Descent below minimum safe altitude involving Saab 340, VH-OLM, 9 km south Williamtown Airport, New South Wales, on 28 March 2019

AO-2019-022

Discontinuation notice

Discontinuation notice

Section 21 (2) of the Transport Safety Investigation Act 2003 (TSI Act) empowers the ATSB to discontinue an investigation into a transport safety matter at any time. Section 21 (3) of the TSI Act requires the ATSB to publish a statement setting out the reasons for discontinuing an investigation. The statement is published as a report in accordance with section 25 of the TSI Act, capturing information from the investigation up to the time of discontinuance.

Overview of the investigation

On 8 May 2019, the ATSB commenced an investigation into the descent below minimum safe altitude involving a Regional Express Saab 340B aircraft, registered VH-OLM which occurred 15 km south-west of Williamtown Aerodrome (Newcastle Airport), New South Wales, on the evening[1] of 28 March 2019, at about 1942 Eastern Daylight-saving Time.[2]

As part of the investigation, the ATSB interviewed the aircraft flight crew and Williamtown Aerodrome air traffic controllers. The operator’s Route Manual was examined for information relating to the conduct of visual approaches and specific information about the operation of flights into Williamtown. The ATSB also reviewed Airservices Australia’s requirements of the conduct of visual approaches[3] and the required segment minimum safe altitude at Williamtown Aerodrome.[4]

Air traffic control (ATC) cleared the flight crew to conduct a visual approach via a right base circuit leg to runway 12, and told the flight crew to report once they were ‘on base’. The aircraft had descended to 900 ft when the flight crew contacted ATC to report that they were on base. The controller then looked for the aircraft again and observed that the aircraft was further away than the expected position (about 4.7 NM south of the airport) and according to the radar display, below the segment minimum safe altitude. The controller then issued a safety alert and instructed the flight crew to climb. The flight crew complied with the instruction to climb. The aircraft landed without further incident.

The ATSB found the flight crew had misjudged the aircraft’s position relative to the aerodrome while conducting a night visual approach.

ATSB comment

Based on a review of the available evidence, the ATSB considered it was unlikely that further investigation would identify any systemic safety issues. Consequently, the ATSB has discontinued this investigation.

The evidence collected during this investigation remains available to be used in future investigations or safety studies. The ATSB will monitor for any similar occurrence that may indicate a need to undertake a further safety investigation.

__________

  1. The approach started five minutes before the end of nautical twilight.
  2. Eastern Daylight-saving Time (EDT) was Coordinated Universal Time (UTC) + 11 hours.
  3. Aeronautical Information Publication, 28 February 2019, Airservices Australia.
  4. DME or GNSS Arrival Procedures Williamtown, NSW (YWLM), 28 February 2019, Airservices Australia.

Occurrence summary

Investigation number AO-2019-022
Occurrence date 28/03/2019
Location 9 km south-west Williamtown Airport
State New South Wales
Report release date 25/05/2020
Report status Discontinued
Investigation level Short
Investigation type Occurrence Investigation
Investigation phase Final report: Dissemination
Investigation status Discontinued
Mode of transport Aviation
Aviation occurrence category Flight below minimum altitude
Occurrence class Incident
Highest injury level None

Aircraft details

Manufacturer Saab Aircraft Co.
Model 340B
Registration VH-OLM
Serial number 340B-205
Aircraft operator Regional Express
Sector Turboprop
Operation type Air Transport Low Capacity
Departure point Sydney, NSW
Destination Williamtown, NSW
Damage Nil