Loss of separation assurance - Boeing 737, VH-VUJ and Boeing 737, VH-VZS, 87 km south of Tamworth Airport, New South Wales, on 8 January 2012

AO-2012-008

Summary

On 8 January 2012, at about 2141 Eastern Daylight-saving time, a loss of separation assurance occurred between a Boeing Company B737-8FE, registered VH-VUJ (VUJ) and a Boeing Company B737-838, registered VH-VZS (VZS), near Tamworth Airport, New South Wales (NSW).
Both aircraft were conducting scheduled passenger services, under the instrument flight rules, with VUJ operating from Sydney, NSW to Brisbane, Queensland and VZS operating from Brisbane to Sydney. Due to weather diversions, the aircraft were operating on reciprocal tracks at the time of the occurrence.

The air traffic controller assigned VUJ climb to the same level maintained by VZS. On activation of the air traffic control system's Short Term Conflict Alert (STCA), when the aircraft were 17.5 NM (32.4 km) and 2,200 ft apart, the controller issued both flight crews instructions that ensured vertical separation was maintained in excess of the required standard and a breakdown of separation avoided.
The controller later reported feeling mentally fatigued following a shift with high complexity and workload. They had not identified the confliction before the STCA, but once aware, the controller's knowledge and application of effective compromised separation recovery techniques was integral in managing the situation.

Following the occurrence, Airservices Australia advised that compromised separation recovery refresher training would be provided to controllers again, in addition to sessions on separation assurance techniques, and that they were implementing a renovated Fatigue Risk Management System and a Normal Operations Safety Survey program.

This incident highlights the need for awareness of the effects of high workload and sustained task complexity on performance, the importance of regular breaks and implementation of strategies, such as the use of conforming levels, when able. In addition, the knowledge and application of effective compromised separation recovery techniques by air traffic controllers is integral in the management of compromised separation situations.

Occurrence summary

Investigation number AO-2012-008
Occurrence date 08/01/2012
Location 87 km South Tamworth Airport
State New South Wales
Report release date 25/06/2012
Report status Final
Investigation level Short
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Loss of separation assurance
Occurrence class Incident
Highest injury level None

Aircraft details

Manufacturer The Boeing Company
Model 737
Registration VH-VUJ
Serial number 34443
Aircraft operator Virgin Australia Airlines
Sector Jet
Operation type Air Transport High Capacity
Departure point Sydney, NSW
Destination Brisbane, Qld
Damage Nil

Aircraft details

Manufacturer The Boeing Company
Model 737
Registration VH-VZS
Serial number 39358
Aircraft operator Qantas Airways Limited
Sector Jet
Operation type Air Transport High Capacity
Departure point Brisbane, QLD
Destination Sydney, NSW
Damage Nil