Human factors in aviation operations: The hearback problem

This report covers a study of ASRS reports wherein ATC controllers failed to monitor adequately (hearback) incorrect readbacks of ATC clearances. A total of 417 reports received over a period of 29 months from April 1981 through July 1983 comprised the study data set. Factors examined were: the reasons for a flight crew's getting clearances incorrectly, the operating factors that caused controllers to mishear or not hear the correct readbacks, and consequences of the various types of hearback misses. The principle conclusion of the study takes the form of a precaution to flight crews that a controller's not challenging a readback does not necessariliy mean the readback is correct and that flight crews must explicitly question any doubtful or unusual aspects of clearances rather than depending on controllers to detect readback errors.