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2001 Japan Airlines mid-air incident

2001 mid-air incident in Japan

2001 Japan Airlines mid-air incident

2001 mid-air incident in Japan

FieldValue
name2001 Japan Airlines mid-air incident
Japan Airlines Flight 907Japan Airlines Flight 958
date
typeNear miss, Air traffic controller error
occurrence_typeMid-air incident
siteNear Yaizu, Shizuoka, Japan
total_fatalities0
total_injuries100
total_survivors677
plane1_typeBoeing 747-446D
plane1_imageJAL Japan Airlines Boeing 747-400D; JA8904, March 2004.jpg
plane1_captionJA8904, the Boeing 747-446D involved in the incident
plane1_operatorJapan Airlines
plane1_IATAJL907
plane1_ICAOJAL907
plane1_callsignJAPAN AIR 907
plane1_tailnumJA8904
plane1_originHaneda Airport, Tokyo, Japan
plane1_destinationNaha International Airport, Okinawa, Japan
plane1_occupants427
plane1_passengers411
plane1_crew16
plane1_fatalities0
plane1_injuries100
plane1_survivors427
plane2_typeMcDonnell Douglas DC-10-40
plane2_imagePhoto of Japan Airlines McDonnell Douglas DC-10-40 JA8546 at Nagoya-Komaki International Airport.jpg
plane2_captionJA8546, the McDonnell Douglas DC-10-40 involved in the incident
plane2_operatorJapan Airlines
plane2_IATAJL958
plane2_ICAOJAL958
plane2_callsignJAPAN AIR 958
plane2_tailnumJA8546
plane2_originGimhae International Airport, Busan, South Korea
plane2_destinationNarita International Airport, Tokyo, Japan
plane2_occupants250
plane2_passengers237
plane2_crew13
plane2_fatalities0
plane2_injuries0
plane2_survivors250
coordinates

Japan Airlines Flight 907Japan Airlines Flight 958 On 31 January 2001, Japan Airlines Flight 907, a Boeing 747-446D en route from Haneda Airport, Japan, to Naha Airport, Okinawa, narrowly avoided a mid-air collision with Japan Airlines Flight 958, a McDonnell Douglas DC-10-40 en route from Gimhae International Airport, South Korea, to Narita International Airport, Japan. The event became known in Japan as the Japan Airlines near miss incident above Suruga Bay.

The incident was attributed to errors made by air traffic controller (ATC) trainee Hideki Hachitani and trainee supervisor Yasuko Momii. The incident caused Japanese authorities to call upon the International Civil Aviation Organization (ICAO) to take measures to prevent similar incidents from occurring.

Flight information

Boeing aircraft and crew

The Boeing 747-446 Domestic, registered as JA8904 (First flew and Delivered to Japan Airlines in 1992), was operating Flight 907 from Tokyo Haneda International Airport to Naha Airport with 411 passengers and 16 crew. The flight departed Haneda airport at 15:36 local time. Flight 907 was commanded by 40-year-old pilot Makoto Watanabe.

McDonnell Douglas aircraft and crew

The McDonnell Douglas DC-10-40, registered as JA8546 (First flew in 1980, and delivered to Japan Airlines in 1981), was operating Flight 958 from Gimhae International Airport to Narita International Airport with 237 passengers and 13 crew. Flight 958 was commanded by 45-year-old pilot Tatsuyuki Akazawa.

According to the flight plan, both aircraft were supposed to pass each other while 2000 ft apart.

Mid-air incident

The mid-air incident occurred as flight attendants began to serve drinks onboard Flight 907. JA8904's traffic collision avoidance system (TCAS) sounded 20 minutes after its departure as the jet climbed towards 39000 ft. The DC-10, JA8546, cruised at 37000 ft. The TCAS on both aircraft functioned correctly; a "CLIMB" instruction was issued to Flight 907. However, the flight crew received contradicting instructions from the flight controller at the Tokyo Area Control Center in Tokorozawa, Saitama Prefecture. Flight 907 followed an order to descend issued by the flight controller while Flight 958 descended as instructed by the TCAS, meaning that the planes remained on a collision course.

The trainee for the aerospace sector, 26-year-old Hideki Hachitani, handled ten other flights at the time of the near miss. Hachitani intended to tell Flight 958 to descend. Instead, at 15:54, he told Flight 907 to descend. When the trainee noticed that JAL 958 cruised at a level altitude instead of descending, the trainee asked JAL 958 to turn right; the message did not get through to the JAL 958 pilot. The trainee's supervisor, Yasuko Momii, ordered "JAL 957" to climb, intending to tell JAL 907 to climb. There was not a JAL flight 957 in the sky at the moment of the incident, but it can be inferred that by "957" she meant flight 907.

The crew of Flight 907 avoided the collision by using an evasive manoeuvre once the aircraft were in visual proximity, and they passed within about 135 m of each other. An unidentified passenger told NHK, "I have never seen a plane fly so close. I thought we were going to crash." Alex Turner, a passenger on Flight 907 and a student at Kadena High School, estimated that the avoidance manoeuvre lasted for two seconds.

Seven passengers and two crew members of the 747 sustained serious injuries; additionally, 81 passengers and 10 crew members reported minor injuries. Some unbelted passengers, flight attendants, and drink carts hit the ceiling, dislodging some ceiling tiles. The manoeuvre threw one boy across four rows of seats. Most of the injuries to occupants consisted of bruising. The maneuvers broke the leg of a 54-year-old woman. In addition, a drink cart spilled, scalding some passengers. No passengers on the DC-10 sustained injuries. Flight 907, with the 747's cabin bearing minor damage and injuries, returned to Haneda, and made an emergency landing at 16:44. Flight 958 continued to Narita Airport, landing normally at 16:32.

Aftermath

JAL907 injury chart

By 18:00 on 1 February, eight Flight 907 passengers remained hospitalized, while 22 injured passengers had been released. Two passengers remained hospitalized at Kamata General Hospital, while two other passengers remained hospitalized at Ichikawa No. 2 Hospital. In addition, the following hospitals each had one passenger remaining: Takano Hospital, Kitasato University, Horinaka Hospital, and Tokyo Rosai Hospital. All injured passengers recovered.

JAL sent apology letters to the passengers on the 747; injured passengers directly received messages, and uninjured passengers received messages via the mail.

In its report on the accident, published in July 2002, the Aircraft and Railway Accidents Investigation Commission called on the International Civil Aviation Organization (ICAO) to make it clear that TCAS advisories should always take precedence over ATC instructions. A similar recommendation was made three months later by Germany's accident investigation body (the BFU) in light of the 2002 Überlingen mid-air collision. ICAO accepted these recommendations and amended its regulations in November 2003.

Criminal investigation and trial

The Tokyo Metropolitan Police Department and Ministry of Land, Infrastructure and Transport investigated the incident.

In May 2003, Tokyo police filed an investigative report concerning Hideki Hachitani (ATC trainee), Yasuko Momii (ATC Supervisor), and Makoto Watanabe (pilot of flight 907), suspecting them of professional negligence. In March 2004, prosecutors indicted Hachitani and Momii for professional negligence.

Hachitani, then 30 years old, and Momii, then 35 years old, pleaded not guilty to the charges at Tokyo District Court in 2004. During the same year, the lawyer for Hachitani and Momii said that the pilots of the aircraft bore the responsibility for the near miss.

By 16 November 2005, 12 trials had been held since the initial hearing on 9 September 2004. The prosecution argued that the two defendants neglected to provide proper separation for the two aircraft, the instructions issued were inappropriate, and that the supervisor failed to correct the trainee. The defense argued that the lack of separation would not immediately have led to a near miss, that the instructions issued were appropriate, that the TCAS procedure was not proper, and that the Computer Navigation Fix (CNF) had faulty data.

In 2006, prosecutors asked for Hachitani, then 31, to be sentenced to ten years in prison and for Momii, then 37, to be sentenced to 15 years in prison. On 20 March 2006, the court ruled that Hachitani and Momii were not guilty of the charge. The court stated that Hachitani could not have foreseen the accident and that the mixup of the flight numbers did not have a causal relationship with the accident. Hisaharu Yasui, the presiding judge, said that prosecuting controllers and pilots would be "unsuitable" in this case. The Tokyo District Public Prosecutor's Office filed an appeal with the Tokyo High Court on March 31. During the same year, the Japanese government agreed to pay Japan Airlines and Tokio Marine & Nichido Fire Insurance a total of ¥82.4 million to compensate for the near miss (equivalent to ¥ million in ).

On 11 April 2008, on appeal, a higher court overturned the decision and found Hachitani and Momii guilty. The presiding judge, Masaharu Suda sentenced Hachitani, then 33, to 12 months imprisonment, and Momii, then 39, to 18 months imprisonment, with both sentences suspended for 3 years. The lawyers representing the controllers appealed, but the convictions were upheld on 26 October 2010, by the Supreme Court.

Notes

References

References

  1. Tomita, Hiroaki (Investigator General, [[Aircraft and Railway Accidents Investigation Commission]]). "[http://www.asasi.org/papers/2005/Hiroaki%20Tomita%20-%20near%20collision%20in%20Japan.pdf Accident Investigation into a Near Mid-Air Collision] {{Webarchive. link. (December 10, 2015 ." June 12, 2005 ([[Queenstown, New Zealand]]).)
  2. (2001-02-03). "Blame pinned on air traffic controllers".
  3. (February 2, 2001). "Kadena High students shaken by near-miss during flight over Japan". Stars and Stripes.
  4. "JAL planes almost collide". [[Yomiuri Shimbun]].
  5. (February 2, 2001). "Controllers blamed for near-miss". [[BBC]].
  6. "[http://goliath.ecnext.com/coms2/gi_0199-5336973/LEAD-Court-finds-air-traffic.html Court finds air traffic controllers not guilty over 2001 near miss]." ''Kyodo World News Service.''
  7. [https://web.archive.org/web/20090224072627/http://www.sincta.pt/noticias/detalhes.php?id=89 "Court clears air controllers in near miss"]. ''[[Yomiuri Shimbun]]'', March 21, 2006.
  8. Final report section 3.2.6
  9. (February 3, 2001). "Japanese police pursuing possibility of negligence in planes' near collision". Stars and Stripes.
  10. "Shigeyoshi Kimura, [[Associated Press Writer]] (January 31, 2001). [https://web.archive.org/web/20090220162016/http://media.www.bgnews.com/media/storage/paper883/news/2001/01/31/World/At.Least.35.Airline.Passengers.Injured.In.Near.Miss-1283893.shtml "At least 35 airline passengers injured in near miss"].
  11. "[https://www.cbsnews.com/news/close-call-for-jal-jets/ Close Call For JAL Jets] ." ''[[CBS News]]''. January 31, 2001. Retrieved on December 11, 2009.
  12. "[https://news.bbc.co.uk/2/hi/asia-pacific/1145914.stm Signals blamed for near collision]." ''[[BBC]]''. Thursday February 1, 2001. Retrieved on December 11, 2009.
  13. (2001-02-01). "JL907便事故について".
  14. "[http://www.allbusiness.com/operations/shipping-air-freight/739426-1.html Japan Airlines apologises to near-miss victims.]" ''Airline Industry Information''. February 9, 2001. Retrieved on December 11, 2009.
  15. "report outline". [[International Civil Aviation Organization]].
  16. (2 May 2004). "Investigation Report AX001-1-2". [[German Federal Bureau of Aircraft Accidents Investigation]].
  17. Flight Safety Digest, March 2004 {{Page needed. (April 2021)
  18. "Deadly Crossroads," ''[[Mayday (Canadian TV series). Mayday]]'' {{Full citation needed. (April 2021)
  19. "Not guilty verdict revoked, 2 air controllers given suspended sentences" ''[[Associated Press]]''. April 11, 2008. Retrieved on December 11, 2009.
  20. (September 9, 2004). "2 air controllers in 2001 JAL near-miss accident plead not guilty". Japan Transportation Scan.
  21. (September 10, 2004). "2 air-traffic controllers blame JAL pilots for near-miss". Asia Africa Intelligence Wire.
  22. "[http://www.atcaj.or.jp/ifatca-rm/working%20papers/Japan%20Report.doc REPORT OF THE JAPAN AIR TRAFFIC CONTROLLERS' ASSOCIATIONS (JFATCA) To The 22nd IFATCA Asia Pacific Regional Meeting, Fukuoka, Japan (16-18 November 2005)]{{dead link. (January 2017)
  23. "Air traffic controllers face prison terms over 2001 near miss". Japan Transportation Scan.
  24. "[http://archive.japantoday.com/jp/news/367532 Court finds air traffic controllers not guilty over 2001 near miss] {{Webarchive. link. (16 July 2011 ." ''[[Japan Today]]''.)
  25. (March 2006). "'N' FORMATION".
  26. (April 1, 2006). "State to pay for '01 JAL near miss". [[The Japan Times]].
  27. (15 April 2008). "2 air traffic controllers appeal guilty verdict". Japan Transportation Scan.
  28. "Archived copy".
  29. (December 9, 2010). "Air traffic controllers' guilty verdicts final.". [[The Japan Times]].
  30. (2011). "Aircrash Confidential". MMXI World Media Rights Limited; WMR Productions; IMG Entertainment.
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