Loss of Separation Between Two Aircraft Near Rengo, Finland

Casualties unknown • FI

A Douglas DC-9 and a Saab SF340A experienced a loss of separation at flight level 160 due to a clerical error in altitude instructions at Tampere-Pirkkala Approach.

What happened

On November 19, 1998, at approximately 17:55 local time, a serious loss of separation occurred near the Rengo reporting point in Finland. Two aircraft, a Finnair DC-9-51 (registration OH-LYZ) and an Air Botnia SAAB SF340A (registration OH-SAC), passed each other on opposing tracks. The incident involved a total of 81 people on board both aircraft.

At the time of the event, the DC-9-51 was operating a scheduled flight from Vaasa to Helsinki, while the SAAB SF340A was operating a flight from Helsinki to Vaasa. The aircraft passed each other with a vertical separation of approximately 600–700 feet and a lateral separation of about 1 nautical mile, violating both vertical and lateral separation minimums.

The investigation

The investigation examined radar data from the Southern Finland Approach Control, as well as telephone and radio communications between Tampere-Pirkkala Approach, Helsinki Approach, and Tampere Area Control (ACC).

Investigators reviewed the sequence of instructions provided by ACC to the various approach units. They specifically looked at how altitude restrictions were communicated and recorded on the flight strips used by the radar controllers. The investigation also analyzed the radio transcripts between the flight crews and Helsinki Approach to determine why the DC-9-51 failed to maintain the required altitude initially.

Probable cause

The primary cause of the loss of separation was a **clerical error by an assistant controller at Tampere-Pirkkala Approach**, who incorrectly recorded a new altitude restriction of FL 170 on the flight strip of the wrong aircraft (FIN 342) instead of the intended aircraft (FIN 324). This error was compounded by imprecise communications and a lack of proper read-back/verification during telephone coordination between the different air traffic control units.

Frequently asked questions

What happened in the 1998-11-19 aircraft accident near FI?

A Douglas DC-9 and a Saab SF340A experienced a loss of separation at flight level 160 due to a clerical error in altitude instructions at Tampere-Pirkkala Approach.

What aircraft was involved and where did it happen?

The accident on 1998-11-19 involved a aircraft, registration OH-LYZ, at FI.

What was the probable cause of the accident?

The primary cause of the loss of separation was a **clerical error by an assistant controller at Tampere-Pirkkala Approach**, who incorrectly recorded a new altitude restriction of FL 170 on the flight strip of the wrong aircraft (FIN 342) instead of the intended aircraft (FIN 324). This error was compounded by…

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