Jump to Content
Download Final Report
[ Download PDF: 15KB]
A Cessna Conquest, VH-LBY was flying at FL240 from Plutonic to Perth via the Meekatharra and Mount Magnet radio navigation aids. A BAE 146, VH-NJZ was flying at FL250 from Perth to Paraburdoo via the Rusty reporting point and the Meekatharra aid. A second Conquest, VH-NFD was tracking to Mount Magnet, also via Rusty and the Meekatharra aid at FL250. At 0931, the pilot of LBY requested a climb to FL260 but the sector air traffic controller advised that the level was unavailable due to opposite direction traffic, (a second BAe 146, VH-NJN). VH-NJN was behind NJZ at the non-standard level of FL260. The Sector controller then cleared NJN to climb to the standard FL270. At 0935, the controller cleared LBY to climb to FL260 with a requirement for the aircraft to achieve the level by 0940. Approximately 1 minute later, the controller apparently recognised that a breakdown in separation may be possible between LBY and NJZ. He requested a level check from the pilot of LBY that indicated that the aircraft were vertically separated by 300 ft. He did not issue traffic information to either aircraft. Soon after, the pilot of NJZ requested the position of LBY and the aircraft were 17 NM apart and closing. The controller then instructed LBY to expedite the climb. Three seconds later, the pilot of LBY reported maintaining FL260. The pilot of NJZ subsequently reported that he had calculated a time of passing with LBY of 0940 and when he heard LBY was cleared to climb, he began an immediate visual scan of the area ahead and turned the aircraft's landing lights on. The pilot of NJZ reported that approximately 1 minute after the pilot of LBY reported maintaining FL260, he sighted LBY. The pilot of LBY reported that approximately 2 minutes after establishing FL260, he sighted NJZ passing below. A breakdown of separation had occurred because the required 10 minutes separation, based on the time the aircraft expected to pass each other, had not been achieved. The aircraft had not been issued with the required traffic information when the controller became aware that the aircraft were in unsafe proximity to each other. Whilst the controller had 3 sectors combined at the time of the incident, the workload was reported as being light to moderate and not considered excessive. Personnel were available to provide assistance if requested and evidence indicated that the controller was not under pressure at the time of the incident. The controller had not calculated a time of passing between LBY and NJZ because the aircraft were to be separated by 1,000 ft and were not in conflict. The controller's requirement for LBY to reach FL260 by 0940 was 10 minutes before the calculated time of LBY passing NFD, therefore, it is likely that the calculated separation requirement was based on LBY's passing of NFD, not NJZ. The controller appears to have been preoccupied with ensuring separation between LBY and NFD. Therefore, he overlooked separation requirements with NJZ. This oversight subsequently led to a breakdown in separation between NJZ and LBY.
Download Final Report
[ Download PDF: 15KB]
General details
Date: 16 November 1997 Investigation status: Completed 
Time: 17:35 WST  
 Investigation type: Occurrence Investigation 
 Occurrence type: Loss of separation 
Release date: 13 February 1998 Occurrence class: Airspace 
Report status: Final Occurrence category: Incident 
Aircraft 1 details
Aircraft manufacturer: British Aerospace PLC 
Aircraft model: BAe 146-100 
Aircraft registration: VH-NJZ 
Sector: Jet 
Damage to aircraft: Nil 
Departure point:Perth WA
Destination:Paraburdoo WA
Aircraft 2 details
Aircraft manufacturer: Cessna Aircraft Company 
Aircraft model: 441 
Aircraft registration: VH-LBY 
Sector: Turboprop 
Damage to aircraft: Nil 
Departure point:Plutonic WA
Destination:Perth WA
Share this page Provide feedback on this investigation
Last update 28 October 2014