Aircraft Accident/Incident Report

Atlantic Ocean, --
Thursday, August 28, 2008 18:37 AST

NTSB Narrative Summary Released at Completion of Accident

On August 28, 2008, at approximately 1837 Atlantic standard time, Russian Registered Transaero flight 554, a Boeing 744, and Delta Airlines flight 845, a Boeing 738, came within zero feet vertical and 1 minute lateral separation (15 minutes is required in non-radar environment) at FL330 179N San Juan, PR. Transaero 554 descended 200-300 feet due to a traffic alert and collision avoidance system (TCAS) resolution alert.

NTSB Probable Cause Narrative

The San Juan CERAP controllers failure to ensure the two aircraft were properly separated using non-radar separation standards.

Event Information

Type of Event Incident
Event Date 8/28/2008
Event Day of the Week Thursday
Time of Event 1837
Event Time Zone Atlantic Standard Time
Event City Atlantic Ocean
Event State --
Event Country --
Zipcode of the event site --
Event Date Year 2008
Event Date Month 8
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude --
Event Location Longitude --
Event Location Airport --
Event Location Nearest Airport ID --
Indicates whether the acc/inc occurred off or on an airport --
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID --
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation --
Lighting Conditions --
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions --
Sky Condition for Lowest Ceiling --
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) --
Air Temperature at event time (in degrees celsius) --
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) --
Variable Wind Indicator --
Wind Speed (knots) --
Wind Velocity Indicator --
Wind Gust Indicator --
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) --
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 159
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 24497
NTSB Notification Source FAA
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Feb 3 2009 10:22AM
User who most recently changed record johb
Basic weather conditions --
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft #2

Aircraft Registration Number -- --
NTSB Number OPS08IA014A OPS08IA014B
Missing Aircraft Indicator -- --
Federal Aviation Reg. Part -- --
Type of Flight Plan filed IFR IFR
Flight plan Was Activated? Yes Yes
Damage None None
Aircraft Fire None None
Aircraft Explosion None None
Aircraft Manufacturer's Full Name Boeing Boeing
Aircraft Model B744 B737-800
Aircraft Series Identifier -- --
Aircraft Serial Number -- --
Certified Max Gross Weight -- --
Aircraft Category Airplane Airplane
Aircraft Registration Class -- --
Aircraft is a homebuilt? No No
Flight Crew Seats -- --
Cabin Crew Seats -- --
Passenger Seats -- --
Total number of seats on the aircraft -- --
Number of Engines -- --
Fixed gear or retractable gear Fixed Fixed
Aircraft, Type of Last Inspection -- --
Date of Last Inspection -- --
Airframe hours since last inspection -- --
Airframe Hours -- --
ELT Installed -- --
ELT Activated -- --
ELT Aided Location of Event Site -- --
ELT Type -- --
Aircraft Owner Name -- --
Aircraft Owner Street Address -- --
Aircraft Owner City -- --
Aircraft Owner State -- --
Aircraft Owner Country USA USA
Aircraft Owner Zipcode -- --
Operator is an individual? No No
Operator Name -- --
Operator Same as Owner? No Yes
Operator Is Doing Business As -- --
Operator Address Same as Owner? No No
Operator Street Address -- P.O. Box 20706
Operator City -- Atlanta
Operator State -- GA
Operator Country USA USA
Operator Zip code -- 30320
Operator Code T5LY DALD
Owner has at least one certificate Yes - certificate holder Yes - certificate holder
Other Operator of large aircraft? No No
Certified for Part 133 or 137 Operation -- --
Operator Certificate Number -- --
Indicates whether an air carrier operation was scheduled or not Scheduled Scheduled
Indicates Domestic or International Flight International International
Operator carrying Pax/Cargo/Mail Passenger Only Passenger Only
Type of Flying (Per_Bus / Primary) -- --
Second Pilot on Board -- Yes
Departure Point Same as Event No No
Departure Airport Code MDPC JFK
Departure City Punta Cana --
Departure State -- --
Departure Country DR USA
Departure Time -- --
Departure Time Zone -- --
Destination Same as Local Flt -- --
Destination Airport Code UUDD TTPS
Destination City Moscow PORT OF SPAIN
Destination State -- --
Destination Country RS TD
Specific Phase of Flight Cruise Cruise
Report sent to ICAO? -- --
Evacuation occurred -- --
Date of most recent change to record Oct 30 2008 9:18AM Oct 29 2008 9:43AM
User who most recently changed record rows bard
Since inspection or accident -- --
Event Location Runway Number and Location -- --
Runway Length -- --
Runway Width -- --
Sight Seeing flight No No
Air Medical Flight No No
Medical Flight -- --