Final Report DH8D (C-FSWE) P180 (N990RS) en-route near Kelowna BC Canada, 3 Jan 2019

Final Report DH8D (C-FSWE) P180 (N990RS) en-route near Kelowna BC Canada, 3 Jan 2019

Publication info
Author
TSB Canada
Category
Accident Reports Human Factors Loss of Separation
Date of publication
02/04/2020

On 3 January 2019, prescribed vertical separation was lost between a Bombardier DHC8-400 and a Piaggio P180 on converging cruise tracks at FL 220 and only restored after a resulting TCAS RA was followed. The Investigation found both aircraft were being flown in accordance with their clearances and that the controller involved had not been aware of corresponding traffic and conflict alerting system activations. A specific traffic display fault which arose from failure to follow a routine software upgrade procedure correctly and the shift supervisor failing to recognise the need to act as controller when workload increased were assessed contributory.

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