Investigation number
199803437
Occurrence date
Location
30 km E Mitton Creek
Report release date
Report status
Final
Investigation type
Occurrence Investigation
Investigation status
Completed
Aviation occurrence type
ANSP info/procedural error
Occurrence category
Incident
Highest injury level
None

Local safety action

  • Airservices Australia advised that the following procedures
    were to be implemented with immediate effect (27 August 1998):
  1. " A coordinator shall be assigned to FS1 at least 15 minutes
    prior to expected multiple movements at MOK whether inbound or
    outbound.
  2. Communications shall be managed by FS1 and FS5 so that all
    aircraft at A100 and below shall be in HF contact with FS1 when
    crossing the FIA boundary north/south between 122.4 and 125.7 or at
    top of descent into MOK from flight levels.
  3. VHF transfers between 125.7 and 122.4 shall not be attempted in
    either direction with aircraft at or below A100.
  4. Aircraft not capable of continuous two-way contact with either
    FS1 or FS5 shall be advised that "IFR operations are not permitted
    without continuous two-way comms, advise intentions". Pilots should
    be expected to proceed VFR at a VFR level, with a SARTIME.
  5. If considered of value and as a prompt, primary and secondary
    HF frequencies may be given to IFR flights arriving at MOK as
    follows;

    When aircraft report arrival at MOK, they may be
    instructed to "report taxying and departure on ... (HF frequency)
    as primary, with ... as secondary".

  6. IFR aircraft that fail to report departure MOK within 10 NM of
    the aerodrome or prior to climbing through A050 shall be the
    subject of an immediate phone call to their company. This shall be
    done by the Group Leader if on duty or the TLDR or OCA officer at
    all other times.
  7. If considered of value in difficult communications conditions,
    traffic information may be directed to IFR flights on anticipated
    MOK departures that may not have reported taxying.
  8. The situation with MOK traffic, communications, frequency
    congestion and pilot movement reports will be reviewed over a trial
    period of 28 days. Further action will be taken as circumstances
    warrant."

Bureau of Air Safety Investigation safety action

As a result of this and a similar occurrence, the Bureau of Air
Safety Investigation is currently investigating a perceived safety
deficiency relating to the air traffic service operational
limitations of Brisbane Flight Service 1 position.

Any safety output issued as a result of this analysis will be
published in the Bureau's Quarterly Safety Deficiency Report.

Aircraft Details
Manufacturer
Embraer-Empresa Brasileira De Aeronautica
Model
EMB-110
Registration
VH-UQF
Serial number
110232
Operation type
Air Transport Low Capacity
Departure point
Mount Isa, QLD
Departure time
0710 hours EST
Destination
Doomadgee, QLD
Damage
Nil
Aircraft Details
Manufacturer
Fairchild Industries Inc
Model
SA227
Registration
VH-UZA
Serial number
AC-619B
Operation type
Air Transport Low Capacity
Departure point
Mitton Crek, QLD
Destination
Townsville, QLD
Damage
Nil