Aviation safety investigations & reports

Beech Aircraft Corp A36, VH-EUB

Investigation number:
200004914
Status: Completed
Investigation completed

Summary

The pilot of the Beechcraft Bonanza was conducting a Global Positioning System (GPS) instrument approach into Lilydale from waypoint "charlie" which was located 15 NM north of Lilydale. As the pilot approached waypoint "India", a position 5 NM south of "charlie", the controller advised the pilot that he was two and a half miles east of "charlie". When the pilot advised that he was just passing waypoint "india", the controller responded that he was not and that he was, in fact, two and a half miles east of "charlie".

The pilot decided not to follow the controllers information and conducted a missed approach. Just as the pilot commenced the missed approach procedure, he became visual and was able to visually establish that his position was accurate and, as he expected, on the GPS approach track. The pilot continued the approach visually.

The pilot later reported that he had checked all of the available information and had verified that he was tracking via the correct GPS track. When the controller advised him that he was 2.5 NM east of "charlie" the GPS indications were within 0.13 NM of waypoint "india". The pilot reported that he checked the GPS function with an accompanying pilot and found no error.

The investigation revealed that the controller had never seen this approach being flown in instrument meteorological conditions before. In an attempt to educate himself about the Lilydale GPS approach, the controller used the bearing and range line to graphically display the last two positions of the approach on the air situation display. The controller misread the approach plate and displayed incorrect waypoints on the air situation display. The controller used this incorrect display to provide positional information to the pilot.

Following this occurrence, Airservices Australia developed an electronic selectable map, based on verified data, available on the air situation display to display all of the waypoints associated with the Lilydale, Moorabbin and Avalon GPS approaches.

General details
Date: 26 October 2000   Investigation status: Completed  
Time: 1855 hours EST    
Location   (show map): Lilydale, (ALA)    
State: Victoria   Occurrence type: ANSP info/procedural error  
Release date: 03 August 2001   Occurrence category: Incident  
Report status: Final   Highest injury level: None  

Aircraft details

Aircraft details
Aircraft manufacturer Beech Aircraft Corp  
Aircraft model 36  
Aircraft registration VH-EUB  
Serial number E-251  
Type of operation Business  
Damage to aircraft Nil  
Departure point Shepparton, VIC  
Departure time 1800 EST  
Destination Lilydale, VIC  
Last update 13 May 2014