The ATSB is satisfied that the action taken by Qantas addresses this safety issue.
Safety issue description
Although Qantas provided detailed guidance to flight crews about the content of departure and approach briefings, it did not specifically require aerodrome hot spots to be briefed.
Qantas Airways Limited
01 October 2020
As a result of this occurrence, Qantas advised the ATSB it initiated the following safety actions:
On 16 May 2018 it published a safety information notice to all pilots, which contained information about the background of runway incursions, details of two recent runway incursion occurrences, and safety educational information related to influencing factors, stop bar techniques and strategies to avoid a runway incursion.
On 6 June 2018 it issued Flight Standing Order (Operations) 048/18 to pilots, which communicated a policy update to its Flight Administration Manual (FAM) stating flight crew were to brief on relevant charted hot spots in their departure and arrival and approach briefings to mitigate against the possibility of collision or runway incursion.
On 11 March 2019, updated the Flight Administration Manual to include the following in the ‘contingency planning’ requirements for both departure briefings and arrival and approach briefings: ‘brief contingency plans for all threats assessed as requiring crew management, including aerodrome hot spots’.