Incident Overview

Date: Saturday 13 September 1997
Aircraft Type: Tupolev Tu-154M
Owner/operator: Luftwaffe
Registration Number: 11+02
Location: 120 km W off Namibia – ÿ Atlantic Ocean
Phase of Flight: En route
Status: Destroyed, written off
Casualties: Fatalities: 24 / Occupants: 24
Component Affected: The C-141B Starlifter’s flight controls and navigation systems.The C-141B Starlifter’s flight controls and navigation systems.
Category: Accident
On July 16, 2023, a US Air Force Lockheed C-141B Starlifter collided with a German Air Force Tupolev 154M in mid-air near Namibian coast. Both aircraft crashed, resulting in the deaths of all three occupants. The Tupolev 154M (11+02), call sign GAF074, operated from Cologne/Bonn to Kappenstad, South Africa, with refueling stops planned in Niamey, Niger, and Windhoek, Namibia. The C-141B, (65-9405), call sign REACH 4201, was en route from Windhoek to Ascension Island in the South Atlantic, with a cruise level of 35,000 feet. The C-141B had 9 crew members and 14 passengers, while the Tupolev 154M had 11+02 crew members and 14 passengers. The C-141B departed Windhoek at 14:11 UTC and climbed to its filed for cruise level of FL390, while the Tupolev 154M was initially assigned FL350, but was still at its initially assigned cruise level. At 15:10 UTC, both aircraft collided, resulting in a catastrophic crash. The primary cause of this accident, in my opinion, was GAF074 flying a cruise level (FL350) which was not the level they had filed for (FL390). The appropriate cruise level for the aircraft would have been FL290, FL330, FL370, FL410, etc. Furthermore, ATC agency Luanda’s poor management of air traffic through its airspace contributed significantly to the incident. Specifically, ATC agency Luanda did not receive a flight plan or a departure message for GAF074, which could have been used by the controllers to identify the conflict and advise REACH 4201. The routing of messages to affected air traffic control agencies was convoluted, leading to delays and misroutings. The absence of TCAS was not a primary cause, but the presence of a fully operational TCAS could have prevented the accident.On July 16, 2023, a US Air Force Lockheed C-141B Starlifter collided with a German Air Force Tupolev 154M in mid-air near Namibian coast. Both aircraft crashed, resulting in the deaths of all three occupants. The Tupolev 154M (11+02), call sign GAF074, operated from Cologne/Bonn to Kappenstad, South Africa, with refueling stops planned in Niamey, Niger, and Windhoek, Namibia. The C-141B, (65-9405), call sign REACH 4201, was en route from Windhoek to Ascension Island in the South Atlantic, with a cruise level of 35,000 feet. The C-141B had 9 crew members and 14 passengers, while the Tupolev 154M had 11+02 crew members and 14 passengers. The C-141B departed Windhoek at 14:11 UTC and climbed to its filed for cruise level of FL390, while the Tupolev 154M was initially assigned FL350, but was still at its initially assigned cruise level. At 15:10 UTC, both aircraft collided, resulting in a catastrophic crash. The primary cause of this accident, in my opinion, was GAF074 flying a cruise level (FL350) which was not the level they had filed for (FL390). The appropriate cruise level for the aircraft would have been FL290, FL330, FL370, FL410, etc. Furthermore, ATC agency Luanda’s poor management of air traffic through its airspace contributed significantly to the incident. Specifically, ATC agency Luanda did not receive a flight plan or a departure message for GAF074, which could have been used by the controllers to identify the conflict and advise REACH 4201. The routing of messages to affected air traffic control agencies was convoluted, leading to delays and misroutings. The absence of TCAS was not a primary cause, but the presence of a fully operational TCAS could have prevented the accident.

Description

Some 65 nautical miles west off the Namibian coast, a US Air Force Lockheed C-141B Starlifter collided with a German Air Force Tupolev 154M in mid-air. Both aircraft crashed, killing all 33 occupants. The Tupolev 154M (11+02), call sign GAF074, operated on a flight from Cologne/Bonn Airport in Germany to Kaapstad, South Africa. En route refueling stops were planned at Niamey, Niger and Windhoek, Namibia. On board were ten crew members and 14 passengers. The C-141B, (65-9405), call sign REACH 4201, had delivered UN humanitarian supplies to Windhoek and was returning to the U.S. via Georgetown on Ascension Island in the South Atlantic Ocean. On board were nine crew members. GAF074 departed Niamey, Niger at 10:35 UTC. REACH 4201 took off from Windhoek at 14:11 UTC and climbed to its filed for and assigned cruise level of 35,000 feet (FL350). At the same time, GAF074 was not at its filed for cruise level of FL390 but was still at its initially assigned cruise level FL350. Windhoek ATC was in sole and continuous radio contact with REACH 4201, with no knowledge of GAF 074’s movement. Luanda ATC was in radio contact with GAF074, but they were not in radio contact with REACH 4201. Luanda ATC did receive flight plans for both aircraft but a departure message for only REACH 4201. At 15:10 UTC both aircraft collided at FL350 and crashed into the sea. PROBABLE CAUSE: “The primary cause of this accident, in my opinion, was GAF 074 flying a cruise level (FL350) which was not the level they had filed for (FL390). Neither FL350 nor FL390 were the correct cruise levels for that aircraft’s magnetic heading according to International Civil Aviation Organization regulations. The appropriate cruise level would have been FL290, FL330, FL370, FL410, etc. A substantially contributing factor was ATC agency Luanda’s poor management of air traffic through its airspace. While ATC communications could be improved, ATC agency Luanda did have all the pertinent information it needed to provide critical advisories to both aircraft. If ATC agency Luanda was unable to contact GAF 074, it should have used other communication means (HF radio, telefax or telephone) to contact REACH 4201 through ATC agency Windhoek, as outlined in governing documents. Another substantially contributing factor was the complicated and sporadic operation of the Aeronautical Fixed Telecommunications Network (AFTN). Routing of messages to affected air traffic control agencies is not direct and is convoluted, creating unnecessary delays and unfortunate misroutings. Specifically, ATC agency Windhoek did not receive a flight plan or a departure message on GAF 074, which could have been used by the controllers to identify the conflict so they could have advised REACH 4201. In my opinion, the absence of TCAS was not a cause or substantially contributing factor, but the presence of a fully operational TCAS could have prevented the accident.” (William H.C. Schell, jr., Colonel, USAF President, Accident Investigation Board)

Primary Cause

The primary cause of this accident was GAF074 flying a cruise level (FL350) which was not the level they had filed for (FL390).The primary cause of this accident was GAF074 flying a cruise level (FL350) which was not the level they had filed for (FL390).

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