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Swiss ATC Charged Over Bashkirian&DHL 2002 Crash  
User currently offlineZarniwoop From United Kingdom, joined Apr 2005, 265 posts, RR: 0
Posted (7 years 8 months 2 weeks 14 hours ago) and read 3293 times:

From the BBC news website:

"A Swiss prosecutor has filed manslaughter charges against eight employees of an air traffic control firm over an air crash in July 2002.
The Winterthur prosecutor called for jail terms of six to 15 months, alleging "homicide by negligence".

The collision killed 71 people, most of them Russian schoolchildren. It involved a jet of Russia's Bashkirian Airlines and a DHL cargo plane."

"An air accident inquiry last year concluded that a catastrophic chain of human error was to blame. It accused Skyguide of organisational failures contributing to the crash."

http://news.bbc.co.uk/2/hi/europe/5253696.stm

I remember seeing a TV program on this crash. I seem to remember that there was only one ATC guy covering a few stations while his colleague took a coffee break (or something like that).

11 replies: All unread, jump to last
 
User currently offlineLTU932 From Germany, joined Jan 2006, 13864 posts, RR: 50
Reply 1, posted (7 years 8 months 2 weeks 13 hours ago) and read 3256 times:

Quoting Zarniwoop (Thread starter):
I remember seeing a TV program on this crash. I seem to remember that there was only one ATC guy covering a few stations while his colleague took a coffee break (or something like that).

I think I saw the same programme on the Discovery Channel. From what I remember, it was not only the fact that the ATC guy was not only alone, but also that there were also several technical things which went wrong. I quote from the article:

An air accident inquiry last year concluded that a catastrophic chain of human error was to blame. It accused Skyguide of organisational failures contributing to the crash.

Is there a link with the full accident report made from the crash?


User currently offlineZarniwoop From United Kingdom, joined Apr 2005, 265 posts, RR: 0
Reply 2, posted (7 years 8 months 2 weeks 11 hours ago) and read 3224 times:

I cant find an offical report, this is the closest:

http://aviation-safety.net/database/record.php?id=20020701-0&lang=en

http://aviation-safety.net/database/record.php?id=20020701-1&lang=en


User currently offlinePKK From Denmark, joined exactly 11 years ago today! , 184 posts, RR: 2
Reply 3, posted (7 years 8 months 2 weeks 7 hours ago) and read 3172 times:

Link to full report in english here
http://www.bfu-web.de/cln_004/nn_531...02_AX001-1-2_Überlingen_Report.pdf

Peter


User currently offlineRJ100 From Switzerland, joined Nov 2000, 4114 posts, RR: 30
Reply 4, posted (7 years 8 months 2 weeks 6 hours ago) and read 3164 times:

There was some technical maintenance going on, for instance an important phone line was cut. Therefore the German controllers could not warn the Swiss controller, when they saw what is going to happen.

Apart from that, the Swiss controller was alone in the room while some others were "having a break" in a seperate room.

The story is very sad, not only because of the people killed in the accident but also because the Swiss controller, a Danish citizen, got murdered by a relative of some of the victims some time later, leaving wife and children behind as well.

Regards,
RJ100



none
User currently offlineVoyager747 From Canada, joined Aug 2005, 47 posts, RR: 0
Reply 5, posted (7 years 8 months 1 week 6 days 19 hours ago) and read 3001 times:

That air traffic controller got killed.

Lets not forget that

I am wondering who did it?


User currently offlineQantas744ER From United States of America, joined Jun 2005, 1280 posts, RR: 4
Reply 6, posted (7 years 8 months 1 week 6 days 19 hours ago) and read 2987 times:

Quoting Voyager747 (Reply 5):
I am wondering who did it?

A father of 2 children that he lost on the flight and his wife. He spent all his money for a very beautifull grave that he mad ein his hometown, and visited it every day for many hours. He traveled to Switzerland and all he wanted was an offical apology for the killed by the swiss ATC company. But he bnever got it, and that is what pushed him to kill the Controller infront of his home in switzerland.

The other factor was the the TCAS in the Tu154 told the pilot to go up... but because Russian pilots are know not to rely on their own instinct and still might be very carefull with commands like because of USSR times they still follow commands from their superiors even though they might know something is wrong. And because the controller told him not to climb he never did even though his TCAS told him to.

So this is very controvercial, because would the russian pilot have followed his TCAS warning the crash would have been prevented. But of course he had to listen to the Controller.

In no way am I tring to be racist etc. against russian pilots.

Cheers Leo



Happiness is V1 in Lagos
User currently offlineAfay1 From United States of America, joined Oct 2001, 1293 posts, RR: 3
Reply 7, posted (7 years 8 months 1 week 6 days 17 hours ago) and read 2938 times:

It is true that Russian pilots are required to follow the order of the controller above the warning of TCAS. There are very good reasons, in general, why people might not trust instruments over the direct order of a controller, in this case an overworked Dane working for a negligent Swiss company. It is indeed controversial, but I don't think it has anything to do with the TU-154 pilot's instinct, rather what he had been taught as a professional.

User currently offlineRJ100 From Switzerland, joined Nov 2000, 4114 posts, RR: 30
Reply 8, posted (7 years 8 months 1 week 6 days 6 hours ago) and read 2862 times:

I think SkyGuide has reacted very bad after this accident. They put the blame very soon on the Russian pilots...and some days later we see that the whole SkyGUide team was having a coffee break instead of working plus they cut of their own telephone lines!!! That's very unprofessional...

Regards,
RJ100



none
User currently offlineDavid L From United Kingdom, joined May 1999, 9483 posts, RR: 42
Reply 9, posted (7 years 8 months 1 week 6 days 3 hours ago) and read 2810 times:

Quoting Qantas744ER (Reply 6):
but because Russian pilots are know not to rely on their own instinct and still might be very carefull with commands like because of USSR times they still follow commands from their superiors even though they might know something is wrong.

I haven't seen anything to suggest it was The Russian Way. From what I can gather, they got conflicting advice and their instincts at that moment told them to go with ATC. They didn't have a lot of time to think about it. Would pilots of another nationality have reacted differently? Perhaps ATC/TCAS conflicts are dealt with in training elsewhere - I don't know.


User currently offlineSpeedbird128 From Pitcairn Islands, joined Oct 2003, 1648 posts, RR: 2
Reply 10, posted (7 years 8 months 1 week 5 days 23 hours ago) and read 2737 times:

Being an ATC, and having studied these sort of incidents back to front, and over and over in our team resource management courses - and let me just say there is more to this whole thing other than a coffee break and phone lines were not working...

As happened in Linate - and everywhere else for that matter where a severe incident or accident occurs - there are many contributing factors that lead up to an accident.

I do not have the documentation for the Euberlingen accident at hand, but I remember that the STCA (Short Term Conflict Alerts) were off, as the radar system was downgraded for maintenance. The main telephone system was taken offline for maintenance. There was the staffing issue (whether short staffed, or taking breaks I can't remember, although I think both). Coupled with that the lack of clarity over who is to be obeyed: ATC or TCAS.

The neighbouring sector had a conflict alert, but was not aware that their direct line was not serviceable, and tried in vain watching an accident unfold.

So the end result was a tragic accident, the likes of which I hope I will never have to read about or see again.

I am sure I speak for ATC in general when I say that each time I plug my headset in, I give my 100% to make sure that the skies I control remain safe.



A306, A313, A319, A320, A321, A332, A343, A345, A346 A388, AC90, B06, B722, B732, B733, B735, B738, B744, B762, B772, B7
User currently offlineGerardo From Spain, joined May 2000, 3481 posts, RR: 32
Reply 11, posted (7 years 8 months 1 week 5 days 18 hours ago) and read 2676 times:

There was a huge topic about this here right after the tragic crash:
http://www.airliners.net/discussions/general_aviation/read.main/870387

Perhaps some might find it interesting again.

Quoting Speedbird128 (Reply 10):
Being an ATC, and having studied these sort of incidents back to front, and over and over in our team resource management courses - and let me just say there is more to this whole thing other than a coffee break and phone lines were not working...

You bet there was far more, than just this. I don't remember everything right now, but I guess, the least to blame is the sole controller, who simply didn't have sufficient technical support systems to fulfill his duty.

Gerardo



dominguez(dash)online(dot)ch ... Pushing the limits of my equipment
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