Aviation safety investigations & reports

Runway incursion involving Boeing 737, VH-XZM, and subsequent rejected take-off involving Boeing 737, VH-VZL, at Perth Airport, Western Australia, on 28 April 2018

Investigation number:
AO-2018-032
Status: Active
Investigation in progress

Summary

Update: 28 April 2020

The investigation into the runway incursion involving Boeing 737, VH-XZM, and subsequent rejected take-off involving Boeing 737, VH-VZL, at Perth Airport, Western Australia, on 28 April 2018 is nearing completion with the report currently in the ‘Final Report: Internal Review’ phase.

ATSB final investigation reports communicate important safety issues, actions and information, and provide transparency into the ATSB investigation process. ATSB reports undergo a rigorous internal review process to ensure the report adequately and accurately reflects the evidence collected, analysis, and agreed findings of the internal Safety Factor Review. Final investigation reports also undergo other technical and administrative reviews to ensure the reports meet national and international standards for transport safety investigations.

Following the internal review process, to check factual accuracy and ensure natural justice, Directly Involved Parties (DIPs) are then given the opportunity to comment on the final report before it is approved to ensure their input has been accurately reflected.

DIPs are individuals or organisations outside the ATSB who possess direct knowledge of the circumstances surrounding the incident or accident. DIPs are provided from five to 28 days to provide their comment and present evidence in support of their comments. This timeframe can be extended to allow DIPs based overseas to provide comment.

ATSB investigators have so far gathered and analysed information from multiple sources, including but not limited to:

  • Flight crews and air traffic controllers.
  • Recorded aircraft and air traffic control (ATC) radar data.
  • Recorded communication between flight crews and ATC.

Refer to the General details table below for the anticipated completion date.

 



Initial summary

The ATSB is investigating a runway incursion at Perth Airport on 28 April 2018, which resulted in another aircraft having to conduct a rejected take-off.

VH-XZM, a Boeing 737, landed on runway 03 and exited the runway on taxiway Juliet 2 (J2). The flight crew was required to hold short of runway 06. The aircraft passed the holding point, and stopped just past the holding point.

VH-VZL, another Boeing 737, was departing on runway 06 and had commenced its take-off roll. The controller instructed the flight crew to stop immediately. The flight crew conducted a rejected take-off and the aircraft stopped on the runway near taxiway J2. They were then instructed to vacate the runway at taxiway Alpha (A).

The area where the incident occurred is annotated on the En Route Supplement Australia (ERSA) as a runway incursion ‘hot spot’. The holding point on taxiway J2 prior to runway 06 is marked with a runway stop bar.

As part of the investigation, the ATSB will interview the flight crews and controllers on duty in the Perth control tower, examine recorded data from both aircraft and radar, review recorded communications between the flight crews and air traffic control, and gather other relevant information.

A final report will be released at the conclusion of the investigation. Should a critical safety issue be identified during the course of the investigation, the ATSB will immediately notify relevant parties so appropriate safety action can be taken.

General details
Date: 28 April 2018   Investigation status: Active  
Time: 14:42 WST   Investigation level: Defined - click for an explanation of investigation levels  
Location   (show map): Perth Airport   Investigation phase: Final report: Approval  
State: Western Australia   Occurrence type: Runway incursion  
  Occurrence category: Serious Incident  
Report status: Pending   Highest injury level: None  
Anticipated completion: 4th Quarter 2020    

Aircraft 1 details

Aircraft 1 details
Aircraft manufacturer The Boeing Company  
Aircraft model 737-838  
Aircraft registration VH-XZM  
Serial number 44574  
Operator Qantas Airways  
Type of operation Air Transport High Capacity  
Sector Jet  
Damage to aircraft Nil  
Departure point Sydney, NSW  
Destination Perth, WA  

Aircraft 2 details

Aircraft 2 details
Aircraft manufacturer The Boeing Company  
Aircraft model 737-838  
Aircraft registration VH-VZL  
Serial number 34194  
Operator Qantas Airways  
Type of operation Air Transport High Capacity  
Sector Jet  
Damage to aircraft Nil  
Departure point Perth, WA  
Destination Sydney, NSW  
Last update 16 September 2020