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ATC Failure 28 August 2023

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LNW-GW Joint

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The independent report on this major ATC outage has been published.
It led to many cancellations and delays as a result of ATC being only able to operate in manual mode, around 10% of normal, for a period of 6 hours.
Apart from being very interesting of itself, it is relevant to other major transport outages such as major rail incidents.

The incident was not under the control of airlines, so while the duty of care provisions for delay and cancellation under EU261 were applicable (eg rebooking, refreshments, accommodation), the wider compensation provisions were not.
The customer impact was considerable, with 700K passengers affected by cancellations and delays over several days, despite the original problem being fixed in 6 hours.
The report has few statistics on customer impact, as it proved impossible to obtain the details from the airlines.
As a result the examples given are largely from the media coverage of the event.
Overall, it's estimated that the event cost to the industry was between £75-100 million.
It isn't clear what the total cost to the passengers were; some are still waiting for reimbursement of costs.

Another interesting snippet was that the software in question was from Austrian/German firm Frequentis Comsoft.
The specific issue on the day was the presentation of flight plans including two waypoints with the identical code DVL.
DVL refers to Deauville in France, which was the one intended for the Los Angeles-Paris flight in question, but is also the code for Devil's Lake, North Dakota.
The clash caused the ATC software to go into maintenance mode, and the backup system did the same 20 seconds later.
The software supplier was able to remove the offending flight plan to allow the resumption of full ATC service.


The impact of the failure was considerable. The CAA has estimated that there were over 700,000 passengers and others who were affected by the failure, often for several days, and this had considerable financial and emotional consequences for them. The Panel has commissioned consumer research which describes some of the experiences of passengers, and this is published alongside this report. In pursuing its work, the Panel has been motivated to draw lessons from the incident which may help the prevention of future incidents, or at least to reduce the scale of the impact on consumers, airlines, airports, and others should they occur. Based on the information provided by the airlines most affected by the incident, the Panel has estimated that the costs to airlines were approximately £65m. In addition, substantial costs were incurred by passengers, airports, tour operators, insurers, and others. The Panel was unable to accurately quantify these costs. It is likely that the total cost was in the region of £75m to £100m.
 
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ctrh136

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Looks like it was a FrenchBee flight most likely though obviously that's not who was to blame!
 

YorkRailFan

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Ryanair has called on Louise Haigh for urgent action following the CAA's report:
Ryanair, the UK’s no.1 airline, today (14 Nov) called on new Transport Minister, Louise Haigh, to take urgent action to reform the UK’s hopeless ATC service, after the CAA today published its final report on NATS’ ATC system collapse on 28Aug 2024, which confirms:

Inadequate contingency measures: NATS claimed “there is operational contingency available to allow safe service to continue through the ability to input flight data manually”, yet the CAA now confirms there were 7 manually operated terminals available for data entry on the day of the ATC system collapse but NATS staff were “not trained to enter flight plans”.
NATS staff not rostered: NATS engineers not available on site due to “the bank holiday” and they took more than 1½ hours to arrive on-site.
NATS failed to take action: NATS took 4 hours to escalate the system failure to manufacturers, who were able to fix the issue in 30 mins. Why were NATS so slow to react?
NATS failed to notify stakeholders: despite the systems failing at 08:32, NATS did not notify Eurocontrol until 10:43 (over 2hrs later) leaving its customer airlines, passengers, and airports to find out about the NATS collapse from Sky News and BBC TV.
While Ryanair welcomes the CAA’s findings and comments that NATS system collapse “caused considerable distress to over 700,000 aviation passengers and resulted in substantial costs to airlines and airports”, Ryanair rejects NATS’ claim that it has “acted to address a number of findings arising from its own internal investigation after the incident”. After NATS’ system collapse in Aug 2023, NATS CEO, Martin Rolfe falsely claimed it was a “1-in-15 million tech glitch”, yet 3 months later (on 9th Dec) the Gatwick ATC system collapsed again, delaying hundreds of flights and thousands of passengers travelling to/from Gatwick. This was followed by repeated NATS staff shortages in Summer 2024 causing more avoidable disruptions to airlines and passengers throughout the UK.

Ryanair’s Michael O’Leary said:

“UK Transport Minister, Louise Haigh, must now take immediate action to fix NATS hopeless service, and reform UK ATC so that airlines and passengers can avoid further delays/disruptions at the hands of NATS. She should start by sacking NATS overpaid (£1.5m p.a.) and underperforming CEO, Martin Rolfe, and get someone competent to reform and run the UK’s ATC services.”

Always trust O'Leary to make a public statement about anything like this, he's been calling for Rolfe's sacking for over a year now, and submitted a similar letter to Mark Harper when he was Transport Secretary.
 

Cloud Strife

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Always trust O'Leary to make a public statement about anything like this, he's been calling for Rolfe's sacking for over a year now, and submitted a similar letter to Mark Harper when he was Transport Secretary.

The thing with O'Leary is that he's rarely wrong about these things. Ryanair's entire business model is based around keeping planes flying, and NATS taking 4 hours to inform their software supplier is really unacceptable.

His language might be blunt, but his criticism is almost always to the point.
 
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