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At about 0349 Eastern Daylight-saving Time, the Melbourne aerodrome controller cleared an Emirates Airlines, Boeing Company 777-31H/ER aircraft registered A6-EGG for takeoff on runway 16.

The crew believed that the runway lights were on a low setting and conducted the takeoff. Once airborne the pilots advised the approach controller that they believed that the lights were on a low intensity. A subsequent check of the airport lighting system revealed that runway 16 lights were turned off.

Had the crew queried the status of the runway lights, the aerodrome controller would have been able to identify that they had not been turned on as believed and corrected the situation.

This incident highlights the potential hazards associated with skill based human error and the need for increased vigilance when working in isolation in a safety critical environment.

Airservices Australia, advised the ATSB that they were in the process of standardising the operation of runway lighting controls at Towers and would propagate a national ATC instruction pending the related change effective 28 June 2012.

Download Final Report
[ Download PDF: 3.57MB]
 
 
 
 
General details
Date: 30 November 2011 Investigation status: Completed 
Time: 0349 EDT Investigation type: Occurrence Investigation 
Location   (show map):Melbourne Airport Occurrence type:ANSP info/procedural error 
State: Victoria Occurrence class: Airspace 
Release date: 03 August 2012 Occurrence category: Incident 
Report status: Final Highest injury level: None 
 
Aircraft details
Aircraft manufacturer: The Boeing Company 
Aircraft model: 777 
Aircraft registration: A6-EGG 
Serial number: 41070/965 
Type of operation: Air Transport High Capacity 
Damage to aircraft: Nil 
 
 
 
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Last update 15 November 2016