Operational non-compliance involving a Boeing 747, JA8141, 35 km south-south-east of Cairns Aerodrome, Queensland, on 22 June 1996

199601975

Summary

A foreign registered Boeing 747 was proceeding from Brisbane Qld to Cairns Qld, via airway H106. The flight was being conducted as a check flight. As the aircraft was being processed for arrival, the crew were cleared to descend to 6,500 ft, which the crew confirmed in their first contact with Cairns Approach. The aircraft's progress was being monitored by Air Traffic Control (ATC) on radar.

ATC instructed the aircraft to expect a left circuit for runway 15 with further descent in 14 track miles. The crew read back "...14 track miles". Shortly after, the controller observed the aircraft's Mode C SSR readout indicating 5,300 ft at 19 NM from Cairns. The radar lowest safe altitude in this sector was 4,400 ft. The crew were instructed to maintain 5,500 ft. Subsequently, the crew reported that the aircraft was clear of cloud and that they had sight of the surrounding terrain.

ATC processed the aircraft via a left circuit for runway 15 at Cairns without further incident.

During the investigation the crew reported that they understood the ATC instruction "further descent in 14 track miles" to mean that they were cleared to descend to 4,500 ft at 14 DME Cairns on a DME arrival. The crew also stated that ATC "was a little bit difficult to understand". Regardless of this perceived difficulty, the crew did not seek confirmation of the ATC instruction.

The recording of the communication between ATC and the aircraft confirmed that prior to this incident no further descent instructions were passed to the aircraft.

SIGNIFICANT FACTORS

  1. The crew misunderstood the ATC instruction "further descent in 14 track miles".
  2. The crew did not question the ATC instruction before descending below the last assigned level.

Occurrence summary

Investigation number 199601975
Occurrence date 22/06/1996
Location 35 km south-south-east of Cairns Aerodrome
State Queensland
Report release date 10/01/1997
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Operational non-compliance
Occurrence class Incident

Aircraft details

Manufacturer The Boeing Company
Model 747
Registration JA8141
Sector Jet
Operation type Air Transport High Capacity
Departure point Brisbane QLD
Destination Cairns QLD
Damage Nil