As a result of the investigation into this occurrence, the
Bureau of Air Safety Investigation made the following
recommendation to the Civil Aviation Safety Authority in
conjunction with the Gliding Federation of Australia on 13 August
1997:
R970092
The Bureau of Air Safety Investigation recommends that the Civil
Aviation Safety Authority in conjunction with the Gliding
Federation of Australia;
- establish a protected circuit area around airfields that have
considerable gliding activity; - establish a procedure that all inbound aircraft be required to
make an all-stations radio call advising their intention to enter
the protected circuit area mentioned above; - apply a speed restriction of 80 kts indicated airspeed to
gliders operating in this protected circuit area at all times other
than during official competition events (aircraft other than
gliders should operate at minimum safe speed within the area);
and - investigate the benefit of the application of high-visibility
markings for all Australian registered gliders.
Gliding Federation of Australia response
An initial response was received from the Gliding Federation of
Australia (GFA) on 12 September 1997, rejecting all but the last
recommendation. A further response was received from the GFA on 9
October 1997. The response stated in part:
Summary
- The GFA recognizes that the rate of mid-air collisions
involving gliders is unacceptably high in the circuit areas of
aerodromes and will implement measures to improve discipline in
flying the pattern and making better use of the radio. - The GFA is unwilling to accept the imposition of mandatory
radio for gliders in an area where it is optional for all other
traffic. - Although it is, on the face of it, difficult to argue with the
recommendation for a speed limit for gliders, there are
considerable numbers of fast homebuilt aircraft such as the Long
Eze which have a frontal area not much different from that of a
glider and are thus just as difficult to see. In fact, because of
their shorter wingspan, they have even less frontal area in some
cases. Given that the Tocumwal accident occurred above the circuit
area and there are no other accidents on record where high glider
speed in the circuit was shown to be a factor, there is no
justification for the recommendation.
In spite of the above comment, GFA will closely examine the
feasibility of requiring in future that any "abnormal" circuit
entry, be it a high-speed entry or an inadvertent entry from an
unusual position, be preceded by an "all stations" call from a
radio-equipped glider, warning other traffic of the glider's
position and intentions. In the case of a non-radio glider, a high
speed circuit entry will not be permitted (except at a NOTAMed
contest) and pilots "caught out" by conditions and entering from
unusual positions must fly so as to avoid other traffic in
accordance with the CARs. - A shift in emphasis is needed in cross-country training, from
the euphoria of completing the task to a positive concentration on
the complex circuit-joining task ahead and its consequent need for
a full lookout scan and any radio calls that may be appropriate.
For all joining traffic, whether from cross-countries or not, the
concept of a "wake-up call" when about to enter the circuit area
must be developed and we are working on that. - A strategy needs to be devised to cope with the increasing
complexity of cockpit instrument systems, especially when entering
known busy traffic areas. - BASI has identified the phenomenon of "skill fatigue", one of
the symptoms of which is fixed vision and a failure to scan the
sky. Given that the complex nature of many gliding tasks makes
skill fatigue a likely factor in our sport, there will be an
education campaign warning of the need to "keep something in
reserve" for the complex task of joining a known busy part of the
sky after the relatively low-risk enroute task which has just been
flown.
I trust this explains and summarises the GFA position on this
matter".
Response classification: CLOSED - PARTIALLY ACCEPTED
GFA/BASI Meeting
Subsequently a meeting between BASI and the Director of
Operations of the GFA was held on 13 January 1998. The following is
a summary of the outcomes of that meeting:
- The proposal for a protected area around aerodromes with
significant gliding activity was not supported. Instead it was
agreed that the size of the CTAFs at these locations be reduced
from a non-standard 15 NM radius to the standard 5 NM radius. - It was agreed that the GFA recommend a circuit entry broadcast
become a standard operational procedure for all radio-equipped
gliders that, due to variation in conditions or unforeseen
circumstances, can not enter or comply with the standard traffic
pattern for that location. The GFA publication "Airways and Radio
Procedures for Glider Pilots" to be amended accordingly. It was
also agreed that a procedure would be developed for non
radio-equipped gliders to follow in similar circumstances. - The recommendation for an 80 kt speed restriction to gliders
operating in the circuit area was rejected. An alternative course
of action to address this issue, as suggested by CASA, was the
avoidance of abrupt vertical manoeuvres in the circuit area. It was
proposed that BASI discuss with CASA the incorporation of the
avoidance of abrupt vertical manoeuvres in the circuit area, into
the relevant section of the Aeronautical Information
Publication. - The GFA expressed a willingness to participate in any
additional study to investigate the benefit of high-visibility
markings on gliders. BASI will encourages the GFA and others to
continue research on this subject.
Civil Aviation Safety Authority response
A response was received from the Civil Aviation Safety Authority
(CASA) on 19 September 1997. This response disagreed with some of
the recommendations and instead suggested some alternatives.
Following the GFA/BASI meeting, a copy of the letter to the GFA,
summarising the agreements reached at that meeting, was sent to
CASA.
The following response was received from CASA on 6 April
1998:
"Thank you for your letter of 3 February 1998 with the
results of a meeting between BASI and the GFA at which the BASI
report on the Tocumwal and Horsham glider mid air collisions were
discussed.CASA concurs with the recommendations resulting from this
meeting and will instigate action to implement the reduction in the
size of the Tocumwal and Benalla CTAFs".
Response classification: CLOSED - ACCEPTED
LOCAL SAFETY ACTION
As a result of this occurrence, Sportavia Soaring Centre of
Tocumwal, wrote to BASI on 27 August 1997, advising:
"Having read your Air Safety Recommendation on No
R970092, we are in full agreeance with the report and also fully
agree with the recommendations put forward.It is our intention to implement immediately the recommendations
outlined in the report: They are:
- A mandatory 15nm inbound radio transmission by all
gliders.- A 3nm inbound transmission by all gliders entering the circuit
area.- A radio call on executing the circuit entry.
- 80 knots indicated airspeed maximum for all gliders inside the
circuit area, except during official competitions.- The circuit is defined as below 2000 AGL and 3nm radius.
We believe these actions will reduce the possibility of a repeat
accident of this nature. Trusting that this is to your
satisfaction".