Aviation safety investigations & reports

Cessna Aircraft Company 310R, VH-COQ

Investigation number:
200004082
Status: Completed
Investigation completed

Summary

Darwin air traffic control was using runway 29 as the primary runway. Two BAe Hawk aircraft were approved to depart in the opposite direction from runway 11. A Cessna 310 (C310) had departed from runway 29 prior to the Hawks and was climbing through 3,500 ft while tracking on the 107 radial of the Darwin VOR navigation aid.

The planner controller had coordinated the clearance from runway 11 with the approach controller, who was performing both the departure and approach control functions. However, the flight strip indicated that the Hawks would depart from runway 29. As the aircraft became airborne the error was detected, but the pair were quickly closing on the C310. Traffic information was not passed to any of the crews and the aircraft came within 1.5NM of each before the Hawks had established themselves 1,000 ft above the altitude of the C310. There was an infringement of separation standards, which required a minimum of 3 NM horizontally or 1,000 ft vertically.

The investigation revealed that the planner controller had carried out the correct coordination but had incorrectly written runway 29 on the flight strip for the Hawks. When the aerodrome controller coordinated the correct information to the approach controller (using the phraseology "next runway one one"), the approach controller was not alerted by the words "one one". Consequently, the approach controller issued an instruction for the Hawks to depart on runway heading still believing them to be using runway 29.

When the pilots of the Hawks made radio contact with the approach controller after departure, the controller chose to not initiate evasive action as the rate of climb of the Hawks was far greater than that of the C310, and they had already reached the altitude of the C310. This decision was taken at a time when the horizontal separation had reduced to less than the 3 NM standard. The controller believed that the time taken to issue, and have the pilots respond to, a turn instruction would take longer to attain a horizontal standard than allowing the climb to continue until the vertical standard was achieved.

Safety Action

As a result of the investigation, the Royal Australian Air Force Base Darwin Standard Operating Procedures have been amended to ensure that the planner controller highlights any non-duty runway on the flight strip and obtains prior approval from the approach/departures controller for such a departure.

General details
Date: 02 September 2000   Investigation status: Completed  
Time: 0927 hours CST    
Location   (show map): 6 km ESE Darwin, Aero.    
State: Northern Territory   Occurrence type: Loss of separation  
Release date: 22 May 2001   Occurrence category: Incident  
Report status: Final   Highest injury level: None  

Aircraft 1 details

Aircraft 1 details
Aircraft manufacturer Cessna Aircraft Company  
Aircraft model 310  
Aircraft registration VH-COQ  
Serial number 310R1643  
Type of operation Unknown  
Damage to aircraft Nil  
Departure point Darwin, NT  
Destination Numbulwar, NT  

Aircraft 2 details

Aircraft 2 details
Aircraft manufacturer British Aerospace PLC  
Aircraft model 127  
Aircraft registration ZJ-634  
Type of operation Military  
Damage to aircraft Nil  
Departure point Darwin, NT  
Destination Townsville, QLD  
Last update 13 May 2014