ATC Coordination Breakdown Leads to TCAS Alert Near Oslo

Casualties unknown • Oslo Airport Gardermoen (ENGM), NO

A collision avoidance alert occurred near Oslo Airport Gardermoen when heavy thunderstorm activity caused a breakdown in air traffic controller coordination.

What happened

On June 2, 2000, at approximately 15:25 UTC, a mid-air proximity incident occurred roughly 20 nautical miles south of Oslo Airport Gardermo and near the boundary of two air traffic control sectors. The incident involved a Cessna C 650, registration LN-NLD, operating an ambulance flight, and an Airbus A 320, registration HS-IPZ, operating a commercial flight.

The Cessna C 650 was flying an arrival procedure (STAR TOR 2F) and maintaining flight level 100. Simultaneously, the Airbus A 320 was executing a departure procedure (SID SKI 2C) and was in the process of climbing from flight level 100 to 190. Due to significant cumulonimbus activity in the area, the crew of the Airbus A 320 had been cleared to deviate from their standard departure track to avoid thunderstorms. During this maneuver, the crew reported a TCAS warning to air traffic control, indicating a lateral separation of only 2 NM between the two aircraft at nearly the same altitude.

The investigation

The investigation examined the procedures governing the Oslo Terminal Control Area (TMA), which is split into East and West sectors managed by separate controllers. Investigators analyzed the specific arrival and departure tracks, noting that the SID SKI 2C includes a noise abatement left turn that brings the departure path within 5 NM of the arrival path.

To maintain safety, a local regulation requires specific altitude limits for north- and southbound traffic to ensure vertical separation. The investigation also reviewed the operational environment at the time, specifically the impact of heavy weather on controller workload and the effectiveness of the coordination protocols between the two sectors.

Probable cause

The incident was caused by **ATC controller overload and a breakdown in coordination** resulting from the need to manage extensive aircraft re-routing around thunderstorms. This led controllers to rely on unverified assumptions regarding the actions of the adjacent sector.

Frequently asked questions

What happened in the 2000-06-02 Cessna C 650, Airbus A 320 accident near Oslo Airport Gardermoen (ENGM), NO?

A collision avoidance alert occurred near Oslo Airport Gardermoen when heavy thunderstorm activity caused a breakdown in air traffic controller coordination.

What aircraft was involved and where did it happen?

The accident on 2000-06-02 involved a Cessna C 650, Airbus A 320, registration LN-NLD/HS-IPZ, at Oslo Airport Gardermoen (ENGM), NO.

What was the probable cause of the accident?

The incident was caused by **ATC controller overload and a breakdown in coordination** resulting from the need to manage extensive aircraft re-routing around thunderstorms. This led controllers to rely on unverified assumptions regarding the actions of the adjacent sector.

Investigation report by the Norwegian Safety Investigation Authority (NSIA). Original record: https://nsia.no/Aviation/Aviation/Published-reports/2001-04. This page is a structured re-presentation; facts and quotes are in the Norwegian Safety Investigation Authority (NSIA) / Statens havarikommisjon, Norway.

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