Aircraft Accident/Incident Report

66 Nm East Of Hobe Sound, Florida
Thursday, November 11, 2010 22:31 UTC

NTSB Narrative Summary Released at Completion of Accident

A Boeing 737-800 and an Airbus 319 were transiting Miami Air Route Traffic Control Center (ARTCC) airspace on nearly opposite direction crossing courses when a loss of separation between the two airplanes occurred. The pilots of both airplanes received resolution advisories from the airplanes’ Traffic Alert and Collision Avoidance Systems and took the advised actions to reestablish required separation. The airplanes were operating in the same Miami ARTCC sector, but were under the control of two different air traffic controllers when the loss of separation occurred. The first controller, who was originally handling the Airbus 319, stated that, although the airplane had not yet left the incident sector, he had transferred responsibility for the airplane to the second controller. After doing so, the first controller dropped the data tag for the Airbus 319 from his radar display and became occupied with other duties. One of those additional duties involved handling the Boeing 737 that had just entered the incident sector, transferred by the controller who was now responsible for handling the Airbus 319. The first controller did not maintain awareness of the Airbus's position, and he did not notice the impending conflict with the Boeing 737 when he subsequently cleared that airplane to climb to the Airbus’ altitude. The second controller, who transferred control of the Boeing 737 to the first controller, had dropped the data tag for that airplane from his radar display when it left his sector. He was not aware of the conflict between the two airplanes until the radar conflict alert activated. At that time, both controllers attempted to resolve the situation, but a loss of separation occurred. At the closest point, the airplanes were within about 1,800 feet vertically and 2.81 miles laterally of each other. Federal Aviation Administration standards require minimum separation of either 2,000 feet vertically or 5 miles laterally between aircraft operating on instrument flight rules.

NTSB Probable Cause Narrative

Air traffic controllers did not maintain required awareness of available flight data and aircraft positions, resulting in issuance of an incorrect altitude clearance that caused a loss of standard instrument flight rules separation between the two aircraft.

Event Information

Type of Event Incident
Event Date 11/11/2010
Event Day of the Week Thursday
Time of Event 2231
Event Time Zone Coordinated Universal Time? Same as GMT
Event City 66 NM East of Hobe Sound
Event State FLORIDA
Event Country --
Zipcode of the event site --
Event Date Year 2010
Event Date Month 11
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 Off Airport/Airstrip
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 EDT
Lighting Conditions Dusk
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Unknown
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 --
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 29996
NTSB Notification Source DAL Flight Safety
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Jun 5 2012 12:44PM
User who most recently changed record duns
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft #2

Aircraft Registration Number -- --
NTSB Number OPS11IA101A OPS11IA101B
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 AIRBUS
Aircraft Model 737-832 A319
Aircraft Series Identifier -- 111
Aircraft Serial Number 30835 --
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 189 --
Number of Engines 2 2
Fixed gear or retractable gear Retractable Retractable
Aircraft, Type of Last Inspection -- --
Date of Last Inspection -- --
Airframe hours since last inspection -- --
Airframe Hours -- --
ELT Installed Yes Yes
ELT Activated No No
ELT Aided Location of Event Site No No
ELT Type Unknown Unknown
Aircraft Owner Name -- --
Aircraft Owner Street Address 1775 AVIATION BLVD DEPT 595 North West 53rd Street Suite 111
Aircraft Owner City ATLANTA Miami
Aircraft Owner State GA FL
Aircraft Owner Country USA USA
Aircraft Owner Zipcode 30354-3743 33166
Operator is an individual? No No
Operator Name -- --
Operator Same as Owner? Yes Yes
Operator Is Doing Business As -- --
Operator Address Same as Owner? Yes Yes
Operator Street Address 1775 AVIATION BLVD DEPT 595 North West 53rd Street Suite 111
Operator City ATLANTA Miami
Operator State GA FL
Operator Country USA USA
Operator Zip code 30354-3743 33166
Operator Code D02M ANCF
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 -- ANCF173C
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) Unknown Unknown
Second Pilot on Board Yes Yes
Departure Point Same as Event No No
Departure Airport Code TNCA IAD
Departure City Oranjestad --
Departure State -- --
Departure Country AA USA
Departure Time -- --
Departure Time Zone -- --
Destination Same as Local Flt -- --
Destination Airport Code ATL SKBO
Destination City ATLANTA Bogotá
Destination State GA --
Destination Country USA CO
Specific Phase of Flight -- --
Report sent to ICAO? -- --
Evacuation occurred -- --
Date of most recent change to record Jun 5 2012 12:34PM Jun 5 2012 12:33PM
User who most recently changed record duns duns
Since inspection or accident -- --
Event Location Runway Number and Location N/A N/A
Runway Length -- --
Runway Width -- --
Sight Seeing flight No No
Air Medical Flight No No
Medical Flight -- --