Loss of separation

Breakdown in separation involving Boeing 747-400, VH-OJG and Piper PA31-350, VH-WGG, near Mona Vale, New South Wales, on 24 November 1992

Summary

VH-WGG departed Williamtown at 0703 hours and proceeded to track via the 015 radial of the Sydney VOR at 8,000 ft. The pilot contacted the Sydney Departures North controller 28 NM from Sydney and the radar identification was passed to the Approach North controller, who raised a 'shrimp boat' (a small piece of plastic which adheres to the radar screen and allows the controller to write pertinent information on it for his/her reference) and placed it on the radar screen next to the radar return of VH-WGG.

The shrimp boat was not positionally updated nor was it annotated to indicate to which aircraft it was referring. When an aircraft passes overhead Sydney, its track impinges on all four sectors of approach/departures airspace and two flight progress strips (FPSs) are raised, one for approach use and one for departures. These FPSs are pink in colour to enable them to stand out from the other FPSs in use.

The aircraft is identified by the controller in whose airspace it enters, and the progress is then monitored by all four controllers by updating the position of their 'shrimp boats' on the radar screen and placing the pink FPS in the central (active) strip bay.

Occurrence summary

Investigation number 199200140
Occurrence date 24/11/1992
Location near Mona Vale
State New South Wales
Report release date 20/03/1994
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Loss of separation
Highest injury level None

Aircraft details

Manufacturer The Boeing Company
Model 747
Registration VH-OJG
Serial number 24779
Sector Jet
Operation type Air Transport High Capacity
Departure point Los Angeles, USA
Destination Sydney, NSW
Damage Nil

Aircraft details

Manufacturer Piper Aircraft Corp
Model PA-31
Registration VH-WGG
Serial number 31-7405175
Sector Piston
Operation type Air Transport Low Capacity
Departure point Williamtown, NSW
Destination Canberra, ACT
Damage Nil

Airspace infringement and loss of separation involving a Piper PA-28 and a Cirrus SR20, 26 NM west of Sydney, New South Wales, on 29 August 2020

Brief

Occurrence Briefs are concise reports that detail the facts surrounding a transport safety occurrence, as received in the initial notification and any follow-up enquiries. They provide an opportunity to share safety messages in the absence of an investigation.

What happened

At about 1117 Eastern Standard Time on 29 August 2020, a Piper PA-28 departed Bankstown Airport, New South Wales (NSW) for a private flight, tracking to Bathurst, NSW under the visual flight rules. After departure, the pilot of the PA-28 commenced a shallow climb with the intention of remaining clear of the Sydney control area steps. However, at approximately 26 NM west of Sydney, the pilot inadvertently entered controlled airspace without a clearance.

A short distance ahead and above the PA-28, a Cirrus SR20 was on a private flight from Bankstown Airport, NSW to Dubbo Airport, NSW under the instrument flight rules. The SR20 was on climb to 6,000 ft in class C airspace when the aircraft’s traffic advisory system alerted the pilot to the presence of the PA-28. The traffic advisory system indicated the PA-28 was climbing towards the aircraft in the 6 o’clock position relative to the SR20. The positioning of the two aircraft prevented the SR20 pilot from sighting the PA-28. The SR20 pilot queried the proximity of the PA-28 with Air Traffic Control (ATC). ATC then identified the conflict and issued a safety alert to the SR20.

At about 1127 EST, the SR20 and PA-28 came into close proximity, with separation between the two aircraft reduced to 0.8 NM laterally and 300 ft vertically. ATC made a broadcast to the unverified PA-28 informing the pilot of the airspace infringement and issuing turn instructions to regain separation. The PA-28 was observed by ATC to follow the separation instructions and commence a turn to the left. The conflict was subsequently resolved, and the PA-28 exited controlled airspace.

Safety message

This incident highlights the importance of maintaining navigational accuracy and traffic awareness when operating in close proximity to control area steps. It also illustrates the value of enhanced situational awareness provided by airborne traffic advisory systems such as that fitted to the involved Cirrus SR20.

About this report

Decisions regarding whether to conduct an investigation, and the scope of an investigation, are based on many factors, including the level of safety benefit likely to be obtained from an investigation. For this occurrence, no investigation has been conducted and the ATSB did not verify the accuracy of the information. A brief description has been written using information supplied in the notification and any follow-up information in order to produce a short summary report, and allow for greater industry awareness of potential safety issues and possible safety actions.

Occurrence summary

Mode of transport Aviation
Occurrence ID AB-2020-033
Occurrence date 29/08/2020
Location 26 NM west of Sydney
State New South Wales
Occurrence class Incident
Aviation occurrence category Loss of separation
Highest injury level None
Brief release date 08/10/2020

Aircraft details

Manufacturer Piper Aircraft Corp
Model PA-28
Sector Piston
Operation type General Aviation
Departure point Bankstown Airport, New South Wales
Destination Bathurst, New South Wales
Damage Nil

Aircraft details

Manufacturer Cirrus Design Corporation
Model SR20
Sector Piston
Operation type General Aviation
Departure point Bankstown, New South Wales
Destination Dubbo Airport, New South Wales
Damage Nil

Loss of separation involving a Boeing 737-800 and an Agusta A109S, Sydney Airport, New South Wales, on 4 October 2019

Brief

Occurrence Briefs are concise reports that detail the facts surrounding a transport safety occurrence, as received in the initial notification and any follow-up enquiries. They provide an opportunity to share safety messages in the absence of an investigation.

What happened

On the 4 October 2019, an Agusta A109S helicopter was on approach to Sydney Airport, New South Wales. During approach, air traffic control (ATC) issued the pilot a clearance to track from the clearance limit to overhead the threshold runway 07. The pilot read back, ‘from the clearance limit track overhead the 07 threshold’. The pilot reported to the ATSB that he believed he was cleared to track overhead the 07 threshold (for the heliport).

A Boeing 737 waiting on the crossing runway for an intersection departure was provided with the helicopter traffic and advised ATC that the helicopter was in sight. ATC subsequently issued the take-off clearance.

ATC then advised the helicopter pilot that the clearance limit was the runway 07 threshold and passed traffic on the 737, however the transmission was blocked.

As the 737 began its take-off, ATC observed the helicopter continue past the runway 07 threshold and immediately issued instructions to the helicopter to expedite through the runway intersection.

Safety action

As a result of this occurrence, Airservices Australia advised the ATSB that they are taking the following safety action:

The air traffic controller will be counselled on the appropriate phraseology when issuing a clearance limit.

Safety message

This incident shows the effectiveness of the conflict resolution training received by ATC to resolve loss of separation events resulting from radio transmission errors or miscommunication between controllers and flight crew.

About this report

Decisions regarding whether to conduct an investigation, and the scope of an investigation, are based on many factors, including the level of safety benefit likely to be obtained from an investigation. For this occurrence, no investigation has been conducted and the ATSB did not verify the accuracy of the information. A brief description has been written using information supplied in the notification and any follow-up information in order to produce a short summary report, and allow for greater industry awareness of potential safety issues and possible safety actions.

Occurrence summary

Mode of transport Aviation
Occurrence ID AB-2019-039
Occurrence date 04/10/2019
Location Sydney Airport, New South Wales
State New South Wales
Occurrence class Incident
Aviation occurrence category Loss of separation
Highest injury level None
Brief release date 01/11/2019

Aircraft details

Manufacturer The Boeing Company
Model 737-8FE
Sector Jet
Operation type Air Transport High Capacity
Damage Nil

Aircraft details

Manufacturer Agusta, S.p.A, Construzioni Aeronautiche
Model A109S
Sector Helicopter
Operation type Charter
Damage Nil

Loss of separation involving a Bombardier DHC-8-402 and a Boeing 737-838, 92 km south-west of Balranald Airport, Victoria, on 4 March 2018

Brief

Occurrence Briefs are concise reports that detail the facts surrounding a transport safety occurrence, as received in the initial notification and any follow-up enquiries. They provide an opportunity to share safety messages in the absence of an investigation.

What happened

On 4 March 2018, a Bombardier DHC-8 (DHC-8) departed Mildura Airport, Victoria (Vic.), for Melbourne Airport, Vic. During climb, the flight crew requested clearance to climb to FL 250[1] and were approved by ATC to climb to FL 240.

A Boeing 737 (737) was en route from Adelaide Airport, South Australia (SA), to Sydney Airport, New South Wales (NSW), maintaining FL 250 on a crossing track.

At 1744 Eastern Standard Time (EST), ATC cleared the DHC-8 to climb from FL 240 to FL 250 resulting in a loss of separation with the 737. ATC subsequently received a short-term conflict alert (STCA). ATC instructed the crew of the DHC-8 to maintain FL 240 but as the DHC-8 was already climbing through FL 245, ATC instructed the crew to descend and turn left onto heading 090. They then instructed the crew of the 737 to turn right immediately onto heading 180 for separation. Once the separation standard was regained, the DHC-8 was cleared to climb to FL 250 and both aircraft continued without incident.

Separation reduced to 900 ft between the aircraft when they were 5 NM apart. Neither flight crew received a TCAS resolution alert (RA).

Safety message

This incident shows the effectiveness of the ATC short term conflict alert (STCA) system and conflict resolution training received by ATC for loss of separation events. It also highlights the importance of flight crews responding immediately to ATC instructions.

About this report

Decisions regarding whether to conduct an investigation, and the scope of an investigation, are based on many factors, including the level of safety benefit likely to be obtained from an investigation. For this occurrence, no investigation has been conducted and the ATSB did not verify the accuracy of the information. A brief description has been written using information supplied in the notification and any follow-up information in order to produce a short summary report, and allow for greater industry awareness of potential safety issues and possible safety actions.

__________

  1. Flight level: at altitudes above 10,000 ft in Australia, an aircraft’s height above mean sea level is referred to as a flight level (FL). FL 250 equates to 25,000 ft.

Occurrence summary

Mode of transport Aviation
Occurrence ID AB-2018-030
Occurrence date 04/03/2018
Location 92 km SW of Balranald Airport
State Victoria
Occurrence class Incident
Aviation occurrence category Loss of separation
Highest injury level None
Brief release date 29/05/2018

Aircraft details

Manufacturer Bombardier Inc
Model DHC-8-402
Sector Turboprop
Operation type Air Transport High Capacity
Damage Nil

Aircraft details

Manufacturer The Boeing Company
Model 737-838
Sector Jet
Operation type Air Transport High Capacity
Damage Nil