Casualties unknown

Loss of Separation Between SAS7442 and AUA52 in FIR Warszawa

FIR Warszawa płd. Zach. od pkt. KOTEK, PL

On July 19, 2015, a Boeing 737-800 / Boeing 777-200 was involved in an aviation accident near FIR Warszawa płd. Zach. od pkt. KOTEK, PL. Investigators recorded the probable cause as: 1. The controller did not notice the convergence of two aircraft while waiting for the passage of two other aircraft (AZA493 and THY1YL). 2. The controller did not issue a climb instruction for SAS7442 simultaneously with the descent for AUA52. This summary draws on records from the Polish State Commission on Aircraft Accidents Investigation (PKBWL).

Sourcesthe Polish State Commission on Aircraft Accidents Investigation (PKBWL)Primary reportUpdated 2026-10-18Data APIEditorial standards
Boeing 737-800 / Boeing 777-200
Photo: San Diego Air & Space Museum Archives / Public domain, via Wikimedia Commons

On 19 July 2015, a B738 (SAS7442) and a B772 (AUA52) experienced loss of separation in FIR Warszawa. The controller had disabled MTCD warning and failed to notice the converging aircraft, resulting in a minimum separation of 5 NM and 600 ft.

Incident Overview

On 19 July 2015, an incident occurred in the FIR Warszawa, southwest of the KOTEK point, involving a Boeing 737 (call sign SAS7442) operated by Scandinavian Airlines and a Boeing 777 (call sign AUA52) operated by Austrian Airlines. The required separation minima were 7 NM horizontally or 1,000 ft vertically, but the actual minimum distance between the two aircraft was 5 NM and 600 ft.

Sequence of Events

A controller in the ACC GAT sector "J" with OJTI instructor privileges took over the operational position and, according to his statement, disabled the MTCD warning system for training purposes. Shortly thereafter, SAS7442, flying along the LENOV–MOTAD route, reported deviating around thunderstorms with a heading of 340° at flight level FL360. The controller identified the aircraft on radar and cleared it for own navigation to KOLOB point after passing the storms.

Five minutes later, AUA52, flying along the GORAT–TUSIN route at FL360, contacted the controller. Shortly after, SAS7442 reported a heading of 330° after avoiding thunderstorms and turning toward KOLOB. Six minutes later, an STCA yellow alert was generated on the radar display. The controller then instructed AUA52 to immediately descend to FL350. The pilot acknowledged and began the descent, but due to the aircraft's mass, the response was not immediate.

The controller then informed SAS7442 of the traffic (AUA52), and an STCA red alert appeared. The crew of AUA52 reported visual contact with SAS7442 and crossing FL355, approaching FL350. The closest proximity between the two aircraft was 5 NM and 600 ft.

Causes

The investigation identified two causes: 1. The ACC GAT controller did not notice the convergence of the two aircraft while waiting for the passage of two other aircraft (AZA493 and THY1YL). 2. The controller did not issue a climb instruction for SAS7442 simultaneously with the descent instruction for AUA52.

Contributing Factors

Contributing circumstances included the controller's disabling of the MTCD warning system and probable fatigue resulting from working a fourth consecutive shift after three days off, as well as operating at the upper limits of sector capacity.

Aftermath

No recommendations or preventive actions were issued by the investigating body.

Probable cause

1. The controller did not notice the convergence of two aircraft while waiting for the passage of two other aircraft (AZA493 and THY1YL). 2. The controller did not issue a climb instruction for SAS7442 simultaneously with the descent for AUA52.

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Frequently asked questions

What happened in the 19 Jul 2015 Boeing 737-800 / Boeing 777-200 accident near FIR Warszawa płd. Zach. od pkt. KOTEK, PL?

On 19 July 2015, a B738 (SAS7442) and a B772 (AUA52) experienced loss of separation in FIR Warszawa. The controller had disabled MTCD warning and failed to notice the converging aircraft, resulting in a minimum separation of 5 NM and 600 ft.

What aircraft was involved and where did it happen?

The accident on 19 Jul 2015 involved a Boeing 737-800 / Boeing 777-200, at FIR Warszawa płd. Zach. od pkt. KOTEK, PL.

What was the probable cause of the accident?

1. The controller did not notice the convergence of two aircraft while waiting for the passage of two other aircraft (AZA493 and THY1YL). 2. The controller did not issue a climb instruction for SAS7442 simultaneously with the descent for AUA52.

Investigation report by the Polish State Commission on Aircraft Accidents Investigation (PKBWL). Original record: https://pkbwl.gov.pl/raporty/2015-1418/. This page is a structured re-presentation; facts and quotes are in the Panstwowa Komisja Badania Wypadkow Lotniczych (PKBWL), Poland.