ANC87IA012

NTSB incident investigation · Mcdonnell Douglas DC-10 · Adak, AK · November 10, 1986

Incident · No injuriesIncident investigationFinal report
Date
November 10, 1986, 16:54 local (20:54 UTC)
Place
Adak, AK
Injuries
201 uninjured
Phase of flight
Enroute
Aircraft
CGCPJMcdonnell Douglas DC-10N832Boeing 727
Weather
Visual (VMC) · Dusk
Status
Completed · report April 25, 1988
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Case key
4794

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

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Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Near collision between aircraftCruise - normal
Procedures/directives - not followedAtc personnel(artcc)Factor
Crew/group coordination - inadequateAtc personnel(artcc)Cause
Supervision - inadequateAtc personnel(supervisor)Cause
Ifr separation standards - not maintainedCause
Near collision between aircraftCruise - normal
Procedures/directives - not followedAtc personnel(artcc)Factor
Crew/group coordination - inadequateAtc personnel(artcc)Cause
Supervision - inadequateAtc personnel(supervisor)Cause
Ifr separation standards - not maintainedCause

Analysis

A canadian pacific Mcdonnell Douglas DC-10 (flt 3), cg-cpj, & a reeve aleutian Boeing 727 (flt 724), N832, were clrd to fly at FL 290 on 2 different airways. The airways crossed at picum intxn, ovr the bearing sea. While traveling in nrly opposite drctns at the same alt, the 2 acft passed w/i aprx 1/2 mi of each other, where the airways crossed at picum. The DC-10 crew saw the B-727, but the B-727 crew did not see the DC-10. Picum intxn was located in an area that was byd normal radio & radar range of the ATC controllers (ctlrs). The 2 on duty ctlrs had combined sectors 10 & 11, then had divided the 2 sectors in a north/south configuration, which was contrary to SOP. The incident occurred drg a busy time. The supvr was helping 1 of the 2 ctlrs. The ctlr, who was hndlg flt 3, clrd it to dscnd fm FL 330 to FL 290 & said he told the other ctlr to stop flt 724 at FL 280, when flt 724 was climbing fm a lwr alt. The ctlr, who was hndlg flt 724, stated that he did not know there was an acft at FL 290 when he clrd flt 724 to FL 290.

Aircraft · 2

Registration
CGCPJ
Reported as
Mcdonnell Douglas DC-10
Category
Airplane
Engine
P&W JT9D, 42,500 lbs thrust, turbo fan
Damage
No damage
Flight
Part 129
Registered owner
Canadian Pacific
Airworthiness certificate
Standard, Transport
Departed
YVR · Vancouvr,Canada
Destination
NRT · Tokyo, Japan
Flight plan
IFR
Registration
N832
Reported as
Boeing 727
Category
Airplane
Engine
P&W JT8D, 14,500 lbs thrust, turbo fan
Damage
No damage
Flight
Part 121
Registered owner
Reeve Aleutian Airways
Airworthiness certificate
Standard, Transport
Departed
SYA · Shemya, AK
Destination
ANC · Anchorage, AK
Flight plan
IFR

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot, aircraft 1
Certificate
Foreign
Airplane ratings
Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Role
Pilot, aircraft N832
Age
56
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine sea, Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
18,950 total

Weather

Conditions
Visual (VMC) · Dusk
Wind
0° at 58 knots
Visibility
100 statute miles
Lowest ceiling
None
Altimeter
29.00 inHg