Aviation safety investigations & reports

Boeing Co 767-300ER, VH-BZI

Investigation number:
Status: Completed
Investigation completed


The crew of a Boeing 767 (B767) had been cleared to taxi for departure from runway 01, intersection "A7", at Brisbane. They proceeded along taxiway "B" then, incorrectly, initiated a turn onto taxiways "B5" and "A", which was in conflict with rapid exit taxiway "A5S". A BAe146 vacating runway 01 via "A5S", was instructed by ATC to hold short of taxiway "A" in order to avoid the B767. The crew of the BAe146, although not expecting to have to hold short of that taxiway intersection, had reduced speed to an extent that they were able to comply with the instruction.

The operator of the B767 advised that they had tried a new system of printing aerodrome charts from a computer application compact disk. However, the print format was such that the pilot in command of the B767 was not able to correctly read the notes provided on the chart with respect to taxiway routes and directions.

Safety Action

As a result of the occurrence, the B767 operator immediately replaced the aerodrome charts in the applicable aircraft with charts printed in a larger format. In addition, a briefing note was issued to crews in order to highlight the problem and to minimise the likelihood of a recurrence.

General details
Date: 04 November 2001   Investigation status: Completed  
Time: 1849 hours EST    
Location   (show map): Brisbane, Aero.    
State: Queensland    
Release date: 04 February 2002   Occurrence category: Incident  
Report status: Final   Highest injury level: None  

Aircraft 1 details

Aircraft 1 details
Aircraft manufacturer The Boeing Company  
Aircraft model 767  
Aircraft registration VH-BZI  
Type of operation Air Transport High Capacity  
Damage to aircraft Nil  
Departure point Brisbane, QLD  
Destination Sydney, NSW  
Crew details
Role Class of licence Hours on type Hours total
Pilot-in-Command ATPL

Aircraft 2 details

Aircraft 2 details
Aircraft manufacturer British Aerospace PLC  
Aircraft model BAe 146  
Aircraft registration VH-YAD  
Serial number E2097  
Type of operation Air Transport High Capacity  
Damage to aircraft Nil  
Departure point Canberra, ACT  
Destination Brisbane, QLD  
Last update 13 May 2014