Aviation safety investigations & reports

Lockheed Aircraft Corp L-1011, HS-LTA

Investigation number:
199804358
Status: Completed
Investigation completed

Summary

The Lockheed "Tristar" was cleared to depart from Melbourne on a runway 16 RADAR FOUR standard instrument departure (SID). Following departure, the pilot turned right onto a heading of 300 degrees at the upwind end of the runway. The SID required the crew to maintain the aircraft on a heading of 160 degrees until 4NM from the airport, before taking up its assigned heading. There was no breakdown in separation standards.

There have been a significant number of similar occurrences involving this particular SID. Airservices Australia are presently discussing the layout of the relevant operational charts with Jeppesen, in order to reduce the potential for misinterpretation of the charts.

Safety Action

As a result of this occurrence, the Bureau of Air Safety Investigation is currently monitoring a perceived safety deficiency. The deficiency relates to the layout of flight documents for Melbourne international airport.

Since this occurrence, Airservices Australia has approached Jeppesen on the matter. As of 4 December 1998, Jeppesen has changed the layout of the Melbourne 16 RADAR FOUR instrument departure plate in order to reduce the potential for confusion.

General details
Date: 15 October 1998   Investigation status: Completed  
Time: 0830 hours EST    
Location   (show map): Melbourne, Aero.    
State: Victoria    
Release date: 15 July 1999   Occurrence category: Incident  
Report status: Final   Highest injury level: None  

Aircraft details

Aircraft details
Aircraft manufacturer Lockheed Aircraft Corp  
Aircraft model L-100  
Aircraft registration HS-LTA  
Type of operation Air Transport High Capacity  
Damage to aircraft Nil  
Departure point Melbourne, VIC  
Departure time 0830 hours EST  
Destination Den Pasar, INDONESIA  
Last update 13 May 2014