Investigation number
199700506
Occurrence date
Location
24 km north of Sydney Aerodrome
State
New South Wales
Report release date
Report status
Final
Investigation type
Occurrence Investigation
Investigation status
Completed
Aviation occurrence category
Loss of separation
Occurrence class
Incident

FACTUAL INFORMATION

A Piper Chieftain registered as VH-HVA (HVA) had been flight planned to operate a flight from Maitland to Sydney at 6,000 ft. Another Chieftain registered VH-TXK from the same company was planned to conduct a flight from Gunnedah to Sydney at 7,000 ft. There was approximately 15 degrees between the inbound tracks of the two flights and their respective flight times and estimated time of departures indicated that they would arrive at Sydney at about the same time.

The two aircraft departed and were approaching Sydney when the pilot of HVA reported his position to the Departures North controller (DEPN). The pilot advised that the aircraft was 44 NM north of Sydney, and he was requesting an airways clearance. The secondary surveillance radar (SSR) transponder replies for HVA were not being received and that aircraft was not displayed on the DEPN radar display. DEPN misheard the transmission and assumed that the clearance request was from the pilot of TXK, which was displayed on the controller's radar display. The radar display indicated that this aircraft was 60 NM to the north-west of Sydney. This was a difference of 16 NM from the distance reported. DEPN issued a clearance for TXK to enter controlled airspace at 7,000 ft. The pilot of HVA believed this clearance was in response to his request and acknowledged the clearance but incorrectly read back the level as 6,000 ft. DEPN did not challenge the read back by the pilot of the incorrect level.

Approximately two minutes later, the pilot of TXK requested from DEPN a clearance to enter controlled airspace. DEPN re-issued the clearance at 7,000 ft. The pilot of that aircraft correctly read back the clearance.

The flow controller was concerned that HVA was not being displayed on the radar and requested the DEPN controller to attempt to contact that aircraft. DEPN transmitted to HVA and after receiving a reply from the pilot, requested the latter to change the aircraft's transponder code. This new code was observed on the display approximately 13 NM north of Sydney and 2.2 NM from the symbol for another aircraft at 6,000 ft. The required horizontal separation standard was 3 NM. There was a breakdown of separation.

The Sydney terminal radar consists of two radar systems; a primary radar with a range of 50 NM and an SSR which has a range of 250 NM. Consequently, aircraft with an inactive or unserviceable SSR transponder more than 50 NM from Sydney airport were not displayed. Pilots were required to check that an aircraft transponder was receiving and replying to an SSR. The pilot of HVA checked the transponder in flight and believed that the system was operating as he approached Sydney controlled airspace.

The callsigns of the two aircraft were distinctly different but some transmissions were truncated or clipped which made reception of the broadcasts difficult.

One of the methods available to a controller to identify an aircraft on radar was to correlate the observed and reported positions. When using this method a controller was required to ensure that the observed position was within the navigation tolerance of the reported position. The DEPN controller had other means available to him to identify an aircraft on radar. The investigation was unable to identify the radar identification method used by the controller.

ANALYSIS

The DEPN controller missed an opportunity to confirm the identification of the aircraft requesting a clearance when he did not correlate the observed radar position, of what he believed was TXK, with the actual position provided by the pilot of HVA. The difference between the positions was approximately 16 NM. This disparity in the positions could have alerted the controller to the possibility of a misidentification. However, the controller did not use this information to assist in the identification of the aircraft.

The pilot of HVA had an expectation of receiving a clearance from DEPN following his request. This expectation led him to believe that the clearance issued was for his aircraft, despite the clearance being prefixed with a different callsign and not at his planned level.

The pilot's subsequent read back of the incorrect level was not recognised by DEPN and the misidentification of the aircraft remained undetected.

The reason for DEPN not observing and querying the primary radar symbol from HVA was not ascertained. Similarly, the reason for the eventual operation of HVA's transponder was not ascertained.

SIGNIFICANT FACTORS

1. DEPN did not observe the primary radar symbol from HVA while the aircraft was within 50 NM of Sydney.

2. The SSR label for the HVA was not displayed on the controller's radar.

3. The controller did not correlate the pilot position report of HVA with the observed radar position on the display.

4. The pilot of HVA acknowledged and read back the clearance incorrectly.

5. DEPN did not challenge the incorrect level read back from the pilot of HVA.

Aircraft Details
Manufacturer
Piper Aircraft Corp
Model
PA-31-350
Registration
VH-HVA
Operation type
Air Transport Low Capacity
Sector
Piston
Departure point
Maitland NSW
Destination
Sydney NSW
Damage
Nil
Aircraft Details
Manufacturer
Piper Aircraft Corp
Model
PA-31-350
Registration
VH-TXK
Operation type
Air Transport Low Capacity
Sector
Piston
Departure point
Unknown
Destination
Sydney NSW
Damage
Nil