Aviation safety investigations & reports

Breakdown of Co-ordination; Gold Coast Airport; VH-VQH and VH-VQV

Investigation number:
200505536
Status: Completed
Investigation completed

Summary

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On 3 November 2005, the aerodrome controller (ADC) at Gold Coast Airport, Qld issued the crew of a Boeing 717 (717) aircraft a take-off clearance following closely behind an Airbus A320 (A320) aircraft. The ADC was responsible for the initial visual separation between the two aircraft and also for providing a suitable separation standard for the Brisbane approach controller who was responsible for the overlying airspace. While the ADC was able to continue to visually separate the two aircraft after departure, he was not able to communicate this or arrange another standard, with the approach controller. The two aircraft entered the approach controller's airspace with less than the required radar separation standard and the approach controller took action by initiating a significant change in heading for the 717. There was a breakdown of co-ordination.

The pilot in command of the 717 later reported that the crew had considered the distance behind the A320 to be safe for their departure, and that the crew maintained visual contact with the A320 throughout the takeoff, departure and subsequent tracking.

Documentation available to both controllers provided guidance relating to coordination phraseology and separation responsibilities. The attempted coordination exchange did not adhere to the requirements of these documents and was continuously interrupted as a result of the workload of both controllers. The incident highlighted the need for controllers to use clear unambiguous words and phrases to ensure complete understanding of all communications, including coordination exchanges. It also highlighted the importance of tactical separation assurance which places emphasis on traffic planning and conflict avoidance, rather than conflict resolution.

As both the ADC and the crew of the 717 had continuous visual contact with the two aircraft it was unlikely that the situation would have resulted in the aircraft coming into such close proximity as to have presented any significant safety risk.

Download Final Report
[Download  PDF: 293KB]
 
 
 
General details
Date: 03 November 2005   Investigation status: Completed  
Time: 1017 EST    
Location   (show map): Gold Coast, Aerodrome    
State: Queensland   Occurrence type: Loss of separation  
Release date: 07 June 2007   Occurrence class: Airspace  
Report status: Final   Occurrence category: Incident  
  Highest injury level: None  

Aircraft 1 details

Aircraft 1 details
Aircraft manufacturer The Boeing Company  
Aircraft model 717  
Aircraft registration VH-VQH  
Serial number 55094  
Type of operation Air Transport High Capacity  
Damage to aircraft Nil  
Departure point Coolangatta, NSW  
Departure time 10:18  
Destination Williamtown, NSW  

Aircraft 2 details

Aircraft 2 details
Aircraft manufacturer Airbus Industrie  
Aircraft model A320  
Aircraft registration VH-VQV  
Serial number 2338  
Type of operation Air Transport High Capacity  
Damage to aircraft Nil  
Departure point Coolangatta, QLD  
Departure time 10:17  
Destination Sydney, NSW  
Last update 16 February 2016