Investigation number
AO-2016-041
Occurrence date
Location
Ballarat Airport, west 20 km
State
Victoria
Report release date
Report status
Final
Investigation level
Short
Investigation type
Occurrence Investigation
Investigation status
Completed
Aviation occurrence category
Near collision
Occurrence class
Serious Incident
Highest injury level
None

What happened

On 15 April 2016, the pilot of a Cessna 172 aircraft, registered VH-VSO (VSO), was conducting a solo navigation training flight from Ballarat to Warrnambool, Portland, Hamilton and return to Ballarat, Victoria.

On the same day, two pilots, both instructors, were conducting a local training flight in a Cessna 177RG aircraft, registered VH-OOJ (OOJ), from Ballarat Airport. At about 1648 Eastern Standard Time (EST), while tracking south-east about 12 NM from Ballarat Airport, and at about 3,800 ft, the pilot in command, who was the pilot-not-flying and in the left seat, sighted VSO out of the right window about 100 to 200 ft below. The pilot in command then took control of the aircraft from the other pilot and commenced a steep climb. VSO then passed beneath OOJ. Shortly after, the pilots of OOJ heard the pilot of VSO broadcast on the common traffic advisory frequency, 10 NM west of Ballarat and inbound to the airport.

The pilot of VSO reported that they could not recall their altitude when about 12 NM west of Ballarat, but would normally be between 3,500 and 4,500 ft on descent. The pilot reported scanning the sky to look out for other aircraft, and maintaining a listening watch on the area and Ballarat common traffic advisory frequencies. The pilot did not hear any broadcasts from the pilots of OOJ and did not observe any aircraft in close proximity during the flight.

Pilot comments

Pilot in command of VH-OOJ

The pilot in command of OOJ reported both pilots were maintaining a general lookout for other aircraft. However, at a moment when the other pilot was pointing to one of the aircraft instruments, the pilot in command sighted VSO out of the right window. The pilot in command commented that while it is important to understand the instruments during endorsement training, this should not detract from the lookout for other aircraft. 

Operator comments

Operator of VH-OOJ

The operator of OOJ commented that Ballarat is a very busy training airport with the training area to the west. Therefore, if pilots of aircraft arriving from the west broadcast prior to 10 NM from the airport, this may increase the situational awareness of pilots of other aircraft in the training area.

Safety message

This incident highlights the importance of using both un-alerted and alerted see-and-avoid principles and maintaining a vigilant lookout at all times.

The ATSB SafetyWatch highlights the broad safety concerns that come out of our investigation findings and from the occurrence data reported to us by industry. One of the safety concerns is safety around non-controlled aerodromes.

Research conducted by the ATSB found that, between 2003 and 2008, 181 occurrences of reduced separation in the vicinity of non-towered aerodromes were reported, of which 55 were near mid-air collisions (aircraft proximity events). Insufficient communication between pilots and breakdowns in situational awareness were the most common contributors to safety incidents.

Aviation Short Investigations Bulletin - Issue 51

Purpose of safety investigations

The objective of a safety investigation is to enhance transport safety. This is done through:

  • identifying safety issues and facilitating safety action to address those issues
  • providing information about occurrences and their associated safety factors to facilitate learning within the transport industry.

It is not a function of the ATSB to apportion blame or provide a means for determining liability. At the same time, an investigation report must include factual material of sufficient weight to support the analysis and findings. At all times the ATSB endeavours to balance the use of material that could imply adverse comment with the need to properly explain what happened, and why, in a fair and unbiased manner. The ATSB does not investigate for the purpose of taking administrative, regulatory or criminal action.

Terminology

An explanation of terminology used in ATSB investigation reports is available here. This includes terms such as occurrence, contributing factor, other factor that increased risk, and safety issue.

Publishing information 

Released in accordance with section 25 of the Transport Safety Investigation Act 2003

Published by: Australian Transport Safety Bureau

© Commonwealth of Australia 2016

Ownership of intellectual property rights in this publication

Unless otherwise noted, copyright (and any other intellectual property rights, if any) in this report publication is owned by the Commonwealth of Australia.

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Aircraft Details
Manufacturer
Cessna Aircraft Company
Model
172S
Registration
VH-VSO
Serial number
172S10923
Sector
Piston
Departure point
Unknown
Damage
Nil
Aircraft Details
Manufacturer
Cessna Aircraft Company
Model
177RG
Registration
VH-OOJ
Serial number
177RG0857
Operation type
Flying Training
Sector
Piston
Damage
Nil