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NTSB Report
January 1, 1984 · Mcdonnell Douglas DC-10-30 · N82NA
Atlantic Ocean, AO
Overview
Report Status
Preliminary report
Event Type
Incident
Date
January 1, 1984
Injury Outcomes
1 injury (1 minor injury), 495 uninjured
Location
Atlantic Ocean, AO
Aircraft
Mcdonnell Douglas DC-10-30
Tail Number
N82NA
Operator
Pan American World Airways
Injuries
Minor
NTSB Number
MIA84IA054
ACFT NEARLY COLLIDED WITH PAA N656PA AT FL370 ABOUT 200 MI EAST OF MIAMI WHEN ACFT PASSED ABOUT 300 FT FROM EACH OTHER IN A NONRADAR ENVIRONMENT. BOTH ACFT WERE AT THEIR ASSIGNED FLIGHT LEVEL & WERE OPERATING ON ROUTES APPROVED & ISSUED BYMIAMI ARTCC. THE D72 CONTROLLER(CTLR) FAILED TO COORDINATE THE ALT OF N656PA WITH THE D81 CTLR, FAILED TO NOTE CONFLICT WHEN HE APPROVED FL370 FOR N82NA, & PLACED FLT PROGRESS STRIP FOR N82NA IN WRONG BAY AT SECTOR 72 POSITION. ADDITIONALLY, D81 & R81 CTLRS FAILED TO DETECT CONFLICT BETWEEN THE TWO ACFT. THE R72 CTLR DID NOT CAREFULLY READ THE STRIP WHEN HE FOUND IT. THE BOARD ALSO FOUND THE QUALITY ASSURANCE EFFORTS AT THE MIAMI ARTCC TO BE DEFICIENT.
Full Narrative
ACFT NEARLY COLLIDED WITH PAA N656PA AT FL370 ABOUT 200 MI EAST OF MIAMI WHEN ACFT PASSED ABOUT 300 FT FROM EACH OTHER IN A NONRADAR ENVIRONMENT. BOTH ACFT WERE AT THEIR ASSIGNED FLIGHT LEVEL & WERE OPERATING ON ROUTES APPROVED & ISSUED BYMIAMI ARTCC. THE D72 CONTROLLER(CTLR) FAILED TO COORDINATE THE ALT OF N656PA WITH THE D81 CTLR, FAILED TO NOTE CONFLICT WHEN HE APPROVED FL370 FOR N82NA, & PLACED FLT PROGRESS STRIP FOR N82NA IN WRONG BAY AT SECTOR 72 POSITION. ADDITIONALLY, D81 & R81 CTLRS FAILED TO DETECT CONFLICT BETWEEN THE TWO ACFT. THE R72 CTLR DID NOT CAREFULLY READ THE STRIP WHEN HE FOUND IT. THE BOARD ALSO FOUND THE QUALITY ASSURANCE EFFORTS AT THE MIAMI ARTCC TO BE DEFICIENT.
Flight
Event TypeIncident
Event Time20:54 UTC
Nearest Airport0nm N
Runway0
Flight Plan FiledIFR
Aircraft FireNo
Aircraft ExplosionNo
Aircraft
AircraftMcdonnell Douglas DC-10-30
Tail NumberN82NA
Aircraft CategoryAir
OperatorPan American World Airways
Operating RulePart 121
Engines3
Engine TypeTurbofan
Engine DetailsGe · CF6 · Turbofan · 6 | P&W · JT9D · Turbojet
Seats345
People & Injuries
Injury Summary1 injury (1 minor injury), 495 uninjured
Fatal0
Serious0
Minor1
Uninjured495
Total496
Crew 1Age 40 · Second Class
Crew 2Age 53 · Second Class
Conditions
ConditionsVMC
LightDaylight
Wind30° @ 15 kt
CeilingNone
Temperature / Dew Point54
Altimeter30.00 inHg
Observation Time21:00
Weather SourceWFAC