Procedures related event - Boeing 777-31H/ER, A6-EGG, Melbourne Airport, Victoria, on 30 November 2011

AO-2011-161

Summary

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 take-off on runway 16.

The crew believed that the runway lights were on a low setting and conducted the take-off. 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.

Aviation Short Investigation Bulletin - Issue 11

Occurrence summary

Investigation number AO-2011-161
Occurrence date 30/11/2011
Location Melbourne Airport
State Victoria
Report release date 03/08/2012
Report status Final
Investigation level Short
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category ANSP info/procedural error
Occurrence class Incident
Highest injury level None

Aircraft details

Manufacturer The Boeing Company
Model 777
Registration A6-EGG
Serial number 41070/965
Sector Jet
Operation type Air Transport High Capacity
Damage Nil