Investigation number
200300418
Occurrence date
Location
Darwin Airport
Report release date
Report status
Final
Investigation type
Occurrence Investigation
Investigation status
Completed
Aviation occurrence type
Runway excursion
Occurrence category
Serious Incident
Highest injury level
None

Operator

Following this incident, the aircraft operator standardised approach procedures across all aircraft types in their mainline fleet.

Recommendation

The aircraft's deviation from the runway centreline during the final stages of the flight was undetected and uncorrected by the pilot. This could indicate that the visual cues available during the final stages of flight were insufficient for the pilot to safely land the aircraft. Significantly, the pilot did not recognise that those visual cues had diminished to such a point where he was unable to control the lateral position of the aircraft over the landing runway.

Accordingly, the Australian Transport Safety Bureau makes the following recommendation.

Recommendation R20040090: Department of Defence

The Australian Transport Safety Bureau recommends that the Department of Defence (airport infrastructure owner) and Darwin International Airport Pty Ltd (civilian facilities operator) consider installation of centreline lighting and touchdown zone lighting, consistent with CASA recommended practices on runways wider than 50 m.

Aircraft Details
Departure point
Adelaide, SA
Destination
Darwin, NT
Model
737
Serial number
24296
Registration
VH-TJB
Operation type
Air Transport High Capacity
Damage
Minor
Manufacturer
The Boeing Company
Departure time
1922 hours CST
Crew Details
Class of Licence
Hours on Type
8929
Hours Total
17906
Hours on Type
41
Hours Total
5310