Separation issue

Airspace related event - Piper PA-31-350, VH-TAS, Narrandera, New South Wales, on 12 October 2010

Summary

On 12 October 2010, a Piper Aircraft Corporation PA-31-350 aircraft, registered VH-TAS (TAS), departed Griffith, New South Wales on scheduled freight service to Narrandera.

When about 37 km from Narrandera, the pilot broadcast an inbound call on the common traffic advisory frequency (CTAF). Shortly after, the pilot heard a broadcast from the pilot of a Cessna Aircraft Company 441 aircraft, registered VH-XBC (XBC), advising that he was taxiing for runway 32. The pilot of TAS attempted to contact the pilot of XBC a number of times, but received no reply.

When established on final for runway 14, the pilot observed the landing lights of XBC taking off on the reciprocal runway, runway 32.  The pilot of TAS initiated a right turn. The pilot of XBC observed TAS turning and elected to continue straight ahead. The aircraft passed at about 500 ft above ground level (AGL), with an estimated horizontal distance between 1-2 km.

Subsequent communications between the two pilots identified that the pilot of XBC did not hear any broadcasts made by the pilot of TAS until after the incident occurred.

A recent research report published by the ATSB identified that the most prevalent type of accident or incident occurring at non-towered aerodromes involved conflicts between aircraft, or between aircraft and ground vehicles. Despite this, operations at these aerodromes are generally safe. However, pilots should ensure that they maintain awareness of their surroundings and of other aircraft, fly in compliance with procedures, and be observant, courteous and cooperative at all times.

Occurrence summary

Investigation number AO-2010-078
Occurrence date 12/10/2010
Location Narrandera
State New South Wales
Report release date 28/01/2011
Report status Final
Investigation level Short
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Separation issue
Occurrence class Incident
Highest injury level None

Aircraft details

Manufacturer Piper Aircraft Corp
Model PA-31
Registration VH-TAS
Serial number 31-7652012
Sector Piston
Operation type Air Transport Low Capacity
Departure point Griffith, NSW
Destination Narrandera, NSW
Damage Nil

Aircraft details

Manufacturer Cessna Aircraft Company
Model 441
Registration VH-XBC
Serial number 4410297
Sector Piston
Operation type Charter
Departure point Narrandera, NSW
Damage Nil

CTAF-related event - VH-PVV, VH-HUL, Cessnock Aerodrome, New South Wales, on 17 March 2010

Summary

On 17 March 2010, a Cessna Aircraft Company 152 (C152), registered VH-PVV, and a Robinson Helicopter Co. R44 (R44), registered VH-HUL, were operating from the Cessnock Common Traffic Advisory Frequency (CTAF) aerodrome, New South Wales (NSW). A flight instructor and student pilot were on board the C152 and were preparing to take off from runway 35 to commence a session of dual circuit training. At about the same time, the R44 was taxied for a departure from runway 17 grass-left on a private flight with only the pilot on board the helicopter. Both aircraft were operating under the Visual Flight Rules (VFR) in Visual Meteorological Conditions (VMC). Both aircraft's radio communication systems were serviceable and used by the pilots during the occurrence sequence.

The pilot in command (PIC) of the C152 reported taking evasive action, shortly after becoming airborne on runway 35, to avoid the R44 allegedly taking off in the opposite direction. The PIC of the R44 reported that he had positioned the helicopter outside of the runway 17 flight strip and had sighted the C152 taking off. The R44 pilot also reported that he had just transitioned into forward flight from the hover when the C152 was abeam his position and that at no time did a collision risk exist. However, the C152 pilot was adamant that the R44 commenced the take-off along runway 17 and presented an imminent collision risk.

The differing accounts from both pilots could not be reconciled. No additional reports from potential eyewitnesses were received by the ATSB. The incident serves as a useful reminder for both fixed-wing and rotary-wing pilots to review the various requirements governing their respective operations at CTAF aerodromes and, in particular, to be mindful that helicopters may not be operating to the same pattern as fixed-wing aircraft. Pilots are advised to consult relevant Civil Aviation Advisory Publications (CAAPs), effective 3 June 2010, regarding changes to operations at non-towered (non-controlled) aerodromes.

Occurrence summary

Investigation number AO-2010-018
Occurrence date 17/03/2010
Location Cessnock Aerodrome
State New South Wales
Report release date 29/06/2010
Report status Final
Investigation level Short
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Separation issue
Occurrence class Incident
Highest injury level None

Aircraft details

Manufacturer Cessna Aircraft Company
Model 152
Registration VH-PVV
Serial number 15281590
Sector Piston
Operation type Flying Training
Departure point Cessnock, NSW
Destination Cessnock, NSW
Damage Nil

Aircraft details

Manufacturer Robinson Helicopter Co
Model R44
Registration VH-HUL
Serial number 1644
Sector Helicopter
Operation type Private
Departure point Cessnock, NSW
Damage Nil

Airprox, 28 km south-west Camden Aerodrome, New South Wales, on 14 February 2007, VH-BMX, Cessna 182T, VH-DTX, Cessna 210L

Summary

On 14 February 2007 at about 1127 Eastern Daylight-saving Time, the pilot of a Cessna Aircraft Company 182T (182) was positioning to conduct a sector entry for an area navigation (RNAV) global navigation satellite system (GNSS) arrival procedure to runway 06 at Camden Aerodrome, NSW. The aircraft was approaching the aerodrome from the east. At the same time, the pilot of a Cessna Aircraft Company 210L (210) was approaching Camden from the south-west with the intention of conducting a Camden runway 06 straight-in RNAV (GNSS) approach. The two aircraft had similar estimated times of arrival at the approach commencement waypoint. They were both being operated under the instrument flight rules (IFR), in Class G airspace.

The air traffic controller provided the pilots with mutual radar based traffic information. The pilot of the 210 contacted the controller and was provided with traffic information about the 182. The pilot of the 182 climbed the aircraft to minimise the risk of a collision as he was unsure of the intentions of the pilot of the 210. Recorded radar data showed that, when the aircraft passed, there was 500 ft vertically and 2.1 NM laterally between them.

Occurrence summary

Investigation number 200700766
Occurrence date 14/02/2007
Location 28km SW of Camden
State New South Wales
Report release date 22/08/2007
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Separation issue
Occurrence class Incident
Highest injury level None

Aircraft details

Manufacturer Cessna Aircraft Company
Model 182
Registration VH-BMX
Serial number 18281262
Sector Piston
Operation type Flying Training
Departure point Wollongong, NSW
Destination Camden, NSW
Damage Nil

Aircraft details

Manufacturer Cessna Aircraft Company
Model 210
Registration VH-DTX
Serial number 21060872
Sector Piston
Operation type Unknown
Destination Camden, NSW
Damage Nil

Runway incursion - Port Macquarie Airport, on 5 January 2007, Bombardier Inc. DHC-8-315, VH-TQZ, Piper PA-28R-201, VH-TBB

Summary

On 5 January 2007, a Piper PA-28R-201 Arrow, registered VH-TBB, was approaching Port Macquarie Airport, NSW, in class G airspace under the visual flight rules from the south. The aircraft had descended from 2,500 ft above mean sea level and was approaching to join the circuit on left crosswind for runway 03. At about the same time, a de Havilland Dash 8 aircraft, registered VH-TQZ, and a Piper PA-31 Mojave, registered VH-PGW, both operating under the instrument flight rules, were preparing to depart from the airport. The airspace surrounding Port Macquarie Airport was designated as a common traffic advisory frequency (CTAF) (R), where the carriage and use of very high frequency radio was required.

On short final for runway 03, the pilot of the Arrow reported seeing the Dash 8 enter the runway. He immediately broadcast his position and prepared to initiate a missed approach. The crew of the Dash 8 saw the approaching Arrow at the same time as the Arrow pilot's broadcast. They advised that they would vacate the runway without delay, vacating via taxiway B1 as the Mojave pilot manoeuvred his aircraft to assist the Dash 8's runway departure. The pilot of the Arrow continued his approach and landed.

Occurrence summary

Investigation number 200700231
Occurrence date 05/01/2007
Location Port Macquarie
State New South Wales
Report release date 14/05/2008
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Separation issue
Occurrence class Incident
Highest injury level None

Aircraft details

Manufacturer Bombardier Inc
Model DHC-8
Registration VH-TQZ
Serial number 555
Sector Turboprop
Operation type Air Transport High Capacity
Departure point Port Macquarie, NSW
Destination Sydney, NSW
Damage Nil

Aircraft details

Manufacturer Piper Aircraft Corp
Model PA-28
Registration VH-TBB
Serial number 28R-7737153
Sector Piston
Operation type Private
Destination Port Macquarie, NSW
Damage Nil

Airspace-related event, Mackay Airport, Queensland, on 16 October 2008, Fairchild SA227, VH-UZA, Fairchild SA227, VH-EEO

Summary

On 16 October 2008, at about 0615 Eastern Standard Time, the pilot of a Fairchild Industries SA227, registered VH-UZA, took off from runway 32 at Mackay Airport, Qld. At the same time, the flight crew of another Fairchild Industries SA227, registered VH-EEO, was conducting a backtrack on the active runway 32.

The crews of both aircraft took avoiding action.

There were a number of opportunities for the departing pilot to have confirmed that his aircraft radio was operating correctly, and to have verified the actual position of the backtracking aircraft. Had the departing pilot availed himself of those opportunities, he would have been afforded an increased level of assurance that the runway was clear.

Confirmation that runway 32 was clear prior to commencing the departure was attempted, but not obtained, by the departing pilot.

Occurrence summary

Investigation number AO-2008-073
Occurrence date 16/10/2008
Location Mackay Aerodrome
State Queensland
Report release date 24/06/2009
Report status Final
Investigation level Systemic
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Separation issue
Occurrence class Serious Incident
Highest injury level None

Aircraft details

Manufacturer Fairchild Industries Inc
Model SA227
Registration VH-UZA
Serial number AT-502
Sector Turboprop
Operation type Air Transport Low Capacity
Departure point Mackay Qld
Destination Townsville Qld
Damage Nil

Aircraft details

Manufacturer Fairchild Industries Inc
Model SA227
Registration VH-EEO
Serial number AT-564
Sector Turboprop
Operation type Air Transport Low Capacity
Departure point Brisbane Qld
Destination Mackay Qld
Damage Nil

Aircraft proximity event, VH-VOQ and VH-VQS Launceston Aerodrome, Tasmania, on 1 May 2008

Summary

On 1 May 2008 at about 2216 Eastern Standard Time, an Airbus Industrie A320 aircraft, registered VH-VQS, was conducting the runway 32L (left) instrument landing system missed approach procedure at Launceston Aerodrome, Tasmania. During the climb, the A320 came into close proximity with a Boeing Company 737 that was manoeuvring at 3,100 ft above mean sea level about 5 NM (9 km) to the north-west of the aerodrome. The lateral separation between the aircraft reduced to within 3 NM (5 km) and zero vertical separation as the A320 climbed through 3,100 ft. No Traffic Alert and Collision Avoidance System alerts were generated during the occurrence.

Both aircraft were operating scheduled passenger services from Melbourne, Victoria and had arrived at Launceston outside the normal operating hours of the Launceston air traffic control tower. Separation between the aircraft was therefore the responsibility of the respective flight crews. In this instance, a breakdown in the communication and interpretation of the respective flight crews' separation planning contributed to the proximity event.

Occurrence summary

Investigation number AO-2008-030
Occurrence date 01/05/2008
Location Launceston
State Tasmania
Report release date 30/06/2010
Report status Final
Investigation level Systemic
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Separation issue
Occurrence class Incident
Highest injury level None

Aircraft details

Manufacturer The Boeing Company
Model 737
Registration VH-VOQ
Serial number 33798
Sector Jet
Operation type Air Transport High Capacity
Departure point Melbourne Vic.
Destination Launceston Tas.
Damage Nil

Aircraft details

Manufacturer Airbus
Model A320
Registration VH-VQS
Serial number 2515
Sector Jet
Operation type Air Transport High Capacity
Departure point Melbourne Vic.
Destination Launceston Tas.
Damage Nil

Airprox, Orange, New South Wales, VH-UZO and VH-SBA

Summary

On 23 June 2006 at about 1730 Eastern Standard Time, a Beech Aircraft Corp 58 (Baron) was conducting a global positioning system (GPS) arrival procedure for arrival at Orange Aerodrome, NSW. The aircraft was approaching the aerodrome from the west. At the same time, a SAAB Aircraft AB SF-340B (SAAB) was conducting an Orange runway 29 straight-in area navigation global navigation satellite system (RNAV GNSS) approach. The two aircraft had the same estimated time of arrival at Orange Aerodrome. They were both being operated under the instrument flight rules and were in instrument meteorological conditions.

At the missed approach point of the GPS arrival procedure, and at an altitude of 4,220 ft, the pilot of the Baron had not become visual with the aerodrome. He commenced the published missed approach procedure and made a transmission on the Orange common traffic advisory frequency (CTAF) to advise local traffic that he was conducting that procedure. That required the pilot to track a bearing of 098 degrees magnetic from the Orange non-directional beacon and to climb the Baron to the minimum sector altitude of 5,200 ft above mean sea level.

The captain of the SAAB advised the pilot of the Baron that, in order to maintain separation, the pilot of the Baron would have to manoeuvre his aircraft. The pilot of the Baron manoeuvred his aircraft accordingly.

Occurrence summary

Investigation number 200604222
Occurrence date 23/06/2006
Location Orange, Aerodrome
State New South Wales
Report release date 29/05/2007
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Separation issue
Occurrence class Incident
Highest injury level None

Aircraft details

Manufacturer Saab Aircraft Co.
Model 340
Registration VH-SBA
Serial number 311
Sector Turboprop
Operation type Air Transport Low Capacity
Departure point Sydney NSW
Destination Orange NSW
Damage Nil

Aircraft details

Manufacturer Beech Aircraft Corp
Model 58
Registration VH-UZO
Serial number TH-586
Sector Piston
Operation type Charter
Departure point Parkes, NSW
Destination Orange, NSW
Damage Nil

Boeing Aircraft Co. 737-86N, VH-VOG

Summary

A preliminary investigation into a category 4 occurrence that occurred at Sydney Aerodrome on 29 June 2006, which involved a reduction in the required visual separation standard between a departing Boeing Aircraft Company 737 (B737) aircraft and an arriving Robinson Helicopter Company R44 (R44) helicopter, determined that the pilot of the R44 had sight of the B737 at all times, and that there was no risk of a collision between the B737 and the R44.

The inadvertent reduction in the required visual separation standard was as a result of the pilot in command of the R44 misjudging the acceleration of the B737 during its take-off roll. The likely safety outcomes of continued investigation did not warrant further allocation of resources.

Status: Downgraded the occurrence to category 5 and investigation discontinued.

Occurrence summary

Investigation number 200603755
Occurrence date 29/06/2006
Location Sydney Aero.
State New South Wales
Report release date 30/06/2006
Report status Discontinued
Investigation type Occurrence Investigation
Investigation status Discontinued
Mode of transport Aviation
Aviation occurrence category Separation issue
Occurrence class Incident
Highest injury level None

Aircraft details

Manufacturer The Boeing Company
Model 737
Registration VH-VOG
Serial number 28644
Operation type Air Transport High Capacity
Departure point Sydney, NSW
Destination Coolangatta, Qld
Damage Nil

Aircraft details

Manufacturer Robinson Helicopter Co
Model R44
Registration VH-HCU
Serial number 1560
Sector Helicopter
Operation type Unknown
Departure point Unknown
Destination Sydney, NSW
Damage Nil

Runway separation, Boeing 737-800, VH-VXR, British Aero Plc BAe 146-300, VH-NJN

Summary

On 24 January 2006 at 0644 Western Standard Time, a Boeing Company 737-800 (737) aircraft, registered VH-VXR, was lined up on the threshold of runway 06 at Perth Airport, WA, when the aerodrome controller (ADC) issued the crew a clearance for the aircraft to take off. The crew reported that at about the same time, a British Aerospace Plc 146-300 (146) aircraft, registered VH-NJN, crossed runway 06 in the vicinity of taxiway Charlie. The 737 copilot, the non-flying pilot, advised the ADC that '…we'll just wait for the 146 crossing the runway'. The crew delayed the aircraft's take-off until the 146 had vacated and was taxiing away from the runway.

The ADC and Coordination controller considered that a runway separation standard would exist prior to the 737 commencing take-off. The 737-crew reported that they were concerned at the taxi speed of the 146 and delayed the commencement of their take-off until it had vacated the runway.

The incident highlighted the use of a Manual of Air Traffic Services (MATS) procedure for a situation for which it was not designed. The use of the adapted procedure by controllers has possibly reduced safety when used for runway crossing situations.

As an outcome from the investigation Airservices Australia has advised the Australian Transport Safety Bureau that it intends to:

  • review the use of take-off/landing clearance procedures during runway crossing situations, by aircraft and vehicles
  • review runway crossing procedures with a view to assessing the need for a specific runway standard for situations involving aircraft or vehicles crossing a runway during landing/take-off operations
  • review the use of memory prompts or aids by tower controllers in situations involving aircraft taxiing across a runway during landing/take-off operations.

Occurrence summary

Investigation number 200600633
Occurrence date 24/01/2006
Location Perth, Aerodrome
State Western Australia
Report release date 28/06/2006
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Separation issue
Occurrence class Incident
Highest injury level None

Aircraft details

Manufacturer The Boeing Company
Model 737
Registration VH-VXR
Serial number 33724
Sector Jet
Operation type Air Transport High Capacity
Departure point Perth, WA
Destination Kalgoorlie, WA
Damage Nil

Aircraft details

Manufacturer British Aerospace
Model BAe 146
Registration VH-NJN
Serial number E3217
Sector Jet
Operation type Air Transport High Capacity
Departure point Perth WA
Damage Nil

Close proximity between a Boeing 717, VH-VQI and British Aircraft Corp 167, VH-LLD, 9 km south of Williamtown Aerodrome, New South Wales, on 18 December 2005

Safety Action

Strikemaster operator

Following the occurrence, the operator of the Strikemaster reviewed and amended procedures for flights conducted near Lismore and Williamtown Airports. In the future:

  • pilots will contact the Brisbane Centre controller on taxi to obtain a discrete SSR code (to be retained for the day)
  • pilots will confirm the area of operations for each flight to the Brisbane Center controller to assist in the provision of traffic information to pilots of IFR category flights
  • the Brisbane Centre controller will provide traffic information to the pilot while airborne.

That review included the standardisation of aircraft radio operating procedures.

Brisbane Centre local safety action

Brisbane Centre issued an operational note to controllers advising that the pilots of Strikemaster flights may request a radar information service and controllers are to be prepared to provide a discrete SSR code and traffic information.

Analysis

Had the pilot of the Strikemaster confirmed what fare paying passenger operations were expected for the period of the joy flight before leaving the terminal the occurrence possibly would have been prevented.

There were a number of following events that probably prevented the pilot of the Strikemaster either hearing or appreciating what was being broadcast on the common traffic advisory frequency (CTAF) by the pilot of the taxiing 717. It is possible that the pilot of the Strikemaster missed some broadcasts because of intermittent radio operation or reception anomalies. The investigation was unable to determine whether the initial missed calls were due to a technical problem or as a result of shielding of some of the other pilots' radio broadcasts. However, the coincident radio transmission from the pilot of the 737 to the pilot of the Strikemaster, as the pilot of the 717 reported that he was taxiing for runway 30, probably over rode the latter's radio transmission. Consequently, the pilot of the Strikemaster remained unalerted about the fact that after departure the 717 would track to the south. Had the pilot of the Strikemaster become aware at that stage that the 717 was going to track to the south he most likely would have amended his area of operation to avoid the 717's departure track.

The pilot of the Strikemaster had another opportunity to understand that the 717 may possibly conflict with his operations when the pilot of that aircraft broadcast intentions, when lining up and after departing. On lining up, the pilot reported his intention to turn left and following departure he reported that the aircraft was turning left to intercept the one six one non-directional beacon navigation aid track. At that time the pilot of the Strikemaster had commenced his manœuvres at an altitude that prior to 24 November 2006  would have been outside the CTAF. It is possible that because he thought he was outside the CTAF area, the pilot was less attentive to radio transmissions on the CTAF. This aspect combined with distraction due to passenger commentary and workload requirements may have prevented the pilot from appreciating the developing situation.

The pilot of the Strikemaster could have clarified the intention of the pilot of 717 when he saw the aircraft turning left instead of right, as he expected. Again however, his high workload in the conduct of the flight probably caused him to dismiss the issue as a low priority at that time, and the situation remained unresolved. Overall, the pilot's situational awareness of the 717's departure track was diminished.

The pilot of the 717 also had an opportunity to query the pilot of the Strikemaster regarding his operation. However, that lack of any query by the pilot of the Strikemaster, with respect to the 717 CTAF broadcasts, indicated that there was no apparent problem with the 717's intended track. Compliance with the radio broadcast procedures by all pilots did not prevent the occurrence.

The limited radar coverage was not a factor in the occurrence. The Brisbane Centre controller had sufficient information from the Strikemaster radar returns to provide traffic information about the Strikemaster to the pilot of the 717. That traffic information, in conjunction with information from the Traffic Alert and Collision Avoidance System (TCAS) fitted to the 717, assisted the pilot to prepare to avoid the Strikemaster when alerted by the TCAS. Similarly, had the pilot of the Strikemaster requested a radar information service (RIS) it is likely that the controller would have provided traffic information on the departing 717 to the pilot in time to avoid that aircraft's track. A request by the pilot of theStrikemaster for a RIS was a preventative risk control that was available subject to controller workload. While provision of a RIS might possibly increase the pilot's workload, it should, when used in conjunction with monitoring of the CTAF frequency, improve situational awareness.

The Strikemaster pilot's original intention to avoid routes likely to be used by other aircraft during a local flight was the preferred risk mitigator for the operation. However, on the day the pilot's lapse in not checking the expected operations of fare paying passenger flights to/from Newcastle Airport, his misperception about the 717's destination and the radio problems negated that mitigator. A near collision was prevented by the combined use of radar based traffic information and TCAS.

Factual Information

On 18 December 2005 at 0954 Eastern Daylight-saving Time 1, shortly after departure from Williamtown (Newcastle) Airport, NSW, while operating under common traffic advisory frequency (CTAF (R)) procedures, the pilot of a Boeing Company 717-200 (717) aircraft reported receiving a traffic collision and avoidance system (TCAS) resolution advisory (RA). The other aircraft was subsequently identified as a British Aircraft Corp 167 Strikemaster aircraft. A review of recorded radar data showed that the RA activated when the 717 was 9 km south of the airport. The radar data, in conjunction with TCAS data from the 717, showed that the minimum horizontal distance between the aircraft was 1,500 m with the Strikemaster about 250 ft above the level of the 717. There had been an AIRPROX 2.

The airspace surrounding the airport was non-controlled Class G designated as CTAF (R). The R indicates that the carriage and use of a radio is required for aircraft that operate into or out of the airport and that a pilot is required to monitor and broadcast on the CTAF frequency prior to, and within 10 NM of the airport. Pilots of aircraft operating in a CTAF (R) are required to make specific radio broadcasts when operating in the vicinity 3 of a non-towered airport. In visual meteorological conditions 4 (VMC) pilots use those broadcasts to visually identify and adjust flight paths to avoid other aircraft in the area of the airport.

Runway 30 was in use at Williamtown Airport and the Strikemaster departed about 3 minutes before the 717. At the time the traffic situation included a Cessna 150 being used to conduct circuit training, a Boeing Company 737 (737) was inbound from the south, a New Zealand Aerospace Ind Ltd CT4 was inbound from the south following a flight over Newcastle City, a Cessna 172 was inbound from the south and a Fairchild Metro 23 was taxiing for a departure to Sydney. Pilot reports of the weather indicated that it was VMC with little or no cloud present.

The Strikemaster is a two seat (side by side) ground attack jet aircraft that was initially developed as a training aircraft. The aircraft involved in the occurrence was civil registered and was being used to conduct a local area joy flight 5, including aerobatic manoeuvres, under the visual flight rules (VFR) up to 8,000 ft above mean sea level (AMSL). The pilot had extensive military jet fighter experience and during the flight was required to provide commentary to the passenger. The flight was one of three flight profiles that were available. While the three profiles were essentially standard, the intention was, when possible, to accommodate requests by a passenger for repeat or specific manoeuvres.

After the occurrence, the Strikemaster pilot reported it was the first flight for the day and that he normally checked what fare paying passenger flights were expected to depart and arrive during the period of a flight before he left the terminal. He reported that he would normally amend his area of operation to avoid any routes to be used by other aircraft operating to/from the airport. On the day of the occurrence, he did not check the expected flights but thought that the 717 was bound for Brisbane, Qld.

At 0943, the pilot of the Strikemaster broadcast on the CTAF frequency that the aircraft was taxing for runway 30 for a local flight. That radio call was heard by the crew of the 737 as 30 seconds later they called the Strikemaster pilot requesting his intentions on departure. That radio call was co-incident with another radio call on the frequency. The pilot of the Strikmaster did not respond to the radio call from the pilot of the 737. At 0944, the pilot of the 717 broadcast that the aircraft was taxiing to runway 30 for a departure to Melbourne and at the same time the pilot of the 737 called the pilot of the Strikemaster for a second time. The pilot of the Strikmaster did not respond to the second radio call from the pilot of the 737. The pilot of the 737 reported to the pilot of the 717 that the 737 was 14 miles from the airport. That radio transmission was acknowledged by the pilot of the 717.

At 0945, the pilot of the Strikemaster broadcast on the CTAF frequency that the aircraft was entering runway 30 in preparation for a departure with a 'left hand turn out climbing to eight thousand [ft] overhead the coast'. The Cessna 150 was on final for runway 30 and the pilot of that aircraft attempted twice to call the pilot of the Strikemaster and advise that the Cessna 150 was on short final. The pilot of Strikemaster heard the second radio transmission and manoeuvred the jet off the runway threshold to enable the Cessna 150 to conduct a touch and go. While waiting for the Cessna to land, the pilot of the Strikemaster confirmed the operation of the aircraft's radio with the pilot of another aircraft. He received a response from the other pilot indicating that the radio was operating okay. The pilot of the Strikemaster reported later that the aircraft's two radios operated satisfactorily for all other flights conducted that day.

At 0946, the pilot of the Strikemaster broadcast that the aircraft was lining up on runway 30. At 0948, the pilot of the Strikemaster broadcast that the aircraft was passing 2,500 ft AMSL on departure, on climb to 8,000 ft AMSL and was tracking to the coast.

The 717 was on a scheduled fare paying passenger instrument fight rules (IFR) flight to Melbourne Vic. At 0949, the pilot of the 717 broadcast that the aircraft was lining up runway 30 for a departure to the south. At 0951, the pilot of the 717 broadcast that the aircraft was airborne from runway 30 and that when the aircraft reached 1,500 ft AMSL it would turn left to intercept the 161-track reference the non-directional beacon (NDB) navigation aid. At 0953, while still monitoring the CTAF frequency, the pilot of the 717 reported to the Brisbane Centre sector controller that the aircraft had departed at five one and was on climb to flight level three six zero.

The pilot of the Strikemaster reported later that he saw the 717 airborne, upwind and turning left. At the time he could not understand why it was turning left if it was going to Brisbane. He lost sight of the 717 shortly after and continued with his flight. The pilot also advised that he was monitoring the CTAF but believed that the previous 5,000 ft upper limit for CTAF areas still applied. This was not the case, as new airspace procedures 6, implemented 24 November 2005, required pilots of aircraft in Class G airspace, within 10 NM of a CTAF (R), to monitor the designated frequency regardless of the aircraft's altitude.

The sector controller was aware of the departure of the 717 as The Australian Advanced Air Traffic Control System (TAAATS) had correlated the aircraft's flight plan with the secondary surveillance radar (SSR) code assigned to the flight as that aircraft passed 2,400 ft AMSL. The controller reported to the pilot of the 717 that there was a radar return of an unidentified aircraft 3.5 NM in his eleven o'clock position 7 (see Figure 1) and its altitude was an unverified 8 6,000 ft AMSL. The controller also received a short-term conflict alert (STCA) on the radar display indicating that the 717 and the unidentified were in potential conflict. The unidentified aircraft was operating on SSR code 1200. That code is designated for use by pilots of aircraft operating a VFR category flight in Class G airspace. About 8 seconds later, the pilot of the 717 received a TCAS RA to adjust the rate of climb of the aircraft to no greater than 2,000 feet per minute. The pilot complied with the advisory and at 0953:40 the RA ceased.

Figure 1: Replay of recorded radar data at 0953:30 9

aair200506650_001.jpg

After the occurrence, the pilot and copilot of the 717 reported that they were aware of the unidentified aircraft on the TCAS as their aircraft turned left to intercept the outbound track. They lowered the nose of the 717 to assist them in seeing the other aircraft and received the RA at about the same time. Analysis of the 717 flight data recorder information showed that immediately prior to the RA the aircraft's rate of climb decreased in conjunction with an increase in indicated airspeed from 230 kts to 250 kts.

The Brisbane Centre controller was required to provide traffic information to pilots of IFR category flights on other IFR category flights in non-controlled Class G airspace below 8,500 ft around Williamtown Airport. There is no requirement to provide traffic information on VFR category flights. When within radar coverage the traffic information service can be based on radar data.

A radar information service (RIS) is available on request to pilots of VFR category flights in non-controlled airspace, subject to air traffic control workload. The service is available to improve a pilot's situational awareness and to assist in avoiding other aircraft. To receive a RIS, a pilot of a VFR category flight must be in direct very high frequency radio communication with air traffic control and the aircraft has to have a serviceable SSR transponder.

Normally, TAAATS receives SSR data from the Williamtown Air Traffic Control radar located near the airport. That data enables near ground level coverage for flights at the airport. During November, there were problems with the Williamtown radar data received by Brisbane Centre and while the situation was being investigated, that data was not used. A notice to airmen (NOTAM) reviewing and re-issuing a previous NOTAM advised that Brisbane Centre radar information services and radar-based traffic information services below 6,000 ft in the vicinity of Williamtown Airport were unreliable due to limited radar coverage. That NOTAM was issued 26 November 2005.

  1. The 24-hour clock is used in this report to describe the local time of day, Eastern Daylight-saving Time (EDT), as particular events occurred. Eastern Daylight-saving Time was Coordinated Universal Time (UTC) + 11 hours.
  2. An occurrence in which 2 or more aircraft come into such close proximity that a threat to the safety of the aircraft exists or may exist, in airspace where the aircraft are not subject to an air traffic separation standard or where separation is a pilot responsibility.
  3. Aircraft are operating is in the vicinity of a non-towered airport if it is within a horizontal distance of 10 NM and within a height above the airport reference point that could result in conflict with operations at the airport.
  4. Visibility greater than 5 km and aircraft are able to be flown 1,500 m horizontally and 1,000 ft vertically clear of cloud.
  5. Operations are conducted in accordance with Civil Aviation Safety Authority, Civil Aviation Regulation 262AM, Limited category aircraft - operating limitations.
  6. Aeronautical Information Publication (Supplement) H51/05 issued 24 November 2005.
  7. A means to relate the direction of an aircraft relative to another aircraft - 12 o'clock is in front of an aircraft, 9 o'clock is to the left and 3 o'clock is to the right.
  8. An aircraft's SSR Mode C readout has to be confirmed to be within 200 ft of a pilot reported level to be deemed to be verified.
  9. The orange text box lists the distance between the aircraft plots (3.1 NM) and the bearing from the unidentified aircraft to the 717 (311 degrees M).

Summary

On 18 December 2005 at 0954 Eastern Daylight-saving Time, shortly after departure from Williamtown (Newcastle) Airport, NSW while operating under common traffic advisory frequency (radio) (CTAF (R)) procedures, the pilot of a Boeing Company 717-200 (717) aircraft reported receiving a traffic collision and avoidance system (TCAS) resolution advisory (RA). The other aircraft was subsequently identified as a British Aircraft Corp 167 Strikemaster aircraft.

A review of recorded radar data, after the occurrence, showed that the RA activated when the 717 was 9 km south of the airport. The radar data in conjunction with TCAS data from the 717 showed that the minimum horizontal distance between the aircraft was 1,500 m with the Strikemaster about 250 ft above the level of the 717. There had been an AIRPROX.

The investigation found that the Strikemaster pilot's intention had been to avoid routes likely to be used by other aircraft. However, on the day, the pilot misperceived the 717's destination and the Strikemaster had radio problems that led to a reduction in the pilot's situational awareness. A near collision was prevented by the combined use of radar-based traffic information and TCAS.

Following the occurrence, the operator of the Strikemaster reviewed and amended procedures, for flights conducted near Lismore and Williamtown Airports to enhance pilots' situational awareness. That review included the standardisation of aircraft radio operating procedures.

Brisbane Centre issued an operational note to controllers advising that the pilots of Strikemaster flights may request a radar information service and controllers are to be prepared to provide a discrete secondary surveillance code.

Occurrence summary

Investigation number 200506650
Occurrence date 18/12/2005
Location Williamtown, Aerodrome
State New South Wales
Report release date 28/06/2006
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Separation issue
Occurrence class Incident
Highest injury level None

Aircraft details

Manufacturer The Boeing Company
Model 717
Registration VH-VQI
Serial number NK
Sector Jet
Operation type Air Transport High Capacity
Departure point Williamtown NSW
Destination Melbourne VIC
Damage Nil

Aircraft details

Manufacturer British Aircraft Corporation
Model 167
Registration VH-LLD
Serial number NZ6372
Sector Jet
Operation type Private
Departure point Williamtown NSW
Destination Williamtown NSW
Damage Nil