Loss of separation involving a Cessna 150M, VH-ILL and Boeing 737-376, VH-TAH, 27 km north-west of Canberra, New South Wales, on 6 May 1993

199301229

Summary

Circumstances

The Canberra air traffic control approach and departures functions were being performed by one controller because of the low traffic density. VH-ILL departed Canberra for the local training areas and intended to transit at 4,000 feet which was the normal altitude for such transit. The approach/departures controller had a flight progress strip and notated this altitude on the strip in the normal manner.

The pilot of VH-ILL then requested a climb to 5,000 feet which was approved as there was no conflicting traffic. The flight progress strip was annotated correctly with this change.

At this time air traffic levels were increasing and it was decided to separate the approach and departures functions. During this transition, control of VH-ILL was taken over by the oncoming departures controller who was given the flight progress strip. The approach controller then replaced this conflict alert tool with another, a red plastic rectangle referred to as a "shrimp boat", which was placed on the radar screen to indicate that there was traffic en route to the training areas. However the controller did not notate an altitude on this shrimp boat.

VH-TAH was arriving at Canberra from Sydney and the approach controller was radar vectoring that aircraft for an approach to runway 35. During this vectoring process the controller descended VH-TAH to 5,000 feet without providing horizontal separation with VH-ILL. The radar screens at Canberra do not show Secondary Surveillance Radar [SSR] Mode C altitude readout, and the controller evidently forgot the height of VH-ILL.

The aircraft came within half a nautical mile and 300 feet of each other. The required separation standard is five nautical miles or 1,000 feet.

Significant Factors

1.The approach controller gave up his main conflict alert reminder when he passed the flight progress strip to the oncoming departures controller.

2.The approach controller did not notate the altitude assigned to VH-ILL on the red shrimp boat.

3. SSR Mode C altitude information is not available at Canberra.

Safety Action

Deficiencies were identified during this investigation and appropriate safety recommendations are being formulated.

Occurrence summary

Investigation number 199301229
Occurrence date 06/05/1993
Location 27 km north-west of Canberra
State New South Wales
Report release date 06/10/1993
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Loss of separation
Occurrence class Incident

Aircraft details

Manufacturer Cessna Aircraft Company
Model 150M
Registration VH-ILL
Sector Piston
Operation type Flying Training
Departure point Canberra ACT
Destination Canberra ACT
Damage Nil

Aircraft details

Manufacturer The Boeing Company
Model 737-376
Registration VH-TAH
Sector Jet
Operation type Air Transport High Capacity
Departure point Sydney NSW
Destination Canberra ACT
Damage Nil