started rolling even thought the takeoff clearance was for 31C and he was on 4R. I Wonder if the Delta crew every heard of a pilot named van Zanten?

readywhenreaching 18th Jun 2015 08:17

Herald and jacdec got the story

"garbled transmissions"...could have been a reiteration of Tenerife. What if there was fog at the time ?

http://www.jacdec.de/WP/wp-content/u...MDW_MAP_sm.jpg

Bokkenrijder 18th Jun 2015 08:43


i have never understood why the FAA has not adopted the EU system of callsign modification, e.g. SWA1328 could have used the callsign SWA132H and SWA3828 could have used the callsign SWA382J. Risk reduced. I loved the callsign mod when I flew contract in Europe.:ok:
Good point, and while we're at it, why doesn't the FAA try to stamp out the use of slang?

"Southwest thirteen twenty-eight" and "...checking in three five oh" and "runway four" might sound cool on the radio, but it's not ICAO standard and has huge potential for a serious accident.

Oh, but don't forget to add "heavy" to your call sign when taxiing or cruising at FL370... :ugh:

megan 19th Jun 2015 00:22

Wonder how often this occurs. On a visit to West Palm observed an exact same event, with a Shorts 360 and Gulfstream. Both stopped prior to the intersection.

Squawk7777 19th Jun 2015 01:03


Originally Posted by Bokkenrijder (Post 9015839)
Good point, and while we're at it, why doesn't the FAA try to stamp out the use of slang?

"Southwest thirteen twenty-eight" and "...checking in three five oh" and "runway four" might sound cool on the radio, but it's not ICAO standard and has huge potential for a serious accident.

Oh, but don't forget to add "heavy" to your call sign when taxiing or cruising at FL370... :ugh:

Actually, most SWA crews use pretty good ICAO phraseology when they fly to the Caribbean. It's just a domestic thing, I guess.

I wouldn't go as far as calling it a huge potential for a serious accident. There is never just one factor leading to an incident/accident.

West Coast 19th Jun 2015 01:45


Good point, and while we're at it, why doesn't the FAA try to stamp out the use of slang?
The example you gave is correct in the US, group form for the callsign.

Big Pistons Forever 19th Jun 2015 02:08


Originally Posted by Bokkenrijder (Post 9015839)
Good point, and while we're at it, why doesn't the FAA try to stamp out the use of slang?

"Southwest thirteen twenty-eight" and "...checking in three five oh" and "runway four" might sound cool on the radio, but it's not ICAO standard and has huge potential for a serious accident.

Oh, but don't forget to add "heavy" to your call sign when taxiing or cruising at FL370... :ugh:

Like usual it did not take long for the radio pedants to ride in with their self righteous certainty about the superiority of the EU way. :ugh:

The new hires at Southwest and Delta are running 4 and 5 thousand hours, but your EU LOCO with the 200 hr airline puppy mill graduate is going to be so much safer because he can talk the "right" way on the radio :rolleyes:

skyhighfallguy 19th Jun 2015 04:12

the group form of call sign has been around for awhile.

now,some smart computer programmer should come up with a way of assigning call signs to make sure there are no confusing elements.

jmmilner 19th Jun 2015 06:41

Am I the only one who thinks that, having been cautioned about the similar flight numbers, having actually stepped on each other which getting push-backs approved, and knowing departures were on both 31C and 4L, that the Delta pilot should have figured out that even if the flight number sounded close, he wasn't on 31C?

captjns 19th Jun 2015 11:39

We've heard/read from the ATC side of the incident. Excerpt from Aviation Herald.



A Delta Airlines Boeing 717-200, registration N939AT performing flight DL-1328 from Chicago Midway,IL to Atlanta,GA (USA), had been cleared to line up runway 04R and wait, the crew was advised that another aircraft was waiting for departure on the crossing runway and a second aircraft was landing on the parallel runway. The aircraft taxied into position and waited.

The CVRs may lend additional information to see if there was non essential conversation taking place which could have also contributed to the incident. Not the first incident/accident that resulted because of poor cockpit discipline during critical phases of flight.

Common flight numbers? EK325 and 9W325 DXB - MAA a red eye flight on the heals of one another. Issues... language barrier... backside of the clock flying... ATC/Flt crew RT mistakes. Letter prefixes or suffixes don't cure the problem.

Squawk7777 19th Jun 2015 13:01


Originally Posted by Big Pistons Forever (Post 9016845)
Like usual it did not take long for the radio pedants to ride in with their self righteous certainty about the superiority of the EU way. :ugh:

The new hires at Southwest and Delta are running 4 and 5 thousand hours, but your EU LOCO with the 200 hr airline puppy mill graduate is going to be so much safer because he can talk the "right" way on the radio :rolleyes:

It's called the "my poo doesn't stink" syndrome! Proper R/T fixes all the aviation problems, like lag of piloting skills, underpaid LCC pilots etc.*

* sarcasm

skyhighfallguy 19th Jun 2015 13:33

What really caused this incident is trying to put 7 pounds of sugar into a 6 pound sack. And the need for speed. Hurry up all you pilots or the chief pilot will get mad at you for being late.

IF you are on the ground, the need for speed STOPS. Parallels to Teneriefe are about right. WAS there any question in the cockpit? IF SO, don't move, clarify the clearance.

Get on the radio and confirm: Tower, DELTA XXXX VERIFY takeoff clearance for DELTA XXXX on runway XX.

Midway airport is a funny airport. Its operations are dictated more by nearby o'hare airport than its own needs. Add to that performance limited runways and things are hanging on by a thread.

Its hard to see what is going on , on the other runways with the mk1 eyeball too.

Well, it worked out and it was interesting to hear old Southwest cover themselves first.

I can imagine a scenario in which the radio calls were covered just enough to make sense to both planes/pilots

Phileas Fogg 19th Jun 2015 13:53

As an ex air trafficker in a very distant previous life I still recall the numbers wun, too, tree, fower, fife, ate, niner etc. ... Could never add two numbers together to make thirteen (wuntree) or similar.

When recording the ATIS the QFE might be 1000mb but I used to have to record "wun zero zero zero" although I would bend the rules ad-libbing "one thousand" millibars.

And of course the lower runway numbers were "zero nine" or similar, always the zero.

DaveReidUK 19th Jun 2015 14:30


And of course the lower runway numbers were "zero nine" or similar, always the zero.
But not in the USA.

FAA AC 150/5340-1L:

"A single-digit runway landing designation number is never preceded by a zero"


https://s3.amazonaws.com/classconnec...CD5257C356.jpg

Derfred 19th Jun 2015 14:35

I've always thought group callsigns were an accident waiting to happen. 13 sounds very much like 38 when spoken as a group callsign. I have heard of incidents involving for example 59 vs 69 or 15 vs 16 which sound very similar when using group callsigns.

The whole point of the phonetic alphabet designed by our forefathers was to avoid this.

Airbubba 19th Jun 2015 15:46


Well, it worked out and it was interesting to hear old Southwest cover themselves first.
I think I'd do the same thing these days, it would be good to know before calling the company.

And, if you said that the Delta Professionals had made a mistake, who would believe you without a corroborating witness?

Remember the not so distant 'good old days' when you might try a couple of takeoffs before taxiing back to the blocks with a configuration warning you were 'sure' was spurious? Now, you need to be redispatched if you've pushed the throttles up, released the brakes, started to roll and been told by the tower to stop and taxi clear of the active runway for flow control.

At least that is how I understand it, the goalposts keep moving on when you need an amended release, when you can enter an MEL item yourself, defer the deferral, and so on.

So yes, I spend a lot of time thinking about CYA stuff instead of flying the plane.

There is an audio link in this WSJ blog article where a Southwest pilot is similarly anxious to make sure the tower controller gets full credit for an earlier near miss on the ground at MDW:

Audio Recording of Midway Near-Miss Paints Picture of Southwest Pilot Concern - The Middle Seat Terminal - WSJ

skyhighfallguy 19th Jun 2015 19:46

airbubba, believe me I understand.


The whole thing has been ginned down to the minimum, with no reserve for failure.

Radio calls 70 years ago were precious things and each word had to mean something. War and Life depended upon it.

The poster who mentions the older methods on the radio is correct (notice I didn't say RIGHT, which should be a direction!).

Even years ago, aviation radio started to sound like, C B RADIO LINGO!

Slow down, do it CORRECTLY, read the AIM and do it like it says and BE SURE

pattern_is_full 19th Jun 2015 22:22

I get the possible confusion between 1328 and 3828, and the possibility of an incomplete (stepped-on) reception....

But if you are flying for DELTA, and the clearance is given for SOUTHWEST, surely anyone will notice that difference? I mean, that is EIGHT different letters (preceding), not just one (trailing, as recommended from European ops).

Airbubba 19th Jun 2015 22:26


Even years ago, aviation radio started to sound like, C B RADIO LINGO!

Slow down, do it CORRECTLY, read the AIM and do it like it says and BE SURE
I've sure made the CB observation as well. It goes over even worse internationally when we Americans try to sound 'cool'.

From a 2011 post here on a similar clearance miscue thread, about a radio exchange I heard in Singapore:


...some of my fellow Americans are still very casual with the readbacks, the CB radio craze ended in the '70's but you'd never know it listening to the transmissions.

'Delta 280, line up and wait runway 02 left'

'Uh, 280 clear to go'

'Negative Delta 280, I say again, line up and wait runway 02 left!'

'OK, 280 on the hold'
http://www.pprune.org/rumours-news/4...ml#post6837505

xaf2fe 19th Jun 2015 23:26

They did
 

i have never understood why the FAA has not adopted the EU system of callsign modification, e.g. SWA1328 could have used the callsign SWA132H and SWA3828 could have used the callsign SWA382J. Risk reduced. I loved the callsign mod when I flew contract in Europe.


Used to, but I think it was an idea from the airline's safety dept, not The Friendly Aviation Agency.

Back in the 60s/70s when Air West was flying, every AW call sign ended in "Red" to avoid confusion with Western Airlines flights. It would have been "Western thirteen twenty eight" and "Air West thirty eight twenty eight Red."

737er 20th Jun 2015 00:09



Quote:
Takes more readback brain power to say each digit seperately.
Really, works well all over the world, except in the USA. Does your statement describe the underlying problem?

Yes really. I'm not saying it's correct but "thirty eight, twenty eight" is easier than "three-eight-two-eight" when issuing or reading back multiple instructions and that's why pilots and controllers revert to it.

It reduces the memory involved by compartmentalizing two numbers instead of four. Push one glass on a full coffee table and another is more likely to fall off. It works...just a question of what's the safest overall. Pilots and controllers in the U.S. know it works from experience with both, especially with 4 digit call signs.

What where they using in the Canary Islands?

gtseraf 20th Jun 2015 00:21

It would be interesting to find out the background details about each crew's duty day up to that point.

An error was made, which, in isolation looks like it may have been due to carelessness. Were the crews at the end of a 12 hour day?, were they at the end of a series of long duty days.

Just saying!

PositiveClimbGearUp 20th Jun 2015 03:50


I wouldn't go as far as calling it a huge potential for a serious accident. There is never just one factor leading to an incident/accident.
However, removing one factor from the chain of events may be all that is needed to prevent the incident/accident occurring.

Hotel Tango 20th Jun 2015 13:33

There are of course numerous factors which can lead to these type of incidents. Some contributing factors are possibly:

- use of non ICAO phraseology (the norm in the USA though).

- Over rapid delivery of clearances by controllers.

- A tendency to clip the first part of the call sign when initiating a transmission.

These busy U.S. airports have to move a lot of traffic. In their endeavour to keep things moving, many controllers resolve to speaking much faster than they in fact really need to. Couple that with the additional traffic information they have to reel off prior to giving what should be a relatively simple take-off or landing clearance and you have a recipe for misunderstandings.

West Coast 20th Jun 2015 14:45

Do your generalizations have anything to do with the MDW event?

Why don't we wait for the professionals whose job it is to investigate figure it out.

Hotel Tango 20th Jun 2015 15:57

Take a chill pill West Coast. I think you may have misunderstood and gone on the defensive. I think ATC in the USA is some of the best in the world. What I wrote are generalizations of my own observations from personal experience and the witnessing of a few "close calls" over many years working in ATC. I'm not aware that I said this was the cause for the MDW incident. When I said, " some contributing factors are possibly" I was referring to my first line and not specifically to the MDW incident. But on reflection I can now see that I should have made that somewhat clearer. Oh, and note the word "possibly".

737er 20th Jun 2015 22:44


Couple that with the additional traffic information they have to reel off prior to giving what should be a relatively simple take-off or landing clearance and you have a recipe for misunderstandings.

Which would only be made worse with ICAO one digit at a time call signs, such as Tenerife where KLM received a four number call sign, a new departure clearance with altitudes, fixes and radials......all in a single transmission with the words "cleared" and "takeoff" while he was assigned line up and wait.

Would a two or three digit flight number (or phraseology which compartmentalized it to such) have made the difference? Maybe not, but it would have made the odds better.


1705:53.4 APP KLM eight seven * zero five uh you are cleared to the Papa Beacon climb to and maintain flight level nine zero right turn after take-off proceed with heading zero four zero until intercepting the three two five radial from Las Palmas VOR.

Even the controller....one digit at a time and then "uh"

Squawk7777 22nd Jun 2015 13:15


Originally Posted by Hotel Tango (Post 9018519)
There are of course numerous factors which can lead to these type of incidents. Some contributing factors are possibly:

- use of non ICAO phraseology (the norm in the USA though).

- Over rapid delivery of clearances by controllers.

- A tendency to clip the first part of the call sign when initiating a transmission.

These busy U.S. airports have to move a lot of traffic. In their endeavour to keep things moving, many controllers resolve to speaking much faster than they in fact really need to. Couple that with the additional traffic information they have to reel off prior to giving what should be a relatively simple take-off or landing clearance and you have a recipe for misunderstandings.

Looking at the amount of daily flights in the USA and the use of non-ICAO phraseology, I think the this whole proper R/T ICAO pet argument is grossly exaggerated.

I agree that especially SWA should use less slang domestically.

I disagree that reading back single numbers are much safer than read in chunks, the system of using different letters as suffixes seems to be best solution.

Cantiflas 23rd Jun 2015 18:58

Plainly speaking
 
Quote Phileas Fogg:As an ex air trafficker in a very distant previous life I still recall the numbers wun, too, tree, fower, fife, ate, niner etc. ...

Just musing-My Black Country mates and I were almost there anyway!


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